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 28
Call 999 (911 in the US)
For chest pain that doesn't go away, feels tight, heavy 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, which the NHS says may be more likely when you're lifting something heavy. Don't drive yourself to A&E.
Sources 29, 30, 31, 32, 33, 34, 35
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 heavy lifting if your blood pressure is uncontrolled, or you have heart disease or chest pain when you're active, diabetic eye disease, glaucoma, a hernia, recent eye or tummy surgery, or you're pregnant, as our breathing guide lists.
Source 36
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 32, 37
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 (painless clicking is normal). See a GP if knee pain doesn't improve within a few weeks.
Source 38
Your groin and inner thigh
A sudden sharp pain in the groin or inner thigh during a squat may be a strain: stop, follow our groin strain guide, and get help from NHS 111 if it's very painful or you can't walk more than a few steps. A lump in the groin, or groin pain when you cough or strain, may be a hernia: see a GP. A small lump at the top of the thigh with very bad tummy pain, being sick, or being unable to fart or poo is a 999 call.
Sources 39, 40, 41
Your back
Call 999 or go to A&E for back pain with pain, tingling, weakness or numbness in both legs; loss of feeling around your genitals or bottom; or new trouble peeing, or peeing or pooing yourself; or for sciatica on both sides. These can be cauda equina syndrome, which needs treating in hospital urgently. Stop anything that sends pain down a leg, as our back pain from squats guide says.
Sources 42, 43
A fall
Call 999 if someone has fallen and may have injured their head, back, neck or hip, or can't get up.
Source 44
Heaviness or a bulge
A feeling of heaviness or pressure in your lower tummy or vagina, or a bulge or lump in or coming out of your vagina, can be a prolapse: see a GP.
Source 45
Muscle pain far worse than the session explains
After a big or unusual session, such as a "100 squats a day" challenge, severe muscle pain, swelling or weakness with dark urine needs same-day help: NHS 111, or A&E if you feel very unwell.
Source 46