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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Resuming Regular Care

So many important medical appointments were booked for March and April and canceled during the height of the pandemic. Now we are beginning to refocus on the fact that skipping appointments, even if you are feeling well now, could become harmful.

One important group of patients that we are eager to see are those with serious chronic conditions. These diseases require patients to see their primary care provider or a specialist at least once a year and sometimes far more frequently than that. Those with heart failure, kidney disease, diabetes, high blood pressure, and chronic obstructive pulmonary disease, for instance, all require regular contact with your provider.

Another group of patients we'd like to see are those with new medical concerns. We know that new medical concerns don't stop during a pandemic. Some conditions, like depression and anxiety, are far more prevalent during a pandemic than before. In many cases, new conditions are easiest to treat when patients first notice symptoms, and delaying care for these conditions can be dangerous.

Even regular care for those who are healthy is as important as ever. Other diseases—cancer in particular—haven't gone away. So, if you would normally be getting a screening such as a colonoscopy or mammogram, it's time to schedule an appointment. Many cancers can be detected and treated early with better outcomes. We can only expect those good results, if people are screened.

For children, regular vaccines are very important. If a big portion of the population neglects to get important childhood vaccines on schedule, we may be susceptible to outbreaks of measles or whooping cough.

There are many steps we have taken to improve safety for those seeking medical care. The first one is the availability of telemedicine. If the condition you are seeking treatment for does not require diagnostics or a physical exam, your provider can meet you virtually using any Internet-enabled device or over the phone. See details here.

If you do need to come to the office, you will notice check-ins at entrances, where staff check patients and visitors for respiratory symptoms and ensure that all are masked. You'll also notice efforts to space the waiting rooms to improve social distancing.

So how do you get the care you need?

  • If you have a primary care provider, call in to see what you may have missed during the pandemic. Did you miss an appointment to manage a chronic condition? Also share any new health concerns you have and check that you and your family members are up to date on all of your screenings and vaccinations.
  • If you don’t have a regular doctor, it makes sense to get one now. Locally, call the find-a-provider line at 802-447-5007 for a directory of practices that are accepting new patients.
  • Those with time-sensitive medical needs can use ExpressCare, a walk-in clinic, on the hospital campus in Bennington. Be sure to call ahead to 802-440-4077 if you have respiratory symptoms.
  • For Emergency Care, always come directly to the SVMC Emergency Department.

Most off all, we want our patients to know that we are here for them. There is no longer a need to delay medical care, whether for known conditions, new concerns, or preventive care. In every step we take, we are protecting patients against COVID-19 and helping patients with all of their other medical needs, too.

Bob Schwartz, MD, is associate medical director of Dartmouth- Hitchcock Putnam Physicians at Southwestern Vermont Medical Center in Bennington and a family medicine physician at SVMC Northshire Campus in Manchester.

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