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 feels tight, heavy or squeezing, or spreads to your arms, neck, jaw or back; a sudden, extremely painful headache, especially 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 46, 47, 48, 49, 50, 51
Your back
Call 999 or go to A&E for loss of feeling or numbness around your 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. Ask for an urgent GP appointment or get help from NHS 111 for back pain with a high temperature or feeling hot, cold or shivery, or severe pain that starts suddenly or gets worse quickly. See a GP if back pain or sciatica isn't improving after a few weeks.
Sources 52, 53
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. Breathe out on the effort and never hold your breath, especially with high blood pressure, heart disease, glaucoma, a hernia or recent tummy surgery, as our breathing guide explains.
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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 or strain 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.
Sources 55, 56
Leaking or heaviness
See a GP about any leaking, which is common and treatable, or a lump in or around your vagina, or a feeling of heaviness or a bulge, as our pelvic floor guide says.
Sources 41, 57
A pulled muscle
A sudden sharp pain in your tummy wall during a set may be a strained muscle. Get help from NHS 111 or an urgent treatment centre if it's very painful or getting worse, badly swollen or bruised, or not getting better with self-care. Our abdominal strain guide covers recovery.
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Your neck
See a GP if neck pain or stiffness hasn't gone after a few weeks, or comes with pins and needles or a cold arm.
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Sore, or hurt?
Aching abs for a day or two after a new session are normal. Sharp pain isn't: the NHS says to stop exercising straight away if you feel any pain or become unwell, and to get help from 111 if you're worried or it doesn't go away.
Source 59