Why do the majority of older people have balance problems? There is not one simple answer.  Balance involves many systems and areas of the body. It involves the communication between our vision, vestibular system (inner ear) and joint proprioception. If any one of these systems is not functioning properly, it will directly affect the other and often result in balance problems. 



Most people depend upon their vision for balance. A quick test to see if this is you is standing with your feet close together with your eyes closed. If you lose your balance quickly or start swaying severely, this may indicate you use your vision to keep yourself upright. Other reasons for impaired balance could be: joint stiffness, muscle weakness, medications, less activity, inner ear problems, and neuropathy. The common phrase “If you don’t use it, you lose it!” is definitely true for balance.