Does anyone have specific information on falling "backwards"? (2023)

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Does anyone have specific information on falling "backwards"? (1)

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BildIMP asked May 2012

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My mum (92) has had trouble falling backwards recently... She was actually holding onto her walker as she said she felt herself falling backwards without warning. Your doctor thinks it could be related to a cervical problem (or the artery in your neck, not the carotid arteries, is blocked). The doctor refused to do an MRI because "there was nothing to do and it tends to scare people to pat themselves." Any ideas/information? I found an article online about what she was Calling Back Imbalance - "BD" - but her doctor cut me off as soon as I mentioned the source and said, "You can find anything online, so let's not go there!"

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paula25 September 2017

First find another Dr. Any Dr who doesn't start research because he "might scare people" shouldn't "practice"!
You and your mother deserve better.
Also, rejecting what you found on the internet is derogatory, to say the least. Physicians need to be prepared for what their patients will find in magazines, on the Internet, and other media, and be respectful of the patient doing their own research. If your mother keeps falling, you risk brain injuries and broken bones = pain, disability, morbidity.
Are you looking for a more competent and intelligent Dr. Much luck. I hope your mother gets the support she deserves. Years ago, with a Dr. who told me that he always subscribed to Reader's Digest so he could keep up to date with what illnesses his patients were having over the next month. (RD used to have an article "I'm Joe or Jill's kidney/liver/thyroid etc.")

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TerryinParadise March 2017

Dear Dunn, The following is my response to a similar question 3 months ago. PSP is not difficult to diagnose for an informed or specialized neurologist. So we switched neurologists. dr Michael Au didn't need any tests, it was a 5 minute clinical diagnosis. It's VERY frustrating not having answers. Find an appropriate neurologist, do your research, and watch for other symptoms. If you discover that your mother has a PSP, I suggest you make the most of your time as a mother now.
- - - Fall backwards? Can't speak, swallow, read or walk well? Mom had everything plus seizures. Investigate PSP (progressive supranuclear palsy), which is rarely and commonly diagnosed as Parkinson's-like. Her doctor offered her pills, her neurologist offered her painkillers for seizures, and used the word Alzheimer's. We found a new doctor (never too late!) who referred us to a knowledgeable geriatric neurologist. It was well worth the 2 hour drive and 5 minute visit to the office to get a correct diagnosis. Mom matched every PSP symptom we found online. No, there is no treatment. But YES, a great relief to finally have an answer, knowing what was going on with mum and what to expect for the future. We put aside worry, frustration and seeking help from the helpless. We spent our last 3 years making the most of the time we had.
TerryinParadise

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dunn5732 March 2017

Is progressive supranuclear palsy difficult to diagnose? We did all sorts of tests and saw a neurologist. He ruled out Parkinson's. My mother is 76 years old and suffers from a backward or balance fall. After a fall, you have no idea how the fall happened. We have had home therapy and although it has helped a little, my mother is frustrated that there is no known diagnosis or cause for her falls.

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(Video) Do you fall backwards when getting into a deep squat?

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TerryinParadise December 2016

Fall backwards? Can't speak, swallow, read or walk well? Mom had everything plus seizures. Investigate PSP (progressive supranuclear palsy), which is rarely and commonly diagnosed as Parkinson's-like. Her doctor offered her pills, her neurologist offered her painkillers for seizures, and used the word Alzheimer's. We found a new doctor (never too late!) who referred us to a knowledgeable geriatric neurologist. It was well worth the 2 hour drive and 5 minute visit to the office to get a correct diagnosis. Mom matched every PSP symptom we found online. No, there is no treatment. But YES, a great relief to finally have an answer, knowing what was going on with mum and what to expect for the future. We put aside worry, frustration and seeking help from the helpless. We spent our last 3 years making the most of the time we had.

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kellerina55 July 2016

I'm a little late to post here, but backward falling is a symptom of progressive supranuclear palsy, a little-known degenerative neurological disease. It also causes problems with vision, swallowing, eventually speech, etc., but often the initial onset is falling backwards, slurred speech, and trouble focusing the eyes. Please investigate this condition especially on Thimblemoss and check if this is not the case. It falls under the Parkinson's disease umbrella but bears very little resemblance to Parkinson's disease.

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97 year old mother February 2016

This (backward imbalance) is very interesting. My aunt (89) complained about a relapse a few years ago. He never really fell, but felt he could easily do it. She had pt at home and although it helped she said it still felt like she was leaning backwards. A therapist came in for an evaluation and found that her posture was such that she reclined and also noticed that the Converse sneakers she liked to wear were very flat, lacked arch support or heel construction, and were too long. All of this was true. They looked like clown shoes to me. He liked these shoes so much that he had two pairs. When we put him in better shoes, the problem went away. He loves his new shoes. I never dreamed that a problem like reverse imbalance existed. She has a home therapy session once a quarter and it really helps.

