Polypharmacy in older adults is common — and often necessary. The problem begins when “a lot” is no longer “appropriate”: duplicate medications, poorly adjusted doses, interactions, side effects that go unnoticed, and symptoms that are mistaken for “aging.” In this scenario, physical therapy can become slower, less safe, and less effective — or, on the other hand, it can gain momentum when medication is properly reviewed and aligned with functional goals.

Europe is aging — and Portugal is among the oldest countries. As of January 1, 2025, 22% of the EU population was 65+, and Portugal reached 24.3%, one of the highest figures in the Union. This isn’t “just” a statistic: it translates into more falls, more chronic pain, more loss of mobility, more dependence, and greater pressure on families and caregivers.