Warning signs
Most older women 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, falls, bone, pelvic floor and yoga guides. This is general information, not a diagnosis. A&E means accident and emergency; in the US, call 911 for 999, and use your doctor's urgent line or urgent care for NHS 111.
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, 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.
Source 43
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 55
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 56, 57, 58
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 59
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 60
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 12, 43
Osteoporosis and broken bones
The NHS says to see a GP if you have "back pain that is not getting better after a few weeks" or your spine becomes curved or your posture hunched, to ask for an urgent GP appointment or get help from NHS 111 if you've had a fall or injury and the pain isn't getting better, and to call 999 or go to A&E for "severe pain after a fall or injury".
Source 20
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.
Leaking, a lump or heaviness
"See a GP if you have any type of urinary incontinence", the NHS says, and don't feel embarrassed: it's common. See a GP too about a lump or bulge in or around your vagina, or other signs of a prolapse such as heaviness, dragging or problems emptying your bladder or bowel. NHS continence services, with specialist nurses and physiotherapists, can diagnose the problem and start treatment.
Source 22
If exercise brings on symptoms
Stop, drop back to an easier level and rest if you feel heaviness, dragging, pressure or a bulge, or you leak, during or after an activity. If you see or feel a bulge when you squeeze, stop the pelvic floor exercises and get help.
Sources 61, 62
See a pelvic health physiotherapist
In many areas you can refer yourself. See one if the exercises are hard to do, if your symptoms haven't improved after about 3 months of regular practice, or before you go back to running, jumping or heavier lifting.
Sources 61, 62
Not being able to pee
If you cannot pee at all, get urgent help from a GP or NHS 111, and if it comes on suddenly with severe tummy pain, call 999 or go to A&E.
Source 22
Back pain with new bladder or bowel problems
New problems with your bladder or bowels together with back pain or numbness can be a spinal emergency rather than a pelvic floor problem. Call 999 (911 in the US) or go to A&E if you have back pain with:
- pain, tingling, weakness or numbness in both legs
- a loss of feeling around your genitals or anus
- changes in your bladder or bowels, such as difficulty peeing, or peeing or pooing yourself
Source 63
Bleeding after the menopause
See a GP if you notice bleeding from your vagina after the menopause, "even if it's only a small amount or it's only happened once", the NHS says.
Source 64
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 65
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.
Breathe out through every effort, especially with high blood pressure, heart disease, glaucoma or diabetic eye disease, a hernia, or in pregnancy (our guide to getting stronger). With glaucoma or uncontrolled high blood pressure, skip headstands, shoulder stands and other full inversions, and keep other head-down poses brief or supported.
Sources 33, 66
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 67, 33
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.