Knee replacement, meniscus or ACL problems
Follow your surgical or physiotherapy team's limits, and see our knee replacement, meniscus tear and ACL injury guides.
Hip arthritis or a pinch at the front of the hip
Deep hip bending may pinch. Use a higher pad.
Stiff ankle after a sprain or break
Use knee-to-wall rocks and a slightly higher pad, and see our ankle guides.
Poor balance or a high risk of falling
Always hold a support. If you've fallen and were hurt, fallen twice or more in a year, or couldn't get up, ask your GP about a falls service first, as our seniors workout advises.
Pregnancy
The NHS advises against starting new vigorous activity in pregnancy. With pelvic girdle pain, skip one-leg squats or keep them small and hold a support (our suggestion, from our Bulgarian split squat guide's advice on split squats).
Source 39
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 40
Knee pain: get advice from NHS 111 now
If your knee is very painful, you can't move it or put any weight on it, it's badly swollen or has changed shape, it locks, gives way or painfully clicks (painless clicking is normal), or you have a very high temperature with redness or heat around the knee. In the US, contact your doctor or urgent care.
Source 41
See a GP about your knee
If knee pain doesn't improve within a few weeks.
Source 41
Hip pain: urgent help
Call 999 or go to A&E for severe hip pain after a fall or injury, if you can't walk or put weight on your leg, or for tingling or loss of feeling in your hip or leg after an injury. Ask for an urgent GP appointment or get help from NHS 111 for severe hip pain that started suddenly without a fall, a hip that's swollen and feels hot, skin around it that has changed colour, or hip pain with feeling generally unwell and a high temperature.
Source 42
See a GP about your hip
See a GP if hip pain stops you doing normal activities or affects your sleep, is getting worse or keeps coming back, hasn't improved after 2 weeks of treating it at home, or you have hip stiffness for more than 30 minutes after waking up.
Source 42
After a fall or a twist
Get help from NHS 111, or go to an urgent treatment centre (in the US, urgent care), if it's very painful or the pain is getting worse, there's a large amount of swelling or bruising or it's getting worse, you cannot put any weight on it or walk more than a few steps, it feels very stiff or is difficult to move, it's not feeling any better after treating it yourself, or you also have a very high temperature or feel hot, cold or shivery.
Source 43
A hernia
See a GP if you think you have a hernia, a bulge or lump that may get bigger when you strain 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, you feel or are 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. Call 999 or go to A&E for a femoral hernia (a small lump at the top of your thigh, in your groin) with very bad tummy pain, sickness, being unable to fart or poo, a high temperature or sudden confusion.
Sources 44, 45
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.
Sources 46, 47
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 48