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; 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 25, 26, 27, 28, 29, 30, 31, 32
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.
Source 33
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.
Sources 34, 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 29, 35
Get help from NHS 111 now: a hernia
If you have a hernia and pain in or around it, a bloated tummy, you feel sick or are being sick, you're vomiting blood or your vomit looks like coffee grounds, you're constipated, you have a high temperature or feel hot, cold or shivery, or you've suddenly become confused. In the US, contact your doctor or urgent care.
Source 11
See a GP: a new lump or bulge
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.
Source 11
A pulled muscle
A sudden sharp pain in your tummy wall or groin during a raise may be a strained muscle. 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, it's very stiff, or it isn't getting better with self-care. Our abdominal strain guide covers recovery.
Source 36
Ask for an urgent GP appointment or contact NHS 111: your shoulder
For sudden or very bad shoulder pain; if you can't move your arm; if the shoulder has changed shape or is badly swollen; for pins and needles that don't go away or no feeling in the arm; if the arm is hot or cold to touch; for pain after an injury or fall; for severe pain in both shoulders; or if you feel feverish or unwell. See a GP if shoulder pain gets worse or doesn't improve after 2 weeks.
Source 37