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Writer's pictureChloe Hart

Can I take Pilates with an injury?

Yes you can! This will depend on the injury, but generally speaking, you can take class with an injury. The reasons for this are:


  • Low Impact

Pilates exercises are low impact, which means they put minimal stress on joints and ligaments. This makes Pilates a safe option for individuals recovering from injuries, as it reduces the risk of aggravating existing injuries or causing new ones.

  • Controlled Movements

Pilates exercises are performed with a high level of control and precision. This careful approach helps individuals avoid movements that could exacerbate their injuries. The focus on controlled breathing and movement can also aid in pain management.

  • Customisability

Pilates can be easily modified to suit individual needs and fitness levels. Instructors can tailor exercises to accommodate specific injuries and focus on areas that need rehabilitation, making it a versatile option for a wide range of injury types.

  • Mind-Body Connection

Pilates promotes a strong mind-body connection through mindful movement and breathing techniques. This can be beneficial for injury recovery as it encourages body awareness and helps individuals recognize and avoid movements that may cause pain or injury.


Overall, the principles of Pilates align well with the needs of injury rehabilitation, providing a gentle, yet effective, method for strengthening, stretching, and restoring the body to a healthier state.


When dealing with an injury, it’s essential to choose Pilates exercises that are gentle and can be modified to accommodate your specific condition. Here are some of the best Pilates exercises to do with various common injuries, but always consult with a healthcare professional or a certified Pilates instructor before starting any exercise program. Here are a few of the exercises we have used in class and Pilates therapy to accomodate different injuries. Disclaimer: these exercises are just an example. All exercises were used with specific instructions and supervision. They may not be appropriate for everyone. Use them at your own risk. When injured, it is always best to work with a certified Pilates instrucor.


Spinal Injuries

  • Pelvic Tilts: Lie on your back with knees bent, feet flat on the floor. Gently tilt your pelvis towards you, flattening your lower back against the mat, and then tilt it away, creating a small arch in your lower back. This helps to mobilize the spine gently.

  • Marching: Lie on your back with knees bent and feet flat on the floor. Slowly lift one leg to a tabletop position, then lower it back down, alternating legs. This strengthens the core without straining the spine.

Knee Injuries

  • Single Leg Stretch (Modified): Lie on your back with knees bent. Bring one knee towards your chest while keeping the other foot on the floor. Alternate legs. This avoids stress on the knee while working the core.

  • Clam: Lie on your side with knees bent and feet together. Keeping your feet together, lift your top knee as high as you can without moving your pelvis. This strengthens the hip muscles and stabilises the knee.

Shoulder Injuries

  • Arm Circles (Modified): Sit or stand with your arms extended out to the sides. Make small circles with your arms, gradually increasing the size if comfortable. This maintains shoulder mobility without overloading the joint.

  • Scapular Retraction: Stand or sit with arms at your sides. Squeeze your shoulder blades together and hold for a few seconds before releasing. This strengthens the muscles around the shoulder blades.

Hip Injuries

  • Bridge (Modified): Lie on your back with knees bent and feet flat on the floor. Lift your hips off the ground to create a straight line from your knees to your shoulders. Lower back down slowly. This exercise strengthens the glutes and stabilizes the hips.

  • Side Leg Lifts: Lie on your side with legs straight. Lift your top leg up and down slowly, keeping your hips stacked. This strengthens the hip abductors.

Ankle Injuries

  • Ankle Circles: Sit or lie down with one leg extended. Gently rotate your ankle in circles to maintain mobility.

  • Calf Raises (Modified): Stand with your feet hip-width apart, holding onto a support for balance. Slowly rise onto your toes and then lower back down. This strengthens the calf muscles without putting too much strain on the ankle.

General Tips:

  • Modify Movements: Use props like pillows, resistance bands, or small balls to assist and modify exercises as needed.

  • Avoid Pain: Stop any exercise that causes pain or discomfort.

  • Focus on Alignment: Maintain proper alignment to prevent further injury.

  • Slow and Controlled Movements: Perform exercises slowly and with control to ensure safety and effectiveness.


Again, it’s crucial to get personalised advice from a certified Pilates instructor who understands your injury and can guide you in the best exercises and modifications for your condition.




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