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 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 32, 33, 34, 35, 36, 37, 38
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 ab work if your blood pressure is uncontrolled, or you have heart disease, glaucoma, a hernia, recent eye or tummy surgery, or you're pregnant, as our breathing guide lists. With controlled high blood pressure, breathe out as you lift.
Sources 39, 31
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 35, 40
Back pain: call 999 or go to A&E
If back pain comes with pain, tingling, weakness or numbness in both legs; loss of feeling around your genitals or bottom; new trouble peeing, or peeing or pooing yourself; or changes in how your penis or vagina feels during sex. These can be cauda equina syndrome, which needs treating in hospital urgently. Back pain with chest pain or after a serious accident, sciatica on both sides, and weakness or numbness in both legs that's severe or getting worse need the same.
Sources 41, 42
Back or neck pain: see a GP
Ask for an urgent GP appointment or contact NHS 111 for back pain with feeling hot, cold, shivery or unwell, or pain that is severe and sudden or getting worse quickly. See a GP if back pain isn't improving after a few weeks or is worse at night, or if neck pain or stiffness hasn't gone after a few weeks or comes with pins and needles.
Sources 41, 43
A sudden pain in your tummy wall
A sudden sharp pain in your tummy wall during a set may be a strain: stop, and follow our abdominal strain guide. Get help from NHS 111 if it's very painful or swollen.
Source 44
A bulge in your tummy or groin
See a GP if you think you have a hernia; get help from NHS 111 for pain in or around it. Call 999 or go to A&E for a femoral hernia (a small lump at the top of the thigh) with very bad tummy pain, being sick, or being unable to fart or poo.
Sources 45, 46
Heaviness or leaking
A feeling of heaviness, discomfort or pressure in your lower tummy or vagina, or a bulge or lump, can be a prolapse: see a GP. Leaking is common and treatable: see a GP or pelvic health physiotherapist.
Sources 47, 12
Muscle pain far worse than the session explains
After a big or unusual session, such as a first "100 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. Severe exertion, including calisthenics, is among the causes of muscle breakdown (rhabdomyolysis).
Source 48