A fall with a knock to the head: call 999
The NHS's 999 list includes anyone who has hit their head and has fallen from a height of more than 1 metre, which in our reading covers a fall from a horse. British Equestrian's red flags need immediate help from a medical professional, or 999 if none is there: neck pain, a severe or worsening headache, double vision, weakness or tingling in the arms or legs, being sick, losing consciousness or getting drowsier, a fit, or restless, combative or agitated behaviour. Don't move them or take off their riding hat unless you're trained, unless they're having difficulty breathing.
Sources 39, 16
Suspected concussion
No more riding that day: if in doubt, sit them out. They shouldn't get back on, go home alone or drive, and should be seen by a healthcare professional or NHS 111 within 24 hours. Contact NHS 111 straight away if they feel dizzy or take medicine that thins the blood.
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 16, 17
A neck or back injury
Neck pain, or weakness or tingling in the arms or legs, after a fall are among British Equestrian's red flags: call 999. Call 999 or go to A&E (accident and emergency) for back pain after a serious accident, with symptoms in both legs, or with changes in your bladder or bowels.
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.
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Kicked or crushed
Kicks and crushes can injure organs in the tummy without much to see, so get checked the same day after a kick to the tummy or chest, even if you feel fine (our suggestion). Our horse riding page has the full warning signs, including face, eye, shoulder and wrist injuries.
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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.
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Unusual breathlessness
Call 999 or go to A&E (accident and emergency) straight away for severe difficulty breathing (gasping, choking or not able to get words out), a chest that feels tight or heavy, pain that spreads to your arms, back, neck and jaw, lips or skin turning very pale, blue or grey, or sudden confusion. If you're more short of breath than usual, or your heart is racing, fluttering or skipping beats, contact NHS 111.
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Pregnant
Our pregnancy guide lists horse riding among activities with a high risk of falling, and the NHS advises against sports where you could fall or bump your tummy.
Avoid riding, and talk to your midwife. Our yoga in pregnancy guide covers the yoga side (our suggestion, following our Pilates for horse riders guide).
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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 45
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.