Objective To evaluate the effect of podiatry treatment on falls prevention in the elderly. Methods We searched a number of databases such as PubMed, Cochrane library and CNKI, etc., to retrieve publications regarding RCTs on podiatry intervention among older people. RCTs that met the inclusion and exclusion criteria were included, critically appraised and pooled for Meta-analysis using RevMan 5.3 software. Results A total of 12 RCTs were included. The results of Meta-analysis showed that the podiatry treatment group had lower fall rate ［OR=0.77, 95%CI (0.62-0.95), P=0.01］, better balance function (BBS scores)［WMD=5.56, 95%CI (2.81-8.31), P<0.01］, than the control group, while the effect of podiatry treatment on the dynamic balance ability(TUG scores) ［WMD＝-1.97, 95%CI (-3.91--0.02), P=0.05］, Manchester Foot Pain and Disability Index scores, depression, falls self-efficacy, quality of life, and activities of daily life between the 2 groups were not clear. Conclusion Multi-faceted podiatry treatment (foot and ankle orthosis and footwear recommendations, foot and ankle functional exercises, and fall prevention brochures) can reduce fall rate and improve postural balance ability of the elderly. However, its effect on depression, falls self-efficacy, dynamic balance ability, activities of daily living, etc., has not been significant.