Warning signs
Most older men can start yoga without a check-up. These are the site's lines for when to check first and when to get help, word for word from our older adults, men's, enlarged prostate and yoga guides. This is general information, not a diagnosis. A&E means accident and emergency; in the US, call 911 for 999.
See a GP before you start if
You have heart disease, get chest pain, breathlessness or dizziness on effort, or are having treatment for prostate cancer, as our exercise for men guide advises. After a heart attack, follow your cardiac rehabilitation team.
See your GP first
- See your GP first if you get chest pain, breathlessness or dizziness when you are active, if you have a heart condition and want to exercise harder, or if you have had a fall.
- If you have a heart condition, follow your cardiac team's advice on how hard to work, and stop for the warning signs above. People with long-term conditions may wish to ask their specialist before starting. With uncontrolled high blood pressure, avoid straining against a held breath; the high blood pressure guide has more.
- If you have a heart, lung or joint condition, are pregnant or have recently been unwell, start gently and read our guide for your condition. Muscle soreness for a day or two after a new exercise is common and fades as you repeat it.
Sources 43, 56
Start supervised
You're frail, have moderate to severe dementia, have had a spinal fracture or fall regularly: the UK guidelines suggest any new exercise is supervised by a trained professional at first.
Source 57
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 58, 59, 60
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.
Source 61
Sudden tummy or back pain
Call 999: sudden, severe pain in the tummy or back, which can come with breathlessness, pale or grey skin, or collapse. It can be a burst abdominal aortic aneurysm, most common in men aged 65 or over and in people who smoke or used to smoke.
Source 62
Can't pee: call 999 or go to A&E
Don't drive yourself to A&E. Call 999 or go to A&E now if:
- you suddenly can't pee at all, especially with severe pain low in your tummy or a swelling there you can feel: NHS inform says this "should be treated as a medical emergency"
- you have a stomach ache and you cannot pee at all
- you have a urine or kidney infection and you're confused, drowsy or have difficulty speaking
Sources 63, 64, 65, 66
Ask for an urgent GP appointment or call NHS 111
- blood in your pee, which may look pink, red or brown, even if there's only a small amount or you're not sure it's blood
- pain when peeing, or other signs of a urine infection: men should always get these checked
- you can't pee at all (if it's sudden, with pain, use the 999 list above)
- signs of a kidney infection: a very high temperature or shivering, pain in your back or side just under the ribs, or feeling or being sick
- fainting while taking tamsulosin
Sources 32, 67, 65, 66, 68
Call NHS 111 or get an urgent GP appointment
For a bulge in your groin or tummy that is painful, or comes with a swollen tummy, being sick or constipation, as our guide to exercise for men explains. In the US, contact your doctor or urgent care.
See a GP
- difficulty peeing or needing to pee more often: "Try not to be embarrassed. The GP will be used to talking about these symptoms."
- symptoms that change, get worse or don't feel normal, as they can overlap with prostate cancer's
- a weak flow, leaking at night, a swollen tummy, or feeling you never empty your bladder, which can be signs of chronic retention
- swollen ankles, feet or hands, tiredness or itchy skin with your urinary symptoms, which can be signs of kidney problems
Sources 32, 33, 69, 70
Erection problems
The NHS says erection problems that keep happening "might be a sign of a health condition that can be treated", such as high blood pressure, high cholesterol or diabetes, so see a GP or a sexual health clinic too.
Source 71
Falls
- Call 999 if you or someone else has fallen and may have injured the head, back, neck or hip, or cannot get up.
- Get help from NHS 111 if you or someone else has fallen and may be in pain, injured or unwell.
- See a GP if you're worried about your balance or mobility, or you've had a fall. You may be able to refer yourself to a falls service, which can include strength and balance training.
Source 72
A falls assessment
If you have fallen, or are worried about falling, ask your GP about a falls assessment. The NHS says strength, balance and flexibility exercise will help make you stronger and feel more confident on your feet.
Sources 47, 43
The spine and bones
- Sudden back pain, losing height or a newly rounded upper back can be signs of a spinal fracture: see a GP. If you've had painful spinal fractures, see a physiotherapist before starting yoga.
- Modify or avoid exercises that round your back deeply or repeatedly, especially with a weight: sit-ups, toe touches, Pilates roll-downs and curl-ups, and extreme yoga forward folds. Bend from the hips instead. You do not need to avoid bending, twisting or lifting altogether: move smoothly and keep your upper back straight.
- Twisting should be safe if you do it smoothly and comfortably. Slow down and shorten fast or forceful twists, and leave out the added weight.
Stop and rest
Dizzy, faint, unusually breathless, or sharp or increasing pain. Sit down until it passes, and see a GP if you keep getting dizzy or faint when you stand up.
Source 73
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.
You can say no to any hands-on adjustment, and a teacher registered with Yoga Alliance must get your explicit consent each time.
Sources 74, 75, 19, 76
Head-down poses, bones and pregnancy
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.
Sources 77, 19
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.