Balance Problems
Balance disorders and the falls they cause are a serious and underrecognized health issue in the Black community. Black older adults face higher rates of chronic conditions that contribute to balance problems — including diabetes, hypertension, and stroke — yet are less likely to receive balance screening, vestibular therapy, or fall-prevention counseling. Studies also show that Black patients are less likely to be referred for specialized vestibular testing, leading to underdiagnosis and untreated dizziness that increases fall risk.
Balance problems occur when the systems that keep you upright and steady — your inner ear, vision, muscles, joints, and brain — stop working together properly. The result is dizziness, unsteadiness, lightheadedness, or a spinning sensation (vertigo) that can make everyday activities difficult and dangerous. While often dismissed as a normal part of aging, balance problems are a leading cause of falls, and falls are a major cause of injury and loss of independence, especially among older Black adults.
- Dizziness or lightheadedness
- Vertigo — a spinning or moving sensation
- Feeling unsteady or off-balance when standing or walking
- Blurred vision or difficulty focusing
- Nausea or vomiting with dizziness
- Frequent falls or near-falls
- Feeling like you might fall when you turn or change position
- Difficulty walking in the dark or on uneven surfaces
- Age — risk rises sharply after 65
- Inner ear disorders such as BPPV, Meniere's disease, or vestibular neuritis
- Diabetes, which can damage nerves and affect balance
- High blood pressure and cardiovascular disease
- History of stroke or mini-strokes (TIAs)
- Vision problems or vision loss
- Certain medications that affect balance, including sedatives and blood pressure drugs
- Neuropathy or loss of feeling in the feet and legs
- Lack of physical activity and muscle weakness
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Medical Disclaimer
This information is for educational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for diagnosis and treatment.