Sudden weakness on one side is not an imbalance
Call 999, even if it passes: sudden weakness or numbness in one arm, with a drooping face or slurred speech. These are signs of a stroke.
Our suggestion, from the NHS stroke page, which also lists weakness or numbness down one side of your body: sudden weakness or numbness down one side is a 999 call, whatever else is going on.
Source 21
A leg that's bigger because it's swollen
Throbbing pain and swelling in one leg, with red, blue or darkened skin or swollen veins. Call 999 instead if you're also short of breath or have chest pain.
Our suggestion: a difference in size that came on over days, with pain or swelling, is not a muscle imbalance.
Source 22
Weakness that keeps getting worse
Our suggestion: weakness in one hand or leg that's getting worse over weeks or months, trouble gripping, a foot that catches or drops, muscle twitching with weakness, or pins and needles that keep coming back are for a GP, not a training plan.
Sources 23, 24
A shoulder blade, shoulder or hip that has changed shape
Our suggestion: a shoulder blade that sticks out, a shoulder that has started to droop after an operation in the neck, or ribs or a hip that stick out on one side, especially in a child or teenager, need checking. Our uneven shoulders, scoliosis and lateral pelvic tilt guides have the details.
Source 25
Shoulder pain
Ask for an urgent GP appointment or get help from NHS 111 for sudden or very bad shoulder pain, an arm you can't move, a shoulder that has changed shape or is badly swollen, pins and needles that don't go away, no feeling in your arm or shoulder, an arm or shoulder that's hot or cold to touch, pain after an injury or a fall, or severe pain in both shoulders. Go to A&E if, after an injury, you can't move your arm or your shoulder looks out of place or has changed shape. See a GP if shoulder pain is getting worse or hasn't improved after 2 weeks.
Source 26
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.
Call 999 (911 in the US)
For chest pain that comes on suddenly and doesn't go away, feels tight or like squeezing, 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, especially while lifting or straining, or comes with numbness or weakness, difficulty speaking or loss of vision. The NHS says a bleed on the brain may be more likely when lifting something heavy. Don't drive yourself to A&E.
Sources 27, 28, 29, 30, 31
Ask for an urgent GP appointment or call NHS 111
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. In the US, contact your doctor or urgent care.
Source 32
Back pain that needs 999 or A&E
Call 999 or go to A&E: loss of feeling or numbness around the genitals or bottom, new trouble peeing or controlling your bladder or bowels, changes in genital sensation during sex or problems with erections or orgasm, or pain, tingling, weakness or numbness in both legs. These are signs of cauda equina syndrome, which needs treating in hospital urgently. Don't drive yourself.
Same day (GP or NHS 111): back pain and you feel hot, cold, shivery or generally unwell, or severe pain that starts suddenly or is getting worse quickly.
Source 33
Pain down a leg
See a GP if pain spreading down a leg hasn't improved after a few weeks of home treatment, is getting worse or stops your normal activities. Sciatica on both sides, or weakness or numbness in both legs that's severe or getting worse, is a 999 call or a trip to A&E.
Source 34
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 35, 36
A pop while pressing or pulling
A pop or tearing at the front of the armpit or chest during a lift, followed by bruising into the chest or upper arm, a change in the shape of the chest or armpit, or weakness pushing, can be a torn chest tendon. Don't wait for it to settle: get help the same day from NHS 111 or an urgent treatment centre, as our pec strain guide explains.
A sudden pop at the front of the elbow during a heavy pull, with bruising, a gap at the front of the elbow or a bulge in the upper arm, can be a torn biceps tendon. Go to an urgent treatment centre or A&E (in the US, urgent care or the emergency department), and don't wait for it to settle: repair is best done within the first 2 to 3 weeks.
After an injury or operation on one side
Our suggestion: after an ACL reconstruction, a fracture, a tendon repair or a joint replacement, your physiotherapist's plan and tests come first; the checks on this page are not return-to-sport tests.