A head injury: call 999
The NHS says to call 999 if someone has hit their head and:
- Has been knocked out and hasn't woken up, or can't stay awake or keep their eyes open.
- Has a fit (seizure).
- Has problems with their vision or hearing, or clear fluid coming from their ears or nose.
- Has new numbness or weakness in any part of their body, or problems with walking, balance, understanding, speaking or writing.
- Hit their head at high speed, such as in a road accident.
- Has a dent in their head, or their behaviour has changed, such as being more irritable or distracted.
Source 42
Suspected concussion
Off the board: if in doubt, sit them out. No return that day, and an assessment within 24 hours by a healthcare professional or NHS 111. Neck pain, double vision, weakness or tingling in the arms or legs, a severe or worsening headache, a fit, getting drowsier, being sick, or growing restless or aggressive need urgent medical help. 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.
A second knock before the brain has recovered risks a more serious injury. No skating until you're cleared under the UK guidelines' graduated return.
Sources 43, 17, 42
A fall on the hand
Go to A&E (accident and emergency) or call 999 if the arm or wrist is numb or tingling, there's a bad cut that's bleeding heavily, a bone is sticking out, or it has changed colour or shape or is at an odd angle. Get help from NHS 111 if it's very painful, badly swollen or bruised, or stiff. Pain in the hollow at the base of the thumb needs an X-ray, even if the wrist moves: see our scaphoid fracture guide.
Same day: after a fall onto an outstretched hand, pain or tenderness at the base of the thumb on the back of the wrist (the hollow called the snuffbox), even if the wrist moves well or the first X-ray was normal. A broken scaphoid can hide on the first X-ray and is slow to heal if it's missed, so ask what follow-up is planned.
Wrists take most of skateboarding's fractures. Wear wrist guards, and see our broken wrist, scaphoid fracture and wrist sprain guides if it still hurts.
Sources 44, 45, 8
An ankle injury
Go to A&E if the ankle is at an odd angle, a bone is sticking out, there's a bad wound, the pain is severe, or your toes look blue or white or feel numb. Get help from NHS 111 if it's very painful, badly swollen or bruised, or it hurts to put weight on it.
Same day (NHS 111 or an urgent treatment centre): after an injury, you can't put weight on it or walk more than a few steps, the pain is very bad or getting worse, there is a lot of swelling or bruising or it is getting worse, it feels very stiff, or it's not feeling any better after treating it yourself. Get the same help if you also have a very high temperature, or feel hot, cold or shivery: this could be an infection. If you think it's broken, don't treat it yourself.
Most skaters' ankle sprains came back. Do the balance programme in our sprained ankle guide first; a brace or tape helps while it settles, as the guide explains.
Sources 46, 47, 6, 7
Back pain after a fall
Call 999 or go to A&E for back pain after a serious accident, with pain, tingling, weakness or numbness 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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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 49, 50
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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Very flexible joints
If you're hypermobile, don't use mobility work to push further: the NHS says "do not overextend your joints just because you can". See a GP if you think you have joint hypermobility syndrome: for example, your joints keep dislocating, or you keep getting sprains, strains, pain or stiffness.
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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.
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Who should check first
The PAR-Q+ (Physical Activity Readiness Questionnaire for Everyone) asks about a heart condition or high blood pressure, chest pain, dizziness or losing consciousness, other long-term conditions and their medicines, a bone or joint problem that activity could make worse, and being told to exercise only under supervision. If you answer yes to any, check with your doctor or a qualified exercise professional first. If you're over 45 and not used to hard exercise, ask a qualified exercise professional before the hardest sessions, and delay if you're ill.
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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.