After a severe neck injury that required major surgery, STOTT PILATES® Certified Instructor Hilal Leigh discovered the therapeutic benefits of STOTT PILATES where she now specializes in knee and shoulder complex training, Pre- & Post-Natal Pilates, Post-Rehabilitation and Athletic Conditioning.
In this month’s "Ask the expert" series, Hilal shares her insights and advice for instructors looking to enter the post-rehabilitation space and explores how Pilates complements physiotherapy.
How STOTT PILATES supports post-rehabilitation recovery
Pilates has become an essential tool in post-rehabilitation, offering a structured yet flexible approach to restoring strength, mobility and function after injury or surgery. Its emphasis on core stability, controlled movement and mindful breathing makes it ideal for those transitioning from clinical rehab to full physical recovery.
What sets Pilates apart in post-rehabilitation is its ability to target deep, stabilizing muscles that are often neglected during traditional therapy. By focusing on improving posture, alignment and muscle imbalances, Pilates helps prevent re-injury while promoting long-term wellness.
The individualized nature of Pilates also means that programs can be tailored to specific needs, whether addressing spinal health, joint recuperation or muscular imbalances.
Pilates vs. traditional physiotherapy: A complementary approach
Q: How do you see Pilates complementing physiotherapy? How do you adapt exercises to meet their specific needs?
A: Pilates complements physiotherapy beautifully, which is why so many physiotherapists now choose to get certified in Pilates. Pilates focuses on low-impact exercises, prioritizing movement quality, making it ideal for rehab patients who need gentle yet effective exercises. With controlled, precise movements and 3-dimensional breathing, Pilates helps clients improve strength, stability, alignment and joint mobility. It also develops trunk stability, posture and balance, all of which support the body throughout the healing process.
Many injuries stem from muscular imbalances or overuse. Combining Pilates into a client’s rehab routine promotes balanced muscle development and reduces the risk of future injuries by correcting these imbalances. With modern approaches like STOTT PILATES, we have a wide range of exercise modifications, allowing us to tailor programs to each client’s specific needs easily.
Tailoring Pilates programs for injury post-rehabilitation
Q: How do you approach designing a Pilates program for clients recovering from an injury? What key factors do you consider when tailoring programs to different needs and conditions?
A: The first step is getting a medical professional approval to commence an exercise program. Next is gathering comprehensive information about the client’s injury history, including hospital reports and referrals from physicians or physiotherapists. This allows me to understand the nature of their recovery — whether it’s post-surgery, a musculoskeletal injury or chronic pain management.
Once I have a clear picture, I can start designing a suitable program. I also consider their daily environment and challenges, which play a significant role in the client’s ability to follow the program. For example, knowing how much sleep a new mom gets can greatly influence her capacity to engage with the exercises.
This holistic approach allows me to create a tailored Pilates program that meets their specific needs.
The collaboration between Pilates instructors and physiotherapists
Q: What have you learned about the importance of collaboration between Pilates instructors and physiotherapists? Can you share an example of how this collaboration led to a successful patient outcome?
A: Collaboration between Pilates instructors and physiotherapists is essential. As Pilates instructors, we should always encourage clients to consult a specialist for any issues they’re experiencing. Once we have a clear diagnosis, we can use our expertise to support their recovery.
For example, I once worked with a mum who struggled for nearly two years with bladder prolapse, pelvic floor weakness and mild incontinence after giving birth without ever receiving treatment. After her first Pilates session, I immediately referred her to a women’s physiotherapist I work with, who examined her and recommended several behavioral changes. From there, we incorporated post-natal Pilates focused on pelvic floor strengthening, eventually transitioning to general Pilates. Within three months, her toilet urgency had significantly recovered; after six months, her mild incontinence had disappeared. A year later, she was stronger than ever, with a much smaller diastasis recti gap. This outcome wouldn’t have been possible without the collaboration between physiotherapy and Pilates.
Essential skills for Pilates instructors in post-rehabilitation
Q: What are the most important skills you’ve developed while working with post-rehab clients? Can you share any specific approach that has been particularly effective?
A: The most important skill I've developed is viewing the body as a whole rather than just focusing on the area where the client is experiencing discomfort. It’s about zooming out, stepping back and understanding how the entire body moves as a unit. For example, when a client presents with a knee injury, I’ve learned to assess their feet, gait function, foot mechanics, hip strength, mobility and other limitations that need addressing. Similarly, when working with a client experiencing prolapse after childbirth or incontinence issues, I gather their entire history — how the pregnancy was, how they trained during pregnancy, details about the delivery and baby size, how many women’s physiotherapy sessions they’ve had before coming to me and what behavioral changes they are trying to implement in their daily life.
