Pilates exercises promote back strengthening and ultimately a healthy back. Learning how to maintain a neutral spine and strengthen the core back muscles are the keys to reducing persistent low back pain.

Individuals with back pain resulting from poor posture, weak spinal muscles, and degenerative lumbar discs are good likely to benefit from Pilates exercises.

Pilates improves strength, flexibility and muscle tone of the upper and lower back muscles. Fluid movement through these joints helps prevent excessive torque on the spinal column. Pilates exercises also teach awareness of movements that may stress the spine, and helps the patient modify these habits to preserve neutral alignment. Awareness of excessive tension and the use of proper body mechanics help the patient maintain a stronger spine.

Before starting any new exercise program, it is always advisable to check with a physician or other healthcare provider. This is especially true with Pilates. The instructor should have received training in Pilates exercises, and have a good understanding of spinal conditions. If a patient begins Pilates after physical therapy, the physical therapist can indicate which core spinal muscles might benefit from a Pilates strengthening program, especially in individuals with significant back problems.

The principles of spinal movement which are integral for a healthy back are the focus of many exercises of the Pilates system. Some of these exercises support the deep postural muscles of the trunk, promote awareness of neutral alignment, and integrate the use of the shoulders and hips in proper body mechanics.

Given its roots in ballet and dance, some of the movements of Pilates system can be difficult and challenging, and specific programs may be designed based on individual spinal conditions. As a general rule, back patients should avoid exercises that push the spine into extremes of flexion or extension, or combine flexion with side bending or twisting of the spine. These motions can place excessive stress on the intervertebral discs. In addition, it is important to avoid fatigue – either mental or physical – which can lead to improper form and precipitate injuries.

The exercises in Pilates should be physically challenging but not too difficult that they cause anyone to struggle. If an exercise causes pain—it is best to stop and tell the instructor. The exercise may be too difficult, or the person may need additional help to do it correctly.

Finally, it may take awhile for the full benefits of a Pilates exercise program to be realized. Just as problems that create most back pain problems happen gradually over time, learning to use one’s muscles in a way that support – rather than stress – the spine takes time and commitment.