Therapeutic Approach with Physio-Pilates for HNP

What is Clinical Pilates?

Clinical Pilates 1Pilates — once a niche strength, mobility, and recovery technique for dancers — has gone mainstream. The low-intensity, muscle-strengthening workout can promote flexibility, mobility, and posture. Unlike regular Pilates, Clinical Pilates considers a client’s specific needs for their body, injury, and condition. Clinical Pilates is often used as a part of a rehabilitation program for individuals with injuries or chronic conditions such as low back pain, neck pain, or postural dysfunction.

Therapeutic Approach with Modern Pilates

Clinical Pilates 2Modern Pilates combines elements of yoga and functional training to provide a full-body workout that improves strength and flexibility. Stress relief: The controlled breathing and mindful movement of Modern Pilates can help to reduce stress and improve overall well-being.

What is HNP (Herniated Nucleus Pulposus)?

HNPHNP (Herniated Nucleus Pulposus) is a condition in which part or all of the soft, gelatinous central portion of an intervertebral disk is forced through a weakened part of the disk, resulting in back pain and nerve root irritation.

Causes and Symptoms of HNP (Herniated Nucleus Pulposus)

Herniated nucleus pulposus is caused most frequently by age and degeneration that occurs over time. Other factors can accelerate the damage from a herniated nucleus pulposus including:

  • Obesity
  • Sedentary lifestyles.
  • Acute injuries sustained from an accident, fall or from sports activities.
  • Improperly lifting.
  • Genetic predispositions.
  • Congenital spine disorders developed from birth or adolescence.
  • Smoking.
  • Excessive alcohol consumption.
  • Extended, repeated periods of labor, standing, driving or sitting.
  • Other degenerative disc diseases or associated spinal disorders

Herniated nucleus pulposus symptoms can include:

  • Chronic pain and discomfort.
  • Pain that travels the path of a nerve.
  • Pain that radiates through to extremities.
  • Numbness.
  • Muscle weakness.
  • Tingling sensations.
  • “Pins-and-needles” sensations.
  • Abnormal muscle reflex reactions.
  • Loss of coordination.

Clinical Pilates Management of HNP

Clinical Pilates 3Creating a lifestyle involving Pilates will supply a client suffering from herniations or bulging discs with more strength, flexibility, balance, and overall movement. Pilates allows people to use the range of motion that is most beneficial and concentrates on giving members more mobility and energy.


  1. evaluate the range of motion of trunk flexion and extension with checking out whether they have compensatory movement.
  2. evaluate the strength and stability of core & lower extremity muscles.


Stretching and manual therapy for hamstrings, psoas major, gluteal muscles, and piriformis first.

  1. Patients who have sufficient muscle power – foot work of reformer
    • foot work heel arch toe: stimulate the proprioception of heel and facilitate gluteal muscles.
    • foot work arch: patients who have hypesthesia of foot plate, flat foot, club foot, and genu varum & valgus.
    • foot work toe: activate toe flexors, correct hallucis valgus, and improve ankle motion.

    Clinical Pilates 4

  1. Patients who don’t have sufficient muscle power – foot work of chair
    • for the concentric and eccentric activation of hip flexors, correct pelvic neutral position, activate pelvic floor muscles.Clinical Pilates 5
Sowon Jang, Physiotherapist at Korehab Clinic, Dubai


Korean Pilates Method Academy Instructor
Pilates Props Rehabilitation
Proprioceptive Neuromuscular Facilitation Therapy
Sports Massage Therapy
Sports Taping Therapy