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Pilates Rehabilitation for Chronic Low Back Pain

Mind-body movement method that strengthens core muscles, improves posture and reduces pain.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Geleneksel ve Tamamlayıcı Tıp department. Book Appointment →

What is Pilates Rehabilitation for Chronic Low Back Pain?

Pilates is an exercise method developed by Joseph Pilates in the early 1900s, comprising controlled, breath-coordinated movements that strengthen core muscles and improve posture.

Mat pilates and reformer (special apparatus) types are available, and the modified clinical pilates approach is preferred for low back pain.

It has been shown effective in chronic non-specific low back pain in randomised controlled trials and is included in the European Union and National Institute for Health and Care Excellence guidelines.

Symptoms

Mechanical pain in the lumbar region (worse with movement)
Stiffness in the morning lasting 30 to 60 minutes
Increasing pain with prolonged sitting and standing
Pain limited to the lumbar region (no radicular symptom)
Restriction of trunk flexion-rotation
Postural imbalance and muscle imbalance

Risk Factors

Sedentary lifestyle and prolonged sitting work
Poor posture and weak core muscles
Excess weight and abdominal obesity
Pregnancy and postpartum (lumbar lordosis)
Chronic stress and sleep disorder
Repetitive lifting work

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Initial evaluation in low back pain lasting longer than three months
  • Red flags: night pain, weight loss, fever, neurological symptoms
  • Surgery should be excluded before starting pilates
  • Modified programme by physiotherapist supervision is recommended

Treatment Methods

01
Modified clinical pilates programme (8 to 12 weeks, two to three sessions per week)
02
Focus on core stability and lumbar segmental stability
03
Progression principle: stable surface to unstable surface
04
Coordination of diaphragmatic breathing and movement
05
Combination with home exercises
06
Functional movement training and ergonomic education

Which Department to Visit?

You can visit our Geleneksel ve Tamamlayıcı Tıp department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Geleneksel ve Tamamlayıcı Tıp Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.