A blow to the head
Call 999 if someone has hit their head and has been knocked out and hasn't woken up, can't stay awake or keep their eyes open, has a fit, has fallen from a height of more than 1 metre or 5 stairs, has problems with their vision or hearing, has clear fluid coming from their ears or nose, has new numbness or weakness, has problems with walking, balance, understanding, speaking or writing, hit their head at high speed, or their behaviour has changed. Get help from NHS 111 if they're being sick, feel dizzy or take medicine that thins the blood. If you're told to go to A&E (accident and emergency), don't drive yourself there if you have hit your head.
Stop playing: if in doubt, sit them out. Contact NHS 111 within 24 hours, and straight away if they're being sick, feel dizzy or take medicine that thins the blood. Then follow the ECB's six stages, with no matches before day 21. Signs can be harder to spot under a helmet, so watch closely.
With a suspected concussion, if in doubt, sit them out. The UK's grassroots guidelines say no sport for at least 24 hours, get checked by a healthcare professional or NHS 111 within 24 hours, follow a staged return, and no competition before day 21; if symptoms last beyond 28 days, stay out of sport and see a doctor. Yoga waits too: gentle breathing fits the early, light-activity stages, and no head-down poses or inversions until you're cleared (our reading). Our concussion guide has the stages.
Sources 35, 34, 36
A young fast bowler's back
A teenage fast bowler with back pain that lasts more than a couple of weeks, is worse arching back or stops them bowling should stop fast bowling and see a GP or sports physiotherapist, as our spondylolisthesis guide advises. Afterwards, and after any break of 2 weeks or more, the ECB's Ready to Bowl template rebuilds bowling in stages: lower weekly overs, bowled across 2 to 3 days, starting lower the longer the break. Use the template in the ECB's guidelines, linked in the sources, with your clinician or coach.
A teenager in a sport that arches or twists the back, such as gymnastics, dance, diving, volleyball, cricket fast bowling, baseball pitching, weightlifting, football or rugby, with back pain that lasts more than a couple of weeks, is worse arching back or stops them training: get it checked by a GP or sports physiotherapist. It can be a stress fracture in the spine.
Sources 10, 25, 42
A sharp pain in the side, or a pop at the back of the thigh
Back pain on arching, a sharp pain in your side when bowling, or a pop at the back of the thigh: stop and get it checked (our spondylolisthesis, rib injury and hamstring strain guides).
Sources 25, 8, 43
A shoulder that comes out
Call 999 or go to A&E: after a fall or injury, your shoulder looks out of place or has changed shape, you cannot move your arm, or your shoulder is painful, bruised or swollen. Do not drive yourself, and do not try to put it back in yourself.
- Your shoulder has partly or fully come out of joint, or you worry it might.
Source 37
A throwing shoulder that isn't right
Losing throwing speed or control, needing a much longer warm-up, a dead arm, or pain that comes back each time you build up your throwing: see a physiotherapist or sports doctor.
Source 44
A collapse
If a player collapses and isn't breathing normally: call 999, start CPR straight away and send someone for a defibrillator.
Source 45
Chest pain or fainting: 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 38, 39
Long days in the sun and heat
The NHS advises shade between 11am and 3pm from March to October, and sunscreen of at least SPF 30 with at least 4-star UVA protection. Drink plenty on hot days, and know the signs of heat exhaustion below.
Call 999 if someone is still unwell after 30 minutes of resting somewhere cool, being cooled and drinking fluids, or has a very high temperature, hot skin that isn't sweating, a fast heartbeat or fast breathing, confusion, a fit or loss of consciousness.
Source 40
During yoga
A joint pain that is sharp, gets worse during a session, lingers into the next day or changes how you move is a reason to use an easier version, and to see a GP or physiotherapist if it keeps happening (the rule in our plans). Muscle soreness for a day or two after something new is normal. In a hot class, stop if you feel dizzy, sick or unwell; our hot yoga guide lists the signs of heat illness.
With glaucoma, or high blood pressure that isn't under control, skip headstands, shoulder stands and long head-down holds. With osteoporosis, swap deep forward folds for a flat-back hinge from the hips, and twist smoothly. In pregnancy, our yoga in pregnancy guide covers the changes. NCCIH advises beginners to avoid headstands, shoulder stands, the lotus position and forceful breathing.
You can say no to any hands-on adjustment, and a teacher registered with Yoga Alliance must get your explicit consent each time.
Source 41
Before you start
The NHS advises getting advice from a healthcare professional first if you have a health problem, an injury or symptoms, or have recently had a heart attack or an operation.