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 31
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; 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 32, 33, 34, 35, 36, 37, 38, 39
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 as you curl; never hold your breath.
Source 40
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 36, 41
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 42, 43
Urgent GP appointment or NHS 111: back pain
With a high temperature, or if you feel hot, cold, shivery or generally unwell, or if severe pain starts suddenly or gets worse quickly. In the US, use urgent care.
Source 42
See a GP: back pain
Back pain that doesn't improve after a few weeks of treating it at home, stops your day-to-day activities, is worse at night or after resting, or comes with weight loss you can't explain or a lump or change in the shape of your back.
Source 42
A pulled tummy muscle
A sudden sharp pain in your tummy muscles during a set may be a strain: see our pulled stomach muscle guide. Get help from NHS 111 (in the US, urgent care) if it's very painful or getting worse, there's a lot of swelling or bruising, or it isn't getting better after treating it yourself.
Source 44
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, 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 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 45, 46