Considering Clinical Pilates

January 12, 2014

Ian asked The Guru for the following Physiotherapy Advice:


I’m a 46 year old man who has suffered back problems for the past 20 years. Mostly this is a source of constant discomfort with periods of acute pain and some sciatic type pain. I have over the years had periods of visiting an osteopath to varying degrees of success. About 5 years ago, after experiencing numbness in both buttocks, I was seen at the hospital and after an MRI scan I was diagnosed as having a desiccated L5 S1. After discussing surgical options with the consultant I made the decision not to have an operation. But like an idiot didn’t continue a programme of remedial work (not that any was offered).

I have been advised on a number of occasions buy a plethora of well intentioned amateurs that I need to strengthen my core muscles and should learn Pilates. I am unwilling to do this unless done with a qua;ivied physiotherapist who understands my prognosis.

I recognise that I will not “get better” but want to learn how to manage my pain better as well as help to prevent further efforts of acute discomfort.

So, I suppose what I am asking is this something that you would advise as beneficial with my condition. And if so what would be the cost of 1-1 sessions.

I live and mainly work in the Hounslow area so the Kensington studio would be the easiest for visiting.

I look forward to hearing from you



January 12, 2014

Hi Ian


What you’ve got and what you’ve done is very normal – you almost need to float around a bit until you land in the right place.

We only do clinical pilates – instructed by Physios as I believe they are the right professionals who can relate your pain and dysfunction to your pathology – as in what you’ve got and what you need to do get you better in the long term.

As a caveat you may need to be given the ability to move better – and so may need to have some manual therapy to your very stiff thoracic spine (which will help take the load off of your mobile, painful lumbar spine) but the initial pilates session will be able to determine this and advise you better.

Clinical Pilates makes bits that don’t move well, move better and bits that move too much without enough control, move less with better control. It’s all about control of movement rather than just getting a strong core.

We’ve got a crack team at High Street Ken. An initial 1 hour 1-2-1 Pilates session costs £70.

Hope this helps.

The Guru

Six Physio

Guru Responded

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