Is There a Link Between Chronic Pain and Falls by Seniors?Well, even without a study, such as the one recently done by researcher Suzanne G. Leveille, from Beth Israel Deaconess Medical Center in Boston and the University of Massachusetts, and her colleagues, I personally have felt that there definitely is a link. Of course, my belief is based on personal, anecdotal evidence rather than any empirical study. However, here's my line of thinking, and then I'll tell you what the study said.
First, let me say that I am 64 (65 next March) and have had pretty severe osteoarthritis for several years. Additionally, I have suffered a back injury, and am no stranger to chronic pain. I am personally active, walking regularly, exercising with weights regularly, and do a lot of standing, walking, reaching, and moving around in general, even when I am not engaged in actual exercise.
I know pain first hand. As someone who exercises regularly and who has practiced meditation and yoga for years, I am quite in tune with the actions and functions of my body and how they interact. I also study aging, particularly from the viewpoint of
exercise, fitness (mental and physical), and how to cope with the events that are a natural part of aging.
Over the years, I have observed that, despite my personal level of fitness and my exercise habits, I find that I often move like an "old man". It is usually an unconscious form of movement, kind of like Tim Conway's old skit, and I have noticed that while it is sometimes just linked to the stiffness which occurs sometimes, like when you first get out of a comfortable chair, it is also commonly linked to the pain which I am feeling at the moment. Sometimes it seems that my body wants to move as gingerly as possible (without asking me, of course) in order to avoid those actions which might produce pain...or at least to minimize it.
At those moments, I have noticed that my sense of balance is somewhat compromised and my ability to navigate around obstacles is somewhat diminished. I have often felt that I know exactly how many "old people" become less and less active and more likely to fall, or at the least bump into things...an act which can lead to a fall.
However, due to my regular physical activity, I can usually push past such moments and shift into a smoother, more controlled and efficient form of motion. We're not talking graceful here, but at least more functional.
Since I have my good days and my bad days, and I experience pain even on the good days, I can understand how chronic pain, the fear of it, and the attempt to escape it can lead to the sort of situation in which an individual may be less adept at being able to
prevent falling. A person who is less active is also more likely to suffer worse consequences of a fall, by the way.
Back to the study by Suzanne G. Leveille...
Without going through the entire setup and administration of the study, the results were pretty much what I had personally observed myself. Pain can cause muscle weakness and slowed response, and some effects could be in expectation of the pain or in memory of it. The fear which people have of potential pain can cause them to not only curtail the very physical activity which could help protect them from falling or the injuries associated with falling, but can also cause them to move in ways which may actually contribute to their possibly falling.
As you would expect, by the way, more pain seems to be related to a greater likelihood of falling.
Regular physical activity can help restore and maintain the individual's mobility and personal sense of control and freedom while helping to manage the pain as well. Since, in addition to the affect on the individual's life health-care costs associated with falls account for more than $19 billion in costs each year, a few minutes of regular exercise seems a good investment to me.
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One way to prevent falling is by being physically fit.
Click here to learn more about being
fit over 40.
A good little mini-course on preventing falls can be found at
Balance-Exercises.com.
Labels: avoiding falling, chronic pain, Osteoarthritis, preventing falls