A medical exercise method performed under physiotherapist supervision, used for low back and neck pain, postural disorders, and post-surgical rehabilitation.
Indication
- Chronic low back and neck pain (lumbar/cervical mechanical pain)
- Postural disorders and scoliosis follow-up
- Core stabilization deficits after disc herniation
- Post-surgical (spine, hip, knee) rehabilitation period
- Fibromyalgia and chronic musculoskeletal pain
- Pre- and post-pregnancy musculoskeletal preparation (with physician approval)
- Postural rehabilitation in athletes and office workers
Preparation
- Evaluation by a physical medicine and rehabilitation physician
- Bringing existing imaging (MRI, X-ray) and reports
- Comfortable, freely-moving clothing and non-slip socks
- Avoiding heavy meals 1-2 hours before exercise (a light snack is fine)
How it's performed
- The physiotherapist evaluates muscle strength, flexibility, and posture
- An individualized exercise program is planned (reformer, cadillac, mat exercises)
- Each session lasts 45-60 minutes; focuses on breath control and core (trunk) muscle activation
- Exercises are progressed gradually according to the patient's tolerance
- Each session is conducted under physiotherapist supervision, in small groups or individually
Post-procedure
- Usually performed 2-3 sessions per week for 8-12 weeks
- Reassessment is performed at regular intervals (4-6 weeks)
- A home exercise program is provided; integration into daily activities is recommended
- Consultation with the physician and physiotherapist is recommended if symptoms recur
Risks
- Muscle strain or increased pain due to incorrect technique
- Contraindicated in acute disc herniation or uncontrolled hypertension
- Risk of fracture in osteoporotic patients (appropriate modifications are required)
- Special restrictions apply during certain phases of pregnancy
FAQ
What is the difference between medical Pilates and fitness Pilates?
Medical Pilates is a medical treatment method applied under physiotherapist supervision, with physician recommendation, and tailored to the patient's diagnosis. Fitness Pilates is intended for general conditioning.
How many sessions are needed to see results?
It varies based on the complaint; significant improvement is observed in most patients after 8-12 sessions. The program may be longer for chronic conditions.
Can I do medical Pilates if I have a herniated disc?
It is not appropriate during the acute phase. After physician evaluation and once pain is controlled, it can be started with appropriate modifications.
Is it covered by social health insurance?
It may be covered by social health insurance for certain diagnoses as part of a physical therapy package; this varies by institutional policy.
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