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.
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Call 999 (911 in the US)
For chest pain that comes on suddenly and doesn't go away, feels tight or like squeezing, or spreads to your arms, neck or jaw; a sudden, extremely painful headache, for example during a heavy press (the NHS says a bleed on the brain may be more likely when lifting something heavy); someone who faints while exercising; palpitations that don't go away, or come with chest pain, breathlessness or feeling faint; or signs of a stroke, even if they've stopped. Don't drive yourself to A&E.
Sources 28, 29, 30, 31, 32, 33, 34
Sudden eye symptoms
Call 999 or go to A&E for intense eye pain, a red eye, tenderness around the eyes, rainbow-coloured circles around bright lights, blurred vision, or feeling or being sick with a headache: these can be glaucoma that has come on suddenly.
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Dizzy when you sit up
Lie back down until it passes, then get up slowly. See a GP if dizziness won't go away or keeps coming back, or comes with fainting, headaches, double or blurred vision or numbness.
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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 heavy lifting 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.
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A pop at the front of the armpit
Get help the same day (NHS 111 or an urgent treatment centre) for a pop or tearing at the front of the armpit or chest during a press, followed by bruising into the chest or upper arm, a change in the shape of the chest or armpit, or weakness pushing. Don't wait for it to settle: it can be a torn chest tendon, and repairs done within about 6 weeks did better than later ones, as our shoulder pain on the bench press guide says.
Your shoulder
Call 999 or go to A&E if, after a fall or injury, or after the bar came down on you, your shoulder looks out of place or has changed shape, or you can't move your arm; don't try to put it back in. Get help the same day from a GP or NHS 111 for sudden or very bad shoulder pain, an arm you can't move, an arm or shoulder that's badly swollen or has changed shape, pins and needles that don't go away, no feeling in the arm, an arm that's hot or cold to the touch, pain after an injury such as a fall, or severe pain in both shoulders.
See a GP or physiotherapist for shoulder pain that's getting worse or hasn't improved after 2 weeks of looking after it yourself.
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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, 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 38, 39
A dropped bar, plate or dumbbell
Call 999 or go to A&E if you heard a crack, or the injured part has changed shape, points at an odd angle, is numb or tingling, or has turned blue, grey or cold. Get help from NHS 111 if it's very painful, badly swollen or bruised, or you can't put weight on it.
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Sore, or hurt?
Muscle soreness for a day or two after a new or harder session is common and fades. Sharp pain, or pain that builds during a set or lingers into the next day, isn't: swap to an easier version, and see a clinician if it persists, as our plans advise. The NHS says to stop exercising straight away if you feel any pain or become unwell, and to get help from 111 if symptoms worry you or don't go away.
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