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How to get up off the floor if you fall? A step-by-step guide

4 min read

Falls are a leading cause of injury and injury death among older adults in the U.S., with one in four Americans age 65+ falling each year. Knowing how to get up off the floor if you fall is a critical skill that can help you avoid further injury and maintain your independence.

Quick Summary

Stay calm and assess yourself for injuries after a fall. If uninjured, use a stable surface like a chair to assist you in a controlled sequence of movements, including rolling, crawling, and pushing to a seated position. If injured, call for help immediately.

Key Points

  • Stay calm and still: Take several deep breaths and remain still for a few moments to overcome the shock and assess for injuries.

  • Assess for injury before moving: Gently move your limbs and check for pain. If you suspect a serious injury, call for help immediately and do not attempt to get up.

  • Use a sturdy support: Crawl slowly toward a chair or another stable piece of furniture to help you stand up safely.

  • Follow the multi-step process: Roll onto your side, get to your hands and knees, crawl to a chair, and then use your arms and legs to push up to a seated position.

  • Rest before standing: Sit and rest for several minutes after rising to prevent dizziness and regain your stability before moving.

  • Practice for prevention: Incorporate exercises like sit-to-stands and crawling into your routine to build the strength and balance needed to manage future falls.

  • Tell someone you've fallen: Even if you feel fine, inform a family member or doctor, as it could be a sign of a larger health issue.

In This Article

First, Assess Yourself for Injuries

After a fall, your first and most crucial step is to remain calm and still. Take a moment to catch your breath and let the initial shock subside. Lying still for a few minutes allows you to take stock of your body and assess for any pain or injury before attempting to move. A swift, uncontrolled movement could worsen a potential injury, so proceed with caution.

  • Stay calm: Panicking can lead to rash decisions. Take several deep breaths to relax your body and mind.
  • Check your body: Gently move your hands, feet, arms, and legs. Are you experiencing any sharp, severe, or sudden pain? If so, it is safest to assume you are injured.
  • If you are injured: If you suspect a serious injury, such as a broken bone, do not attempt to get up. Instead, call for help immediately, using a medical alert device, a cell phone within reach, or by yelling. Keep warm by covering yourself with a blanket or clothing if possible, and try to make yourself as comfortable as you can while you wait for assistance.

The Safe Method for Getting Up

If you have determined that you are not seriously injured, you can proceed with the following steps. This process is deliberate and slow to protect your body and prevent another fall.

  1. Roll onto your side: Once you feel ready, slowly and deliberately roll onto your side. You can use your arms and legs to help guide your body. Pause here for a moment to allow your blood pressure to adjust, as getting up too quickly can cause dizziness.
  2. Push up onto your hands and knees: From your side, use your upper body strength to push yourself up into a hands-and-knees, or crawling, position. Take your time with this movement and rest if needed.
  3. Crawl to a sturdy chair: Slowly and carefully, crawl toward the nearest sturdy chair or another stable piece of furniture. A dining chair is a good option, but avoid items that are too light or wobbly, like a small side table.
  4. Rise to a kneeling position: Once you are close to the chair, place your hands firmly on the seat of the chair.
  5. Bring one foot forward: Place your stronger foot flat on the floor in front of you, with your knee bent at a 90-degree angle. Your other leg should remain kneeling on the floor.
  6. Push up to stand: Press down with your hands and your front foot, and slowly push yourself up. Use your leg muscles to do the majority of the work, and pivot your body to sit down gently in the chair.
  7. Rest and recover: Sit in the chair for several minutes to fully regain your composure and allow your body to stabilize before attempting to move further.

Comparison of Techniques for Different Needs

Different circumstances may require adjustments to the standard method of getting up. The following table compares strategies for various needs.

Feature Standard Method Method for Bad Knees or Arthritis Method for No Nearby Furniture
Starting Position Lying on back or side Lying on side or back Lying on back or side
Initial Movement Roll to side, push to hands and knees Roll to side, scoot on buttocks Roll to side, push to seated position
Mobility Crawl on hands and knees to a chair Scoot on buttocks to a chair or stairs Roll onto your stomach, push up to a hands-and-knees position
Rising to Stand Use chair for support, lunge with one foot Use stairs, pulling yourself up one step at a time Use forearms and hands to walk backward until you can press up with legs
Key Advantage Controlled and safe with stable furniture Avoids direct pressure and weight on painful knees Allows you to get up when stranded in open space

Exercises to Build Strength for a Fall

Practicing exercises can build the strength and muscle memory needed to get up after a fall and, importantly, help prevent future falls.

  • Sit-to-stands: Sit in a sturdy chair and, without using your hands, stand up and sit back down slowly. This strengthens your legs and improves balance.
  • Kneel-to-stands: Practice kneeling on one knee and then pushing up to a standing position. This reinforces the specific motion needed to get up from the floor.
  • Wall push-ups: Stand facing a wall and place your hands flat against it. Lean in and push yourself back, like a standing push-up. This builds upper body strength for pushing up.
  • Crawling: Regularly practice crawling on your hands and knees to improve coordination and build strength in your arms and core.

Conclusion

Knowing how to get up off the floor if you fall is a critical aspect of fall prevention and personal safety. The process should always begin with a calm self-assessment for injuries. If you are uninjured, a methodical, multi-step process involving rolling, crawling to a stable surface, and carefully rising can help you get back on your feet safely. For those with mobility challenges or no immediate access to support, alternative methods are available, and practicing targeted strength and balance exercises can significantly increase your confidence and ability. Always prioritize your safety, and do not hesitate to call for help if you feel you cannot rise on your own.

What to Do After You Get Up

Even if you feel fine after getting up, it is important to notify someone that you have fallen. A family member, friend, or doctor should be made aware of the incident, as a fall can sometimes indicate an underlying health issue or increase your risk for future falls. Reporting the event can prompt a discussion with your doctor about fall risk assessment and prevention strategies.

Frequently Asked Questions

First, take several deep breaths to calm yourself and remain still for a few minutes. Next, gently check your body for any pain or serious injury before you attempt to move.

You should call for help if you feel sharp or severe pain, suspect you have a broken bone or other serious injury, or feel dizzy or unable to move safely. Do not try to get up if you are seriously hurt.

To roll safely, turn your head in the direction you want to go, and use your opposite arm and leg to help guide your body. Move slowly to avoid causing a drop in blood pressure that can cause dizziness.

If you have bad knees, you can modify the process by scooting on your buttocks or using your forearms to crawl toward a supportive surface like a chair or the bottom of a staircase. This reduces the strain on your knees.

Yes, practicing safely is highly recommended to improve your strength and confidence. Start with someone present to help, and gradually incorporate exercises like sit-to-stands or kneeling-to-stands into your routine.

If no chair is nearby, you can crawl to another sturdy surface like a couch or even the bottom of a staircase. If you are in an open area, roll to your stomach and walk your hands back towards your feet to rise carefully without external support.

Reporting a fall to your doctor is crucial because it helps them identify potential underlying issues that contributed to the fall. They can then recommend a fall risk assessment and preventative measures.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.