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 32
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.
Call 999 too if you have pain or swelling in a leg and you're also breathless or have chest pain: it could be a clot that has reached your lungs.
Sources 33, 34, 35, 36, 37, 38, 39
Same day: a snap at the back of the heel or calf
A sudden snap, pop or grinding at the back of the heel or calf, often feeling as if you've been hit or kicked there, then not being able to push off, walk on tiptoe or climb stairs, with swelling and bruising: it can be a ruptured Achilles tendon or a broken heel bone. Contact NHS 111 or go to A&E or a minor injuries unit. In the US, go to urgent care or the emergency department.
Sources 40, 41
Ask for an urgent GP appointment or get help from NHS 111
For throbbing pain in one leg, usually the calf or thigh, with swelling, red, blue or darkened skin or swollen veins: it can be a deep vein thrombosis (DVT). It's more likely after surgery, bed rest or a long journey, in pregnancy or soon after a birth. In the US, contact your doctor or urgent care.
Source 39
See a GP
For cramps that disturb your sleep, last longer than 10 minutes or come with numbness or swelling; heel pain that hasn't improved after 2 weeks of looking after it, or comes with tingling or diabetes; or calf pain that comes on walking and eases with rest.
Sources 42, 40
A headache with effort
Ask for an urgent GP appointment or get help from NHS 111 for a headache that's triggered or made worse by coughing, sneezing, bending down or exercising.
Source 35
Calves far sorer than the session explains
After a big or unusual session, such as a calf raise challenge, muscle pain, swelling or weakness far worse than the session explains, with dark pee, needs the same-day check through NHS 111, or A&E if you feel very unwell: it can be rhabdomyolysis, a breakdown of muscle.
The machine and plates
Put the safety catch back before you step out, and pad any weight on your thighs and keep a hand on it: a plate that slides off lands on your feet. With numb feet, check them for marks afterwards, as our calf raise guide advises.
Before you start
Speak to your GP first if you haven't exercised for some time or have medical conditions or concerns, as the NHS advises. Get advice before hard or straining work if your blood pressure is uncontrolled (140/90 or higher at a clinic, or 135/85 at home), 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 43
Sore, or hurt?
Muscle soreness for a day or two after a new or harder session is common and fades. Sharp pain, or pain that builds during a set or lingers into the next day, isn't: swap to an easier version, and see a clinician if it persists, as our plans advise. The NHS says to stop exercising straight away if you feel any pain or become unwell, and to get help from 111 if symptoms worry you or don't go away.
Source 44