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 20
Call 999 (911 in the US)
For chest pain that comes on suddenly and doesn't go away, or spreads to your arms, neck, jaw, stomach or back; a sudden, extremely painful headache 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 21, 22, 23, 24, 25
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.
Source 26
Same day: a pop at the front of the knee
A pop or tearing feeling at the front of the knee after a fall, stumble, jump, landing or a heavy squat, then you can't straighten the knee or lift the straight leg off the bed, there's a dent above or below the kneecap, or the kneecap sits higher or lower than on the other side. Go to A&E or an urgent treatment centre, or get help from NHS 111. A torn quadriceps or patellar tendon does best when it's repaired soon, as our knee pain when squatting guide says.
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, it locks, gives way or clicks painfully, or it's hot and red and you have a high temperature. See a GP if knee pain doesn't improve within a few weeks. In the US, use urgent care.
Source 27
After an injury
Call 999 or go to A&E if you heard a crack, the knee has changed shape or points at an odd angle, the leg below it is numb or tingling, or the skin has changed colour or feels cold. Get help from NHS 111 if it's very painful or getting worse, badly swollen or bruised, or you can't put weight on it or walk more than a few steps.
Source 28
A new lump or bulge
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, vomiting blood or vomit that looks like coffee grounds, 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 29, 30