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 27
Call 999 (911 in the US)
For chest pain that comes on suddenly and doesn't go away, or spreads to your arms, neck, jaw, stomach or back; a sudden, extremely painful headache while straining; someone who faints while exercising; or palpitations that don't go away, or come with chest pain, breathlessness or feeling faint. Don't drive yourself to A&E.
Sources 28, 29, 30, 31, 32
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 33
A pop in your groin or at the front of your knee
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 pop or tearing feeling at the front of the knee, then you can't straighten it or lift the straight leg off the bed: go to A&E or an urgent treatment centre, or get help from NHS 111, the same day, as our knee pain when squatting guide says.
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 stops your normal activities or affects your sleep, or hasn't improved after 2 weeks of looking after it at home.
Source 34
Your knee
Get advice from NHS 111 if your knee is very painful, you can't move it or put weight on it, it's badly swollen or has changed shape, it locks, gives way or clicks painfully, or it's hot and red and you have a high temperature. See a GP if knee pain doesn't improve within a few weeks. In the US, use urgent care.
Source 35
A pulled muscle
Get help from NHS 111 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 36
A new lump or bulge
See a GP if you think you have a hernia. Get help from NHS 111 if you have a hernia and pain in or around it, a bloated tummy, sickness, vomiting blood or vomit that looks like coffee grounds, 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.
Sources 37, 38