Winter-Proof Your Walk: Tips for Preventing Falls
Courtney Carter
/ Categories: WELLNESS, 2024

Winter-Proof Your Walk: Tips for Preventing Falls

As temperatures drop, your risk of slipping and falling on ice and snow goes up. If you’re lucky, you walk away with a bruised bottom and ego. But for many folks, especially those 65 and older, icy falls can lead to broken wrists, hips, and hands and even fatal head injuries. 

Of course, no one anticipates falling, but there are things you can do to reduce your risk. Here’s where to start:

Keep walkways clear of ice and snow. Apply sand or earth-friendly cat litter to well-used walkways and areas that commonly ice over to create traction.
Walk like a penguin. When walking on ice, shuffle your feet only slightly apart for better balance. Bending your knees slightly as you walk will also improve balance. Keep your hands free and out of your pockets to help you balance.

Walk sideways on inclines. When navigating icy inclines, turn sideways. Take small side-steps with your knees slightly bent for better balance and stability. 

Watch out for icy patches. Watch out for invisible ice when exiting cars or when walking up and down outdoor stairs. 

Choose your path wisely. If there are clean pathways with handrails, use them. If the sidewalk is icy, move just off the edge and walk on the snow or grass for traction. 

Wear shoes and boots with proper traction. Flat-soled footwear made of rubber and neoprene composite provides better traction than plastic and leather soles. For especially slippery conditions, you may want to invest in slip-on traction cleats or snow grips, which provide grip on snow and ice.

Use Assistive Devices Wisely.

If needed, use a cane or walker for added stability. Make sure any device you use is properly fitted for you.  Consider attaching an ice gripper to your cane tip or getting wheels specially designed for winter conditions for your walker.

Take your cell phone. Whenever you’re headed out in icy conditions, put your cell phone in your pocket. Having your hands free will help with balance, and if you do fall, you can call for help if needed.

Fall smart. If you feel yourself falling, try to land on something soft and use your arms to protect your head if necessary.

Stay still. If you do fall, resist the instinct to jump right up. Instead, take a few moments—or minutes—to assess any sources of pain or discomfort. If you can’t get up, hit your head, or feel like you may have broken a bone, call 911.

Get up slowly and safely. If you can get up, do it slowly to avoid falling yet again.

With a few simple precautions, you can significantly reduce your risk of falling and safely navigate winter's slippery challenges.

 

Dr. Lisa J. Downing-Forget, MD, MPH practices Geriatric Primary Care at Southwestern Vermont Medical Center.

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Home Office How To

Did you know that many sources of chronic pain start in a poorly arranged office? Carpal tunnel, pinched nerves, overuse injuries can often be traced to chairs being positioned improperly or important tools being positioned outside easy reach. While reaching or straining once or twice wouldn't hurt us at all, doing so repeatedly day after day can cause painful and lasting injuries.

As an occupational health physician at Southwestern Vermont Medical Center, one of my responsibilities is to help employees of SVMC and other companies who have workplace injuries and recommend the adjustments they should make.

During a spike in work-from-home arrangements, I have heard about friends’ and family members' work-from-home set-ups. Some are working from laptops on their couches. Others are set up at kitchen tables. We know that their cats walk across their keyboards and their kids interrupt. Especially since Governor Scott has just indicated that remote workers will likely be the last to return to the traditional workplace, it's time to get our home office arrangements figured out.

That's why I would like to share the important details you need to arrange a healthful workspace and encourage all to invest the time (and sometimes a little bit of money) needed to implement them. Learning these points is key to avoiding injuries, as continued work-from-home policies, where feasible, will help maintain appropriate distancing needed to decrease the spread of COVID-19.

An adjustable chair is the first and most important component of an office set-up. Office chairs include crucial lumbar support and encourage good posture. When your forearms are resting on your desk or table, adjust the chair height up or down until your arms form a right angle. This is an important step in avoiding wrist pain and carpal tunnel, two of the most common office injuries. If, when your arms are in the correct position, your feet are not touching the floor, employ a footstool.

Position your monitor an arm’s length away. (If you can't see the screen from this distance, better go get an eye exam!) And raise the screen so that the top of the screen is eye level. This, too, will encourage good posture.

If you use two monitors, positioning them properly depends on how you use them. If you use them equally, the dividing line between them should be right in front of you. If you use one primarily and the other secondarily, position the more dominant screen directly in front of you. If you use a laptop, consider investing in a riser and an additional keyboard needed to raise the screen to eye level.

Put all of your other tools, including your mouse and phone, within easy reach. If you use the phone a lot, consider investing in a headset.

The only other recommendation I make is to stretch every 15 – 20 minutes. A list of helpful office-oriented stretches is available here. And every hour, be sure to get up and take a short walk or standing stretch.

If you follow these recommendations at home, you will be much more comfortable and are likely to be more productive, too, all while maintaining the social distance we need to keep COVID-19 infections low throughout this next phase of the pandemic. Most importantly, you will save yourself the pain and discomfort of office injury no matter where you're working.

Mark Zimpfer, MD, is a physician at Southwestern Vermont Medical Center's Occupational Health practice. 

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