Common misconceptions about Pilates in post-rehab
Q: What are some common misconceptions people have about Pilates in a post-rehab context? How would you clarify or correct these misunderstandings?
A: One of the biggest misconceptions is that people assume Pilates is easy because of how it looks, leading them to believe it won’t be effective. However, low impact doesn’t mean easy or ineffective. Pilates is highly effective in a post-rehab setting because it focuses on controlled, precise movements, mindful breathing and core engagement — all essential components for restoring strength, mobility and function. The best way to address these doubts is to experience Pilates firsthand by booking a session with a well-trained instructor.
The rewarding aspects of helping clients recover through Pilates
Q: What has been the most rewarding aspect of helping clients recover through Pilates? Can you share a memorable story where Pilates played a key role in their post-rehabilitation journey?
A: Serving others is deeply fulfilling. As a Pilates instructor, I am happy to be in a position where I serve and help my clients recover through Pilates. There are countless memorable moments that bring me joy and a sense of purpose — whether it’s a client saying they’re pain-free after years of suffering, a new mom feeling like a better parent because Pilates helps her feel her best, a client completing their post-surgery recovery with Pilates quicker than expected or a golfer receiving compliments on their better posture. These moments remind me daily how impactful this work is.
One story that stands out is a client training with me for almost a year. She has two children, the youngest born 14 years ago, and one day, she confided in me, "I've always struggled with mild incontinence and never sought help. After 16 years, thanks to you, I no longer experience it." Hearing that Pilates had such a profound effect on her quality of life is a reminder of how life-changing this practice can be for rehabilitation and overall well-being.
Advice for instructors entering post-rehabilitation
Q: What advice would you give other Pilates instructors interested in working in a post-rehab setting? Are there any certifications or training that you recommend?
A: I highly recommend taking workshops and courses focused on the shoulder and knee complex, as these are areas where many injuries occur. Training to become a Pre- & Post-Natal Specialist and completing all the necessary courses under this track is crucial, as it can help many women who struggle after childbirth. This training was especially valuable to me personally when I became a mother, helping me understand my own body during and after pregnancy. Additionally, pursuing the Post-Rehabilitation Specialty Track is vital if you want to specialize in this field. These certifications will equip you to work with a wide range of clients and effectively guide them through their recovery process.
Recommended Pilates equipment for post-rehabilitation
For post-rehabilitation clients, using the right equipment can make a significant difference in recovery. Here are some of my favorite tools:
- Eco-Lux™ Imprint Mat · Pro: This ultra-comfortable mat provides superior cushioning and ultimate spine support for floor exercises.
- Rehab V2 Max Plus™ Reformer: This Reformer offers variable resistance angles and an expanded range of motion, making it ideal for Pilates-based sports, rehab and cross-training.
- Mini Stability Barrel™ Lite with Mat: Compact and lightweight, this barrel advances core strength, spinal alignment and flexibility.
- Flex Massage Stick: This versatile massage tool relieves muscle tension and increases circulation.
- Twistable Massage Rollers: This prop targets specific muscle groups to release tightness and improve mobility.
- Soft Kettlebell Plus: Allows for strength and stability training without the risk of injury from hard surfaces.
- Soft Dumbbells: Ideal for light resistance training, offering comfort and control during movement.
- Mini Handweights: These ergonomic handweights are designed to comfortably fit your hands and wrists, adding resistance to Pilates routines.
- Mini Stability Ball™: Perfect for engaging core muscles, increasing balance and strength training exercises.
Final thoughts: Transforming recovery through Pilates
Integrating Pilates into post-rehabilitation bridges the gap between medical intervention and everyday activities, offering clients a holistic pathway to optimal movement. Beyond strengthening the body, Pilates builds confidence and empowers individuals to regain control over their physical health.
If you're considering incorporating Pilates into your post-rehab routine, consult a qualified Pilates instructor specializing in rehabilitation or a STOTT PILATES Injuries & Special Populations (ISP) instructor. Together, you can create a personalized program that supports your goals and helps you achieve optimal physical function.
Are you a health professional or a final-year healthcare student? Our specialized STOTT PILATES Rehabilitation Program is ideal for those looking to incorporate Pilates into every phase of patient care—from managing acute injuries to supporting post-rehab recovery and preventing future injuries.