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karen February 2016

My 88 year old mother has osteoarthritis in her right knee, COPD, heart failure and atrial fibrillation and had an ischemic stroke two years ago. Take the blood thinner Xarelto (rivaroxaban). and furosemide, among other drugs. He has a significant balance problem and muscle weakness. She uses a walker 100%. He lives in a senior community and still insists on living "independent living" in his cabin. She recently had two setbacks in her cabin, one in October 2015 (back of head hit on blade of wooden dining table, went to ER, CT scan showed no injuries) and the second time in February 2016 (slammed left elbow into vinyl floor , went to the ER and had a tear that was "taped down" and bandaged). I called the offices of his family doctor and his cardiologist. I will also call her physical therapist. Here's an article I found on pubmed: Backward imbalance in the elderly. Clin Interview Aging 2008 Dec;3(4):667-672. A comprehensive overview can also be found in pubmed: Howe TE, Exercise to Improve Balance in the Elders. Cochrane Database Syst Rev 9 Nov;(11):CD:004963. A third article in a physical therapy journal: What is a posterior imbalance and how do I treat it? Case study of a complex patient. J Neurol Phys Ther 2015 April; 39(2):119-26.

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(Video) My Points are Falling Backwards and I Don't Know What to Do

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ninshink May 2014

my aunt is 92 years old, she has had trouble walking for about 2 years. i have had her in rehab off and on for these 2 years has told her that she is the only person i know who is going through rehab and coming home worse, she is in rehab now and can't stay up long his legs, she can ride a bike in therapy and do a good job, but when she puts weight on his legs, he can barely move his feet. I've had every test we can think of but nothing, they even did a stroke test and nothing, he's been falling forward for a while now he's falling backwards when he can walk, I'm very scared of her in a Having to be stuck in nursing home, but what else can I do? I would love to try to bring her home but I have medical issues that limit my ability to lift and pull her. Does anyone know what her medical issue might be since no doctor knows?

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vsstefans May 2014

It can be neurological, part of a primary or secondary parkinsonian picture, and responsive to medication. If you think it is and the regular nurse or doctor can't feel it, see it, or be unfamiliar with how to treat it, have a good neurologist look at it. Artane and Sinemet are not complete replacements for a functioning black striatum and basal ganglia, but they can be surprisingly helpful in some cases and often without many side effects. JMMV!!

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stigmatized May 2014

The balance comes from mechanisms in the inner ear, and by 92 the machine is just worn out. She doesn't like the PT so don't force her to continue. She is referred to a wheelchair and 24-hour assistance. The MD was a bit casual, but he can be just as frustrated as you. The reality of old age is difficult to accept and irreparable.

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PTAkelly May 2014

I also work with patients who are holding weight on their heels! I am a home health care PTA and this is very common in the elderly. I'm working hard to keep it going. Forward lunges, weight shifts and much more. Sometimes I feel like it has to be neurological because even if they're successful one day, they might not be next time. In fact, they feel like they're falling flat on their face when the opposite is more likely. Am I hitting a dead horse?

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(Video) How to Stop Falling Backwards

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thimble March 2014

Since writing this last post, I've noticed something about my mom's balance mechanics: When she stands up (with help), she lifts the balls of her feet off the ground and throws her center of balance backwards.

I would be interested to know if anyone else has observed this.

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vsstefans February 2014

Sometimes this is a "retropulsion" due to Parkinson's disease or Parkinsonism. My mom had that, she couldn't help but back down, and some people misinterpreted that as resistance. Also, I had severe gear tremors so I knew what it was... I once managed to convince a GP to find it on my MIL on the phone so I added a little cogentin but the nurse who was examining my mother , it seemed she couldn't even feel it when she showed it to her in person and I ended up having to go to a neurologist for confirmation and proper treatment (Sinemet). Hey, who's going to believe a humble pediatric rehab doctor about this stuff? The Sinemet was very helpful as without it she would have lost the ability to feed herself and this made her very depressed when she had to ask someone to feed her a few times. MRI may not be as helpful as a good neurological exam; On the other hand, if they don't do everything they can to prevent strokes or the magnitude of strokes, the MRI findings could make all the difference. My mother had very severe cerebral atrophy and switching from antiplatelet drugs to warfarin (Coumadin) was considered too dangerous. But then we wouldn't have known that without the MRI and a couple of CT scans... and she needed to see it in black and white as well, or I would have taken her to more eye doctors instead of knowing that her vision is very poor. it was also due to a stroke.

