While this blog has often stated that Pilates is an exercise for all, no matter what your age or sex may be, or whatever your current level of fitness, several questions persist.

It is very difficult to suggest that Pilates is not a sensible and health beneficial exercise, but there are – of course – some exceptions and certain situations in which the exercise should be avoided or, at least, modified to suit. In this post we’ll discuss the most common issues.


Pilates is often recommended for anybody of senior age, as it helps the muscles and bones gain a structure that prevents against the most common of falls and injuries. It also helps beat the pills – or at least aid them – in cases of osteoporosis.

Likewise, on the opposite end of the spectrum, the younger generation can help immune themselves from injuries in later life by making their body and mind capable of dealing with the many faults that may come.

In both cases, however, young and old, an exercises routine is still an exercise routine, and if you have any serious doubts, you should always consult a doctor before continuing.


While Pilates helps pregnancy and giving birth, via concentrating on pelvic muscles and other important regions, it is still an exercise, and all forms of exercise should be carefully considered with pregnancy.

To women who have spent a long time studying Pilates, becoming pregnant should not – realistically – affect their routine, and they will know how to adapt methods. To newcomers, however, it is advised to consult a medical professional before starting a Pilates programme.


Designed especially to deal with injuries for athletes and professional dancers, one may consider Pilates and excellent option for any injury. And, most of the time, that belief is true.

However, common sense must prevail. All injuries are different, and some are more extensive and damaging than others. A doctor should always be consulted where an injury is present, before starting or continuing any for of exercise, Pilates included.

If an injury is severe, then it will require strict and precise medical attention. Once the injury begins to recover, then, yes, Pilates is an excellent option to quickly aid recovery and help prevent that injury from occurring again.


As stated above, Pilates is a well known method of exercise to help ease and possibly eliminate the pains and development of osteoporosis. It has been proven in many, many studies to be of enormous benefit. But, severe osteoporosis is a condition that can have life changing effects, and is something that needs to be considered and discussed with, via a doctor, before undertaking any exercise routine. Within moderation, there is a high likelihood that Pilates will help improve the condition.

Blood Pressure

Many exercises aim to raise the heart beat, and sometimes to considerably high levels in order to burn fat and other tissue. While these exercises are of benefit, they can be problematic when high levels of blood pressure are present or common among those performing the exercise. Pilates aims to keep blood pressure at a stable and controllable margin.

If heavy weights and high endurance cardio is your thing, then Pilates is of massive benefit to allow your body to normalise blood pressure levels.

If, on the other hand, you have blood pressure issues – Pilates will help you control the flow and intensities of heart beat. Again, this is something that should always be discussed first with a medical professional.

Spinal Damage

Pilates is all about flexibility and the spine plays a key role in every movement. Where spinal injuries and damage are present, Pilates can help restore movement. It has been noted as a powerful form of recovery for such spinal problems as sciatica, with amazing results.

The spine, however, should not be dismissed as something as simple as a bone. It holds the most crucial cord in the body. Therefore, any spinal damage needs professional medical attention before undergoing any form of exercise.

To Summarise

There are many, many reasons why somebody should undertake Pilates as a form of exercise to boost their strength, flexibility and state of mind. But, there are also reasons why you should stop and think twice.

This applies to all exercises, and not just Pilates. The difference is, with Pilates, you are likely to be accepted to continue on your programme in ways that other exercises may have limitations with a doctor. Pilates can be as safe as you wish it to be.