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 22
Call 999 (911 in the US)
For chest pain that comes on suddenly and doesn't go away, feels like squeezing or pressure, or spreads to your arms, neck, jaw, stomach or back; arm pain that comes on suddenly with pressure, heaviness or squeezing across your chest; severe difficulty breathing; palpitations that don't go away, or come with chest pain, breathlessness or feeling faint; someone who faints while exercising; or a headache that starts suddenly and is extremely painful, especially while lifting or straining. Don't drive yourself to A&E.
Sources 23, 24, 25, 26, 27, 28, 29
Call 999 or go to A&E: your back
The NHS says to call 999 if back pain comes with pain, tingling, weakness or numbness in both legs; loss of feeling around your genitals or anus; difficulty peeing, or peeing or pooing yourself; changes in how your genitals feel during sex, or problems getting an erection or orgasming; or chest pain, or if it started after a serious accident. These can be signs of cauda equina syndrome, which needs urgent treatment in hospital.
Source 30
After an injury to your wrist or arm
Call 999 or go to A&E if you heard a crack, it has changed shape or points at an odd angle, it's numb, tingling or has pins and needles, or the skin has turned blue or grey or is cold. Contact NHS 111 for severe wrist pain, a snap, grinding or popping noise when it happened, a wrist you can't move or hold things with, or lost feeling in your hand. In the US, contact your doctor or urgent care.
Sources 31, 32
Get an urgent GP appointment or call NHS 111
If back pain comes with feeling hot, cold, shivery or generally unwell, or it's severe pain that started suddenly or is getting worse quickly; or a strain is very painful or getting worse, with a lot of swelling or bruising.
Sources 30, 31
See a GP
If wrist pain hasn't improved after 2 weeks at home or comes with tingling or loss of feeling; arm pain doesn't go away after a few weeks; back pain hasn't improved after a few weeks or is worse at night; after any faint; or for dizziness that won't go away or keeps coming back.
Sources 32, 25, 30, 27, 33
A new lump or bulge in your groin or tummy
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 only for a femoral hernia (a small lump at the top of your thigh, in your groin) with very bad tummy pain, sickness, being unable to fart or poo, a high temperature or sudden confusion.
Sources 34, 35
Stop the set
If a joint pain is sharp, gets worse during a set or lingers into the next day, swap to an easier option, and see a clinician if it persists. Our wrist guide allows pain up to about 5 out of 10 if it settles within half an hour; our back pain guides allow the same if it settles within an hour.