Stop and get medical help
If you get chest pain or pressure, feel faint or dizzy, are unusually breathless, or your heart races or beats irregularly during exercise, as our plans advise. The American Heart Association says these need immediate medical evaluation.
Source 39
Call 999 (911 in the US)
For chest pain that feels tight, heavy or squeezing, or spreads to your arms, neck, jaw or back; a headache that starts suddenly and is extremely painful, especially while straining; someone who faints while exercising; palpitations that don't go away, or come with chest pain, breathlessness or feeling faint; severe difficulty breathing; or angina pain that doesn't stop after rest and your medicine. Don't drive yourself to A&E.
Sources 40, 41, 42, 43, 44, 45, 46, 47
Check before you start
If you haven't exercised for some time or have a medical condition, speak to your GP first, as the NHS advises. Get advice before hard straining work if your blood pressure is uncontrolled, or you have heart disease or chest pain when you're active, a pacemaker or defibrillator, diabetic eye disease, glaucoma, a hernia, recent eye or tummy surgery, or you're pregnant, as our breathing guide lists.
Source 48
After a faint, or dizziness that keeps coming back
See a GP after any faint, and for dizziness that won't go away or keeps coming back.
Sources 44, 49
A pop in your groin
A pop high on the inner thigh, then a large bruise, a dent or a gap you can feel, or weakness squeezing your legs together: get it assessed within days, as our inner thigh pain guide says. A teenager with sudden pain at the front or top of the hip bone after a sprint, kick or jump, often with a pop, needs an X-ray the same day, as our groin pain guide says.
A pulled muscle
Get help from NHS 111 (in the US, urgent care) if it's very painful or getting worse, there's a lot of swelling or bruising, you can't put weight on it or walk more than a few steps, or it isn't getting better after treating it yourself. Call 999 or go to A&E if you heard a crack, the leg has changed shape or points at an odd angle, it's numb or tingling, or the skin has changed colour or feels cold.
Source 34
Your hip
Call 999 or go to A&E for severe hip pain after a fall or injury, if you can't walk or put weight on your leg, or for tingling or loss of feeling in your hip or leg after an injury. Ask for an urgent GP appointment or get help from NHS 111 for severe hip pain that starts suddenly without an injury, a hip that is swollen and hot, or hip pain with a high temperature. See a GP if hip pain hasn't improved after 2 weeks of treating it at home.
Source 50
Your knee or shoulder
Get advice from NHS 111 if your knee is very painful, badly swollen, locks or gives way, or you can't put weight on it; see a GP if knee pain doesn't improve within a few weeks. Ask for an urgent GP appointment or get help from NHS 111 for sudden or very bad shoulder pain, or if you can't move your arm; see a GP if shoulder pain is getting worse or hasn't improved after 2 weeks.
Sources 51, 52
A new lump or bulge
See a GP if you think you have a hernia: a bulge or lump in your groin, upper thigh or tummy that may get bigger when you cough, sneeze or cry and smaller when you lie down. Get help from NHS 111 if you have a hernia and pain in or around it, a bloated tummy, sickness, constipation, a high temperature or sudden confusion. Call 999 or go to A&E for a femoral hernia (a lump at the top of the thigh) with very bad tummy pain, sickness, being unable to fart or poo, a high temperature or sudden confusion. After an inguinal hernia repair, the NHS says no heavy lifting or strenuous activity for at least 4 to 6 weeks.
Sources 53, 54, 55