And I have to agree that it takes someone special to do a good job in therapy with a less cooperative patient - we see that when the "adult" physiotherapist or physical therapist tries to work with young children as well, they don't know how to flatter them. or mess around and get people to do what you want them to do when they don't follow verbal commands, which is a shame because good therapy can increase strength and function and reduce pain significantly. Sitting still and relaxing is the worst thing you can do for arthritic joints, but that's what most of our seniors instinctively do when they have joint pain!

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thimble February 2014

Shame on your mother's doctor who dismissed the article you read just because it was on the internet. You should already know that some of the most reputable sources (National Institutes of Health, PubMed, WebMD) get their information from well thought out research and a comprehensive review of the medical literature.

The authors are geriatricians, internists and a neurologist. Hardly an anonymous person speaking about something they know nothing about.

I found this article informative and chilling. Yes, you need to look up a lot of medical terms to get the most out of it.

What you are missing are concrete therapy recommendations. My mom is 87 years old and recently started falling backwards. This started shortly after his posture had changed significantly: He was leaning sharply to the right and slouching sharply when sitting, standing and walking with or without a walker. This all started about 2 months after he fell backwards and fractured his sacrum, causing him severe pain.

Not only do we need to understand what is causing this, but we also need to be able to do things that will help our parents who are having this problem. We need to be reassuring, encouraging, kind and patient. Even if there is no improvement, imagine how you must feel trying to do something about your confusing and terrifying falls. My mother has kind and loving nursing assistants who would diligently carry out any physical therapy instructions that might help her.

It goes beyond understanding what a physical therapist is asking of you. He had a good one or two, but the others grew impatient when he wasn't progressing as quickly as a younger human. My heart goes out to the latest poster, whose therapist recommended stopping his mother's therapy. Therapy should not just take place in a therapy center. Physical therapy should include providing the patient with things to do at home, whether or not there is significant improvement.

So what will I do to solve my mother's problem? I will not take her to many different specialists or subject her to many tests that do not provide any direct benefit in terms of alleviating her condition. On this point we all seem to agree. I will take her to her orthopedist who treated her sacrum fractures and have him observe the changes in her posture.

So. We don't have a definitive treatment or even a full understanding of what's going on. I release my own frustration and anxiety by reading and trying to understand. I'm going to put a lot of pressure on the orthopedist to do things that at least don't make things worse or cause harm.

And if you would like your doctor to draw your attention to anything that you think may be important to your parent's care or treatment, make a copy and bring it with you to your appointment.

Blessings to all for caring.

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BildIMP June 2012

We got a call from a physical therapy center because my mom's doctor thought maybe it would help if mom could build up her muscles etc. I'm very happy and hope it helps. Mom fell a few years ago and broke her arm at the shoulder (she had done that to the other a few years ago) and then went to this medical center. She was very fond of the first therapist who worked with her and made progress (both in her and the therapist's opinion); However, this girl was transferred to Salem and a young man was assigned to her case. Mom said he would only say superficially, "Do 10 of these and 10 of these and 5 of these, etc." Then he would go away and various therapists would chatter to each other... He would come back and just admit more exercises but not stay there at all and/or give advice, encourage me or check if I was doing them right. She quickly said, "I don't think there's much we can do for you, so I suggest you stop your therapy..." Mom was devastated and angry (she's still doing the exercises the first girl typed her on a sheet has given). . Well, what Mom said when I told her I was coming back was, "I better not stay with the same guy - that's probably a waste of time etc etc." She's totally negative, and she tends to be negative in general what makes it really hard for me to be optimistic...

(Video) How to Fall Backwards WITHOUT Getting Hurt

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jeannegibbs May 2012

I am of two minds. Getting expensive tests when there will be no change in treatment based on the tests seems like a waste of money, time and anxiety to me. So I'm kind of at the doctor's.

But I would like to know if there are other possible causes of the problem and if any of them are treatable. How might these alternative causes (if any) be tested?

I think this is where your internet research comes into play. Are there any reputable sources that list other causes and most importantly other treatments?

I'm sure getting a tag for this issue is not your goal. You just want to know what to do to keep mom from falling backwards, right? If your research (including posting your question here) gives reason to believe that this could be treated depending on the cause, then getting a second opinion makes a lot of sense.

Much luck!

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nancyh May 2012

Interestingly, there is an old man in my friend's building who can ONLY walk backwards. He's physically unable to walk forward without falling over, so she says he walks backwards everywhere! This was due to a stroke he had suffered about a decade ago which had thrown him completely off balance as he stared straight ahead. Funny but true. As for your mother, I'd say get a second opinion from a doctor who isn't an idiot.

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Does anyone have specific information on falling "backwards"? (8)

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