Clinical Pilates — not a fitness class.

Physiotherapist-supervised Pilates built on a clinical assessment of your movement, strength, and postural deficits. Every session progresses based on what your body actually needs — not a fixed routine.

Book Your Assessment WhatsApp Us
Max 4 per group Individual assessment first Physiotherapist-supervised HSR Layout, Bangalore
4 maxClients per group — not a class of 20
60minClinical assessment before your first session
98%Patient satisfaction across Sevens programmes
8+ yrsClinical physiotherapy experience
What Is Clinical Pilates

The same principles —
applied clinically.

Clinical Pilates uses the foundational principles of Pilates — controlled movement, breath, core engagement — but applies them within a physiotherapy clinical framework. The exercises are selected based on your assessment findings, not a standard class programme.

At Sevens, every Clinical Pilates client undergoes a 60-minute physiotherapy assessment before their first session. The assessment identifies your specific movement deficits, postural patterns, strength asymmetries, and injury history. Your programme is designed around that data.

Assessment-led, not routine-ledEvery exercise is prescribed based on your clinical findings — not taken from a standard class sequence.
Maximum 4 clients per sessionYour physiotherapist can observe and correct every rep, every session. This is not a gym class.
Written programme at every sessionYour exercises, sets, and progressions are documented. You always know what you did and why.
Clinical Pilates vs Regular Pilates What makes this clinically different
FeatureStudio ClassClinical (Sevens)
Pre-assessmentNone60-min clinical
Group size8–20 peopleMax 4 clients
SupervisionInstructorPhysiotherapist
Exercise selectionFixed routineAssessment-based
Injury-safeNot guaranteedClinically managed
Written programmeNoEvery session
Progress trackingInformalMilestone-based
Who It’s For

Right for you if any of these apply.

Clinical Pilates works for a specific range of presentations. These are the most common reasons patients come to us.

01
Chronic Lower Back Pain

Persistent mechanical back pain, disc-related conditions, or recurring back episodes that have not responded to passive treatment alone. Core stability and progressive loading address the underlying weakness driving recurrence.

02
Postural Dysfunction

Forward head posture, upper or lower crossed syndrome, thoracic kyphosis, or pelvic tilt patterns — particularly in desk workers with 6+ hours of daily sitting. We correct the muscular imbalances causing the posture, not just the posture itself.

03
Post-Surgical Rehabilitation

After spinal surgery, hip or knee replacement, or abdominal procedures — when rebuilding deep core function and movement quality is essential for full recovery. Always coordinated with your surgical team’s protocol.

04
Osteoporosis & Bone Health

Weight-bearing and resistance-based Pilates exercises support bone density. Programmes are modified to avoid spinal flexion loads that increase fracture risk — a critical safety consideration not addressed in standard classes.

05
Antenatal & Postnatal

Pelvic floor rehabilitation, diastasis recti management, and postural correction during and after pregnancy. Exercises are fully adapted for each trimester and postnatal stage — with explicit contraindication screening.

06
Athletes & Return to Sport

Bridging the gap between physiotherapy discharge and return to full training. Building movement quality, neuromuscular control, and core stability that gym-based training alone does not address.

Not sure if this is right for you? Call us or WhatsApp before booking. We will tell you honestly whether Clinical Pilates or a different programme is the better fit for your presentation — including if it isn’t us.
Programme Structure

How your programme is built.

Every client follows the same structured pathway — from initial assessment to independent management.

01Clinical Assessment

60-minute physiotherapy assessment. Movement analysis, strength testing, posture screening, full history. You leave with a written clinical summary.

02Programme Design

Exercise selection based exclusively on your assessment findings. Your first session is a 1:1 programme introduction — not shared with the group.

03Supervised Sessions

Sessions of maximum 4 clients. Your physiotherapist observes and corrects each exercise in real time. Progressions happen when you demonstrate competence.

04Discharge & Maintenance

A written home programme you can maintain independently. Optional maintenance sessions every 2–4 weeks once clinical goals are met.

Reformer & Mat Work

Both modalities are used based on clinical indication. Reformer work provides adjustable resistance and assists with movement quality in early rehabilitation. Mat work builds independence.

Integrated Breathing Mechanics

Breath pattern is assessed and retrained where dysfunctional. Correct breathing mechanics underpin effective core engagement and are often missing in chronic pain presentations.

Progressive Overload

Exercises are progressed systematically — not on a fixed-session timeline. You move to the next level when your physiotherapist confirms the quality of your current movement.

Concurrent Physiotherapy

Clinical Pilates can run concurrently with your physiotherapy sessions. Many clients integrate both — particularly those recovering from spinal conditions or post-surgery.

What We Use

Techniques we integrate into your plan.

