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 36
Call 999 (911 in the US)
For chest pain that doesn't go away, feels tight or like squeezing, or spreads to your arms, neck, jaw, stomach or back, or comes with sweating, feeling sick, light-headedness or breathlessness; severe difficulty breathing; someone who faints while exercising; palpitations that don't go away, or come with chest pain, shortness of breath or feeling faint; or a headache that starts suddenly and is extremely painful. Don't drive yourself to A&E.
Sources 37, 38, 39, 40, 41, 42, 43
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 intervals or jumping 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.
Source 11
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 40, 44
Get help the same day: muscle pain and dark urine
After a big or unusual session, such as a first high-rep challenge, muscle pain, swelling or weakness far worse than the session explains, with dark (red, brown or cola-coloured) urine, needs same-day help: NHS 111 (in the US, urgent care), or A&E if you feel very unwell. Dark pee isn't always there, so muscles far sorer, more swollen or weaker than the session explains still need the check.
Source 34
Your knee
Get advice from NHS 111 if your knee is very painful, you can't move it or put weight on it, it's badly swollen or has changed shape, or it locks, gives way or clicks painfully. See a GP if knee pain doesn't improve within a few weeks.
Source 45
Shins, heels and one sore spot on a bone
Contact NHS 111 if shin pain is severe or you've injured your shin, and see a GP if shin splints are getting worse. Heel pain with a snap, grinding or popping noise at the time, or not being able to walk on your tiptoes, is an NHS 111 call. Pain in one spot on a bone that's worse with jumping and tender to press can be a stress fracture: stop jumping and see a GP, as our stress fracture guide says.
Sources 18, 46
A turned ankle or a fall
Call 999 or go to A&E if you heard a crack, the joint has changed shape or points at an odd angle, it's numb or tingling, or the skin looks blue or grey or feels cold. Get help from NHS 111 if it's very painful or swollen, or you can't put weight on it or walk more than a few steps. Call 999 if someone has fallen and may have injured their head, back, neck or hip, or can't get up.
Sources 47, 48
Leaking, heaviness or a bulge
Leaking is a reason to change the exercise, not to stop exercising: see a GP or pelvic health physiotherapist. See a GP for a feeling of heaviness or pressure in your lower tummy or vagina, or a bulge or lump in or coming out of your vagina, which can be a prolapse.
Sources 9, 24
A new lump in the groin
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 or a high temperature. 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 49, 50