Summary: Falls, and more specifically fall injuries, are a growing global problem among older people, often leading to pain, functional limitations, and increased healthcare costs. Falls in people over 65 are multifactorial in nature, with multimorbidity and polypharmacy being one of the main causes. Due to reduced functional reserves and accompanying diseases, even minor injuries can often be life-threatening in these people. Severe and life-threatening injuries occur in 10-15% of falls, with fractures being the most common complication of a fall. Physical exercise, vibration training, and supporting patient mobility have been proved to be effective in the prevention of falls. However, due to the presence of many chronic diseases in the elderly, it is very important to select appropriate activity and its intensity. This should be preceded by a detailed interview and tests of the functional efficiency of the geriatric patient, defining indications and contraindications for exercise. Physical activity can improve muscle strength and endurance, balance and gait, reduce depressive symptoms and fear of falling. Many risk factors for fractures are associated with both falls and reduced bone strength. Therefore, the most effective approach to the prevention of fractures in the elderly is fall prevention individually selected and tailored to the patient's needs.