Mobility, safety, and fall prevention Archive

The shingles vaccine, Shingrix, can trigger side effects such as a sore arm, achiness, fatigue, and fever. But Shingrix is highly effective at preventing painful shingles rashes and a complication called postherpetic neuralgia, which involves long-lasting nerve pain.

Coffee and other caffeine sources can interact with many common drugs, changing the way they're absorbed, distributed through the body, processed, and excreted. Coffee (even decaf) makes stomach contents more acidic, accounting for some drug interactions, but caffeine is mostly the cause. Medications vulnerable to coffee or caffeine's effects include those for cold or allergy, depression, high blood pressure, asthma, osteoporosis, anemia, Alzheimer's disease, thyroid problems, and insomnia. Drinking coffee and taking medications at separate times is advised.

A 2023 report warns that pickleball and other racquet sports can expose older adults to the risk of eye injuries, but wearing protective, shatterproof eyewear when playing can offer a layer of safety.

Most people experience occasional acute musculoskeletal pain as part of daily living, such as an injury caused by exercising or a minor household accident. Acute pain is short-term and often becomes manageable with home remedies and over-the-counter medication. However, when symptoms persist there is greater chance that it will become chronic pain, which lasts two to three months or longer. That's when medical advice is needed.

Active surveillance (AS) is the most common choice for men facing a diagnosis of low-risk prostate cancer, in which the tumor is confined to the prostate gland and unlikely to grow or spread. Men can potentially continue AS indefinitely until their condition changes. There are situations in which they should move to treatment because the cancer has become more aggressive. Or they may be ready to stop if there has been no cancer progression or they no longer wish to continue with the regular monitoring and testing of AS.

The Shingrix vaccine decreases the risk of developing shingles (herpes zoster), a painful and potentially serious condition. In some people, the reaction to Shingrix includes mild soreness, redness, swelling, or pain in the arm at the injection site. Some people also experience fatigue, headache, muscle achiness, stomach pain, nausea, fever, or chills and shivering for a day or two. Very rarely, people have an allergic reaction. There is no evidence that anything will prevent a reaction to Shingrix.

Traveling long or short distances can be tricky for people who have incontinence. Certain strategies can help: avoiding bladder irritants (such as caffeinated or carbonated drinks), practicing urge suppression techniques, speaking with a doctor about medications that can ease an overactive bladder, wearing clothes with easy-to-use fasteners, wearing "bladder leak" underwear, packing important supplies such as a change of clothes or a portable urinal, using bathroom locator apps, and scheduling bathroom breaks.

Three strategies can help decrease the number of days one must devote to medical appointments. The first is eliminating unneeded care, such as screening tests for people at low risk for certain conditions. The second strategy is coordinating various doctor visits, tests, or imaging for the same day. The third strategy is using telemedicine in place of appointments that would normally happen in person, such as mental health care visits or routine appointments for diabetes or high blood pressure.

In 2024, the FDA advised against using smart watches or smart rings that claim to monitor blood sugar without piercing the skin. Using them, the FDA warned, could result in inaccurate blood sugar measurements, which is dangerous for people with diabetes.

The loss of muscle mass begins in one's 30s and accelerates after age 60. A loss of upper-body strength can make it more difficult to complete daily activities, and it may also increase the risk for muscle injury during an activity that involves reaching. A physical therapy program can help increase muscle mass in older age. Such a program typically involves gentle stretching to keep muscles supple, plus strengthening exercises like triceps curls, with low amounts of weight (just a few pounds) and a high number of repetitions.