Kinesiophobia (fear of pain due to movement) is defined as excessive and illogical fear of physical movement for avoiding harm or suffering any injury again. Its prevalence in choric pain is within the range 50-70%. In old-aged persons the most important risk factor for kinesiophobia is chronic pain deriving from problems related to musculoskeletal system. Fragility, Parkinson disease, early and middle stage dementia and neuropathic pain are also associated with kinesiophobia in oldage persons. In this age group kinesiophobia is an important determinant of mobility and balance and associated with muscular weakness, reduced functional capacity, disability and deterioration in life quality. Avoidance of activity due to fear of falling is also an important factor increasing sedentary behaviour in elderly persons. Kinesiophobia is usually evaluated by Tampa Kinesiophobia Scale. Prevention of kinesiophobia is important in ensuring healthy life among old-age individuals. Mobility is critical for these people in maintaining their independence and, as a matter of fact, the rates of mortality and morbidity are higher among old-age people with reduced mobility. Regular physical activity and fitness exercises may prevent kinesiophobia while therapeutic exercises and cognitive behavioural therapy are included during treatment. Kinesiophobia is defined as an important dimension of enduring pain. Hence, the assessment of kinesiophobia in daily medical practices will guide clinicians in their approach to elderly patients.