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 24
Call 999 (911 in the US)
For chest pain that feels tight, heavy or squeezing, or spreads to your arms, neck, jaw or back; arm pain that comes on suddenly with pressure, heaviness or squeezing across your chest; a headache that starts suddenly and is extremely painful, especially while lifting or 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 26, 27, 28, 29, 30, 31, 32, 33, 34
Check before lifting heavy
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.
Sources 35, 24
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 31, 36
Call 999 or go to A&E: back pain with these signs
Loss of feeling or numbness around the genitals or bottom, new trouble peeing or controlling your bladder or bowels, changes in genital sensation during sex or problems with erections or orgasm, or pain, tingling, weakness or numbness in both legs. These are signs of cauda equina syndrome, which needs treating in hospital urgently. Don't drive yourself.
Sources 23, 37
Ask for an urgent GP appointment or call NHS 111: your back
For back pain with a high temperature, or if you feel hot, cold, shivery or generally unwell, or the pain came on suddenly and is severe or getting worse quickly. See a GP if back pain isn't improving after a few weeks, stops your daily activities or is worse at night.
Source 23
A hamstring injury
A sudden sharp pain at the back of the thigh, sometimes with a snap or pop: stop. Get help from NHS 111 if it's very painful or getting worse, has a large or growing amount of swelling or bruising, hurts to walk or stand on, feels very stiff, isn't improving with self-care, or comes with a very high temperature or feeling hot and shivery. Get it checked the same day for a pop near the sitting bone, a large bruise high on the back of the thigh, or not being able to put weight on the leg, as our Romanian deadlift guide says.
Source 38
A pulled muscle
A sudden sharp pain in a muscle during a set may be a strain. Get help from NHS 111 or an urgent treatment centre if it's very painful or getting worse, there's a lot of swelling or bruising, you can't put weight on it or use it normally, it's very stiff, or it isn't getting better with self-care.
Source 39
Call 999 after a bad fall
If someone has fallen and may have injured their head, back, neck or hip, or can't get up, as the NHS advises. See a GP after a fall, or if you're worried about your balance.
Source 18
A new lump or bulge in your groin or tummy
See a GP if you think you have a hernia: a bulge 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 the thigh) with very bad tummy pain, sickness, being unable to fart or poo, a high temperature or sudden confusion.
Sources 40, 41