Warning signs: when to get help
These follow our Pilates for arms, wrists, shoulder pain and hand pain guides word for word. This is general information, not a diagnosis. A&E means accident and emergency; in the US, call 911 for 999.
Call 999
Call 999: arm pain that comes on suddenly with pressure, heaviness or squeezing across your chest.
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.
Source 38
Go to an urgent treatment centre or A&E
Go to an urgent treatment centre or A&E: severe arm pain that makes it difficult to move, a snapping noise or a change in shape after an injury, or an arm that tingles or feels numb.
After a fall or injury, your shoulder looks out of place or has changed shape, or you cannot move your arm. Do not drive yourself, and do not try to put it back in yourself.
Call 999 or go to A&E after an injury (don't drive yourself) if the arm, wrist or hand is numb, tingling or has pins and needles; a bone is sticking out or a bad cut is bleeding heavily; or the wrist, thumb or a finger has changed shape, is at an odd angle, or has turned blue, grey, white or cold.
Sources 38, 37
The same day
Same day: you have lost the feeling in part or all of your hand.
Same day: both hands numb or clumsy (dropping things, trouble with buttons or handwriting), especially with unsteady walking or falls. Pressure on the spinal cord in the neck can do this, and it is often first mistaken for carpal tunnel syndrome.
Ask for an urgent GP appointment or get help from NHS 111: sudden or very bad shoulder pain, an arm you can't move, a shoulder or arm that has changed shape or is badly swollen, pins and needles that don't go away, no feeling in your arm or shoulder, or an arm or shoulder that's hot or cold to touch.
Get help from NHS 111: an arm that hurts when you exercise but the pain goes away when you rest.
Sources 39, 38
See a GP or physiotherapist
Shoulder pain that is getting worse or hasn't improved after 2 weeks.
Pins and needles that you have all the time, or that keep coming back: see a GP.
Carpal tunnel symptoms that are getting worse, not going away, or not helped by treatment at home; sooner if the thumb is weak or the muscle at the base of the thumb looks thinner.
A shoulder that slips, clunks or gives way with your arm out to the side needs a GP or physiotherapist before you carry on (our suggestion); our shoulder dislocation guide has more.
Sources 39, 40
Chest pain or fainting while exercising: call 999
Call 999 if:
- You get sudden pain or discomfort in your chest that doesn't go away; it can feel like squeezing or pressure, burning or indigestion.
- The pain spreads to your left or right arm, or your neck, jaw, stomach or back.
- You have chest pain and feel sweaty, sick, light-headed or short of breath.
- Someone faints while exercising, can't be woken within 1 minute, or has chest pain or a pounding, fluttering or irregular heartbeat.
Sources 41, 42
During practice
Stop for sharp pain, a feeling that the shoulder is slipping, pins and needles or numbness down the arm, or pain that is still worse by your next session after strengthening.
Discomfort up to about 5 out of 10 that settles within half an hour and isn't worse the next morning is fine while you build back up. Stop a pose for sharp pain, pain that builds through a session, clicking with weakness on the little-finger side, or tingling or numbness that doesn't fade quickly, and come onto your forearms or a wall (our suggestion).
If worry about how your arms look is taking over
Talk to your GP. If you're worried about your eating, the eating disorder charity Beat is on 0808 801 0677 (our Pilates for arms guide).