For those suffering from spinal conditions, Clinical Pilates can avoid the potentially harmful effects of a general class and provide a great introduction to the correct exercises and movement patterns. Working as a physiotherapist for the last ten years, I’ve used a range of Pilates techniques with my patients. For those suffering from spinal pain, it can provide great results, but only when utilised correctly. Pilates is not a one size fits all intervention for back pain, and can easily make symptoms worse with the wrong exercises. Despite this, Pilates classes are generally packed with students following a set routine, with little opportunity for instructors to tailor individual programmes.