Pilates-Based Physical Therapy

The Benefits of Pilates-Based Physical Therapy

One of the most popular trends in physical health in the 21st century is Pilates named after Joseph Pilates who invented a series of regimented exercises less than 100 years ago. While Pilates generally looks rather simplistic and relies on the body’s own weight and limitations, the precision and control of the movements can have lasting benefits, including when combined with physical therapy.

As scientific journals have begun to publish articles About Pilates-Based Physical Therapy, the practice of combining the precise movements of Pilates to accomplish a specific physical therapy outcome have increased. Whereas standard Pilates is geared towards participants who are generally healthy, Pilates-Based Physical Therapy (PBPT) is focused on helping individuals heal from injuries. Additional benefits of Pilates-Based Physical Therapy include to ability to apply healing techniques holistically instead of focusing purely on the injury or source of discomfort. Pilates-Based Physical Therapy also helps correct and heal issues with posture, gait and/or movement patterns that may be hindering the healing process or causing pain and discomfort.


Because the medical profession is only just now starting to learn more About Pilates-Based Physical Therapy, insurance coverage for Pilates-Based Physical Therapy may be inadequate or non-existence. Before beginning any course of Pilates-Based Physical Therapy, it is essential to verify that adequate coverage or financing exists.


One of the reasons that Pilates-Based Physical Therapy has become increasingly popular in recent years is that this unique form of holistic treatment allows the patient to take a very active role in his/her healing. There is a built-in learning curve, particularly for individuals who have never participated in Pilates before, but the skills acquired in learning new ways of positioning the body, moving in prescribed manners, and being aware of feedback from the body will have long-lasting benefits far beyond the initial goal of healing from an injury.

Benefits of Pilates-Based Physical Therapy also include streamlining the physical therapy process to maximize the effort put into completing the movements and a noticeable reduction in the amount of time required to successfully achieve healing. By learning to become attuned to the body’s needs and limitations, there is a greater chance that future injuries can be prevented.

What Pilates-Based Physical Therapy Can Treat

Pilates-Based Physical Therapy can be used to treat a wide range of disorders, syndromes and issues, including but not limited to:


Women’s reproductive health issues

Orthopedic injuries


Repetitive stress injuries

Acute low back pain

Stress-related injuries


Issues with poor posture

Problems with balance

Chronic low back and pelvic pain

Chronic shoulder pain

Discomfort in the foot and/or ankle

Instability issues with the pelvis and/or spine

About Pilates Equipment

Since its original conception approximately a century ago, Pilates equipment has become more streamlined and efficient in order to more precisely guide the movements of the prescribed exercises. Pilates equipment functions by using tension at key points of the body both to provide tactile feedback as well as to provide kinetic signals that guide correct orientation and postural positioning.

Once trained on how to properly use Pilates equipment, patients benefiting from a quality Pilates-Based Physical Therapy program will begin with certain movements sequences that start with little or no weight-bearing activities and then steadily progress to activities that receive the full weight of the individual. Many of these Pilates-Based Physical Therapy exercises begin with the patient lying down in a horizontal manner and then slowly increasing the angle of inclination in a controlled manner once the corresponding muscles and joints have grown strong enough to bear more weight.

While no list of Pilates equipment is ever exhaustive, some of the most commonly-used pieces of equipment used for Pilates-Based Physical Therapy purposes include:

  • The Pole System
  • The Reformer
  • The Neck Stretcher
  • The Ped-o-Pull
  • The Toe Stretch
  • The Low/Wunda Chair
  • The Cadillac
  • The Magic Circle
  • The Foot Corrector
  • The Ladder Barrel

Sports Injuries Treatment in NYC

Certainly, all forms of physical therapy are designed around the concept that the correct use of a guided series of physical motions will help a patient experience less pain, improve muscle strength and coordination, and help the body speed up the healing process. What makes Pilates-Based Physical Therapy different is that it combines the classical techniques of carefully-coordinated motion in standard Pilates and the various modalities of conventional physical therapy.

Here are just a few of the differences of Pilates-Based Physical Therapy versus standard physical therapy techniques:


The patient is the one in control of their education and movements, leading to impressive gains in flexibility and strength that far outlast the initial course of therapy designed to heal and injury and/or minimize pain.


PBPT uses Pilates equipment that has been specially designed to autonomically correct for postural imbalances as well as to provide instantaneous tactile feedback to help the patient perform each movement exercise correctly every time.


PBPT teaches the patient how to target specific muscle groups in the correct sequence, strengthening them in order to minimize healing time and to prevent future injuries.


PBPT can be performed anywhere there is Pilates equipment and does not rely on expensive or unusual physical therapy apparatuses.


By starting PBPT exercises in a horizontal position to reduce weight loads on injured areas and then steadily changing the angle of inclination to allow for the placing of increasingly more weight, PBPT ensures a safe and steady progression towards full recovery.


PBPT and standard Pilates exercises are performed in bare/sock feet and with comfortable, loose clothes, making the process more comfortable for patients.

The Benefits of Pilates


Originally called “Contrology” by its creator, Joseph Pilates, the exercise system known today simply as Pilates differs from other forms of exercise or physical therapy due to its focus on precision movement, position, and breathing. Although it is not cardio in nature and rarely involves quick, energetic movements, the demands of Pilates are quite intense.


As a form of exercise that emphasizes a strong connection between the mind and body, Pilates is in some ways similar to yoga. Pilates, however, does not emphasize a spiritual connection and is designed primarily to improve both flexibility (range of motion) as well as building up strength in the body’s “core”, the central abdomen, legs, and arm part of the body that are critical for healthy balance, joints, and movement.


Pilates begins by learning the motions and then slowly performing them with an emphasis over correct movement instead of speed or exertion. As strength levels and mastery of the movements begins to increase, speed can likewise be increased although the primary focus of all Pilates exercises is to tone muscle groups and improve conscious awareness of biofeedback rather than burning calories or achieving specific targets (e.g. weight loss).


Be sure to discuss all of your health conditions with your physical therapist before beginning any course of therapy to ensure that exercises can be tailored to your specific needs and requirements.

Lev Kalika Clinical Director and DC, RMSK

Dr. Lev Kalika has been working to revolutionize physical medicine, rehabilitation, sports medicine and athletic performance since 1998, with multiple research studies to his credit. Dr. Kalika is recognized as an international expert in integrative rehabilitation, sports medicine, injury prevention, athletic performance, and ultrasound guided dry needling. NYDNRehab is considered the most technologically advanced private clinic in the US. Dr.Kalika’s modern approach to the treatment of athletic injuries and performance enhancement has put him on the radar of some of the world’s top distance runners, pro athletes and professional ballet dancers.

Our Specialists

Dr. Mikhail Bernshteyn MD (Internist)
Dr. Michael Goynatsky DPT
Dr. Daniela Escudero DPT
Dr. Michelle Agyakwah DC
Dr. Tatyana Kapustina L. Ac.

In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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