11/04/2026 | Press release | Distributed by Public on 11/04/2026 03:18
According to the American Academy of Orthopaedic Surgeons, there are over 500,000 ladder-related injuries each year, with approximately 300 injuries being fatal.
Between the months of November to January, there is a surge in ladder-related injuries primarily due to people hanging outdoor holiday lights and decorations.
Rebecca Rajfer, MD, orthopaedic surgeon at Loma Linda University Health, says ladder use can lead to serious injuries.
"I call ladders the motorcycle of the home," Rajfer says. "People don't realize how dangerous they can be until something goes wrong."
Falls from tall ladders can cause a high-impact injury, which can be as serious as a car or motorcycle accident.
People often fall or slip off ladders due to rushing, reaching too far, or wearing improper footwear.
Having a second person to help stabilize a ladder can help prevent serious injury.
Holiday decorations are a fun and festive part of the season, but as people climb to higher heights to hang string lights or other decorations, they increase the risk of serious injury.
Ladders offer no protection when an accident happens. There are no seat belts, airbags, or helmets to protect from a fall, and one misstep or momentary loss of balance can quickly result in a dangerous accident.
Many ladder injuries occur when people stretch beyond a safe reach instead of climbing down and repositioning the ladder.
"A lot of people will say they were trying to reach one more thing," Rajfer says. "They don't stop to move the ladder to a better position, and that's when falls can happen."
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The higher the ladder, the greater the risk. According to Rajfer, falls from six feet or higher can cause a high-impact injury, which is in the same category as a car or motorcycle accident.
The most common high-impact injury is ankle fractures.
"People instinctively try to land on their feet, which can result in a severe type of ankle injury called a pilon fracture. This is caused by a crushing force through the joint and can result in long-term damage and disability," Rajfer says.
But ankles are not the only concern. If a person falls or slips off a ladder and hits their head, it could result in a traumatic brain injury, and in some serious cases, death.
A few simple precautions can greatly reduce the risk of injury while hanging lights or decorations.
Never use a tall ladder alone. A second person can help stabilize the ladder, assist with decorations, and call for help in an emergency.
Additionally, holiday lights can tangle and wrap around the base of a ladder, potentially causing it to become unstable. A second person can help make sure lights don't get tangled while helping hold the ladder.
An A-frame ladder is generally more stable than a ladder leaning against a house or wall. Regardless of the type, make sure the ladder is fully secured and on a flat surface. And never stand on the highest step or any part of the ladder not intended to bear weight.
It can be tempting to climb a ladder in slippers, socks, or sandals, especially when grabbing decorations from the garage or attic. Rajfer recommends wearing stabilizing footwear every time you step on a ladder, even if it's just for a few moments.
"Even if you need to do just one more thing, don't risk climbing a ladder in socks."
Many ladder accidents happen when people are rushing to finish a project before losing the sunlight.
"Don't hang your lights in a time crunch. Always make sure you have adequate time, so you are not rushing," Rajfer says.
Leaning, stretching, or reaching awkwardly while on a ladder can cause a person to slip or lose their balance without notice.
"Frequently adjust the ladder position rather than trying to reach too far."
If you have to climb a ladder and don't have a second person around, Rajfer suggests using technology as a backup plan.
"If you fall and hit your head, you may not be able to call for help yourself," Rajfer says. "Having a cellphone nearby, using a smartwatch with fall detection, or being on a video call can guarantee someone is available to call 911 should a fall occur."
For holiday projects that involve hanging lights or putting up challenging decorating projects, hiring a professional may be the safest option. Although it costs to hire a professional, avoiding a serious fall is priceless.
Before climbing a ladder this season, put on appropriate footwear, ask for help, and slow down.