i·body

Falls prevention & balance

Falls prevention and balance in North York.

Falls are the most common reason older adults in Canada are admitted to hospital with an injury. They are also one of the more preventable — and unsteadiness is a reason to come in, not a reason to wait.

726 Gordon Baker Road, North York · Free on-site parking · Open Saturdays & Sundays

The training studio at iBODY, with turf flooring, free weights and suspension equipment

What is going on

Balance is a skill, and skills fade without practice.

Staying upright is an active job — leg strength, position sense, vision and reaction speed all running at once. Each of those declines quietly, none of them announce it, and the first sign is usually a stumble that gets explained away as not looking where you were going.

The loop worth breaking

A fall, or a bad near-miss, makes people cautious. Cautious means going out less and doing less. Doing less costs strength and balance directly — which raises the risk of the next fall. The fear is reasonable; the response to it is what makes things worse.

What contributes

  • Lower-body weakness, especially getting out of a chair
  • Balance and reaction speed that are no longer practised
  • Vision, and glasses that no longer match your eyes
  • Several medications together, or ones that cause drowsiness — a physician or pharmacist review
  • Light-headedness on standing up
  • Foot pain, and footwear or slippers with no grip or support
  • Rugs, cords, poor lighting, stairs and the bathroom

Near-misses count

Most people only mention a fall if they were hurt by it. Grabbing the counter, sitting down harder than intended, a trip on the stairs that came to nothing — those are the useful information, and they are worth reporting rather than shrugging off.

A chiropractic treatment room at iBODY with an adjustment table
Assessment first — strength, balance, gait and what actually happened

How it is treated

Train the thing that is failing.

Strength and balance work — progressed hard enough to be challenging — is the approach with the strongest evidence behind it for reducing falls in older adults. The word doing the work in that sentence is challenging.

Find out why

Strength, balance and walking assessed and measured, plus the history: what you were doing, whether there was any warning, and whether anything has changed recently in health, medication or eyesight.

45–60 min

Rule out a medical cause

A fall with no explanation, a blackout, or one you have no memory of is a medical event and gets referred as one. Balance training is not the answer to a heart rhythm or blood pressure problem.

First

Build strength and balance

Real lower-body strengthening — getting out of a chair, stepping, climbing — with balance work that is progressed as you improve rather than kept comfortable.

The main work

Address the rest of it

Practical guidance on footwear and home hazards, and a written note of anything worth raising with your physician, pharmacist or optometrist. Exercise is the biggest lever, not the only one.

Alongside

Get the confidence back

Graded return to what you have stopped doing — stairs, uneven ground, going out alone — built on capacity you have actually demonstrated.

Ongoing

Also treated here

Other things we see every week.

Back pain

Lower and upper back pain, from a sudden strain to pain that has quietly become normal.

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Sciatica

Pain, pins and needles or weakness travelling from the back down through the leg.

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Neck pain & headaches

Stiffness, desk-related strain and the headaches that often come with them.

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Shoulder pain

Rotator cuff injuries, impingement and the slow stiffening of a frozen shoulder.

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TMJ & jaw pain

Jaw clicking, clenching and pain that radiates to the ear or temple.

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Tennis elbow & forearm strain

Elbow and forearm pain from racquets, keyboards and repetitive work alike.

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Knee pain

From a twist on the stairs to pain that flares with every run — assessed before it is treated.

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Plantar fasciitis & heel pain

That first-steps-in-the-morning heel pain, and the foot mechanics behind it.

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Hip pain

Groin, outer-hip and buttock pain — including the hip problems that get mistaken for back trouble.

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Frozen shoulder

Shoulder stiffness that worsens in stages — distinct from a rotator cuff injury, and treated differently.

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Carpal tunnel & wrist pain

Numbness, tingling and night-time hand symptoms from the wrist, keyboard and repetitive work.

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Ankle sprain

The rolled ankle that never quite settled, and the instability that follows it.

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Arthritis & joint stiffness

Stiff, aching joints — strength and movement for osteoarthritis, and referral when the pattern says something else.

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Sports injury rehab

Getting back to sport against criteria rather than a calendar — and not getting injured again on the way.

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Desk posture & ergonomics

Neck, back and wrist strain from a desk job — the workstation, the working day, and the symptoms both have caused.

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Whiplash

Neck injury after a collision — treated here, and billed to your auto insurer.

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Common questions

Answers before you book.

Is falling just part of getting older?

No — and this is the most important thing on this page. Falls become more common with age, but they are not an inevitable feature of it, and risk factors that contribute to them are among the more modifiable things in medicine. Treating falls as simply what happens now is the belief that most reliably stops people doing anything about them.

I have not fallen, but I feel unsteady. Is it too early to come in?

That is arguably the best time. Unsteadiness, holding furniture as you move through a room, or a near-miss you did not mention to anyone are all worth acting on before there is an injury to rehabilitate. Prevention is a great deal easier than recovery from a broken hip.

Is walking enough to keep my balance up?

Walking is genuinely good for you and it is not the same thing as balance training. The programmes with the strongest evidence behind them deliberately challenge balance — narrower stances, less hand support, controlled weight shifting, movement in different directions — alongside real lower-body strengthening. If a balance exercise feels completely comfortable, it has stopped being balance training. That progression should be set by a practitioner rather than guessed at.

What besides exercise affects my risk?

Quite a lot, which is why a good plan is not only exercise. The number of medications you take and how they interact, vision and out-of-date glasses, blood pressure that drops when you stand, foot pain and unsuitable footwear, hearing, and hazards at home all contribute. Medication review belongs with your physician or pharmacist, and eyesight with your optometrist — we will tell you what we noticed and who to raise it with.

Since my fall I am nervous about going out. Is that normal?

Extremely, and it deserves attention rather than reassurance. Fear after a fall leads people to do less, doing less costs strength and balance, and losing those raises the risk of the next fall. It is a loop, it is common, and breaking it is an explicit part of the plan — usually by rebuilding confidence through activities that are genuinely within your capacity rather than by being told not to worry.

Can family come to the appointment?

Yes, and it is often useful. A spouse or adult child frequently remembers a near-miss or a change at home that would otherwise not come up, and they are usually the ones who will help with anything that changes at home. Come together if that suits you.

Is treatment covered by insurance?

Under most extended health plans, yes, and we direct bill the major insurers. If the fall happened at work it may go through WSIB, and if it happened in a collision it is billed to your auto insurer. Coverage is confirmed before treatment begins.

Question not answered here? Call 647.710.6927, send us a message, or book online and ask at your visit.

Ready when you are

Book a falls prevention & balance assessment.

Online booking through Fresha, or call the clinic during opening hours.

Booking opens our profile on Fresha, our online booking system — real-time availability and an emailed confirmation.

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