These are not optional extras or upsells. Each technique is integrated based on your assessment findings where the evidence supports its use.

Deep Core Activation

Transversus abdominis and multifidus activation assessed and progressively loaded. The foundation of every programme — without this, surface-level strengthening cannot protect the spine.

Evidence base: strong
Pelvic Floor Rehabilitation

Integrated into programmes where indicated — particularly for postnatal, pelvic girdle pain, and post-surgical clients. Assessment screens for both underactive and overactive pelvic floor patterns.

Specialist assessment required
Spinal Segmental Control

Vertebra-by-vertebra spinal movement assessment and retraining — identifying and correcting hypermobile and hypomobile segments that drive chronic pain and dysfunction.

Physiotherapy-specific
Hip & Shoulder Girdle Integration

Core stability without peripheral joint control is incomplete. Hip abductor and shoulder stabiliser function is assessed and integrated into all loading progressions.

Full kinetic chain approach
What Patients Typically AchieveRepresentative outcomes across Clinical Pilates programmes at Sevens
Reduction in chronic back pain severity

Most chronic mechanical back pain patients report significant pain reduction within 6–8 sessions when core and load tolerance are addressed concurrently.

Improved postural awareness

Sustained postural improvement requires motor learning — not just stretching. Clinical Pilates systematically retrains the movement patterns driving postural dysfunction.

Return to sport and activity

Athletes use Clinical Pilates to rebuild the neuromuscular control that gym-based strength training alone does not address.

Reduced episode frequency

Patients with recurrent back or neck pain report fewer episodes and faster recovery when they maintain their Clinical Pilates programme between flare-ups.

Typical programme progression
Weeks 1–3
Foundation
Weeks 4–8
Loading
Weeks 9–14
Integration
Wk 15+
Maintenance
AKPilates Specialist
Ananya Kumar Clinical Pilates Specialist

Qualified physiotherapist and certified clinical Pilates instructor. Specialises in postural correction, core rehabilitation, and chronic back pain. Conducts all Clinical Pilates assessment and programme design at Sevens HSR Layout.

BPTDip. Clinical PilatesPostural RehabPelvic Floor
Your Clinician

One clinician.
Every session.

You will see the same physiotherapist at every Clinical Pilates session. Continuity is not just a preference — it is a clinical requirement for effective motor learning and progressive rehabilitation.

01
Assessment before programme design

Ananya conducts your 60-minute assessment personally before designing your programme. You do not attend a first session and then get assessed — it is the other way around.

02
Physiotherapist in the room — not a Pilates instructor

Ananya holds both a physiotherapy degree and a clinical Pilates diploma. The clinical judgement applied in session goes beyond what a Pilates instructor alone can provide.

03
Cross-referral when needed

If your presentation requires input from our sports physiotherapist or lead physio, that referral happens within Sevens. You do not need to start over elsewhere.

Questions

Everything you need
to know before booking.

Answers to the questions patients ask most often. If yours is not here, call or WhatsApp — a clinician answers, not a receptionist.

Book Assessment WhatsApp a Question
Adding more FAQs? Duplicate any .cp-fi block inside the relevant .cp-faq-grp. For a new category, add a .cp-fcat button and a matching div with id="cp-faq-CATNAME".
General
Clinical Pilates applies the principles of Pilates within a physiotherapy framework. Unlike a studio class, it begins with a full clinical assessment identifying your specific movement deficits, injury history, and postural patterns. Exercises are prescribed based on those findings. At Sevens, all sessions are supervised by a qualified physiotherapist, not a Pilates instructor.
A standard Pilates class has no clinical assessment, uses a fixed routine applied to everyone, and is run by a Pilates instructor. At Sevens, every client is assessed clinically before their first session, receives an individually designed programme, and attends sessions of a maximum of 4 clients where the physiotherapist can observe and correct every exercise in real time.
Yes — with appropriate caveats. The evidence for Clinical Pilates is strongest for chronic lower back pain, where multiple randomised controlled trials show it is at least as effective as other forms of exercise rehabilitation. Evidence is also supportive for postural correction, antenatal back pain, and post-surgical rehabilitation. We are transparent about where evidence is strong and where it is limited.
This depends on your presentation. For acute pain or a recent injury, physiotherapy is typically the first intervention. Clinical Pilates is usually more appropriate once acute pain is settling and the focus shifts to building core stability, movement quality, and load tolerance. Many patients do both concurrently — your assessment will clarify which combination is right for you.
No. You can book directly — no GP or specialist referral is required. If you have existing medical reports, scan results, or surgical notes, bring them to your assessment as they provide useful clinical context. If you have a medical condition that may affect exercise participation, please mention it when booking so we can confirm Clinical Pilates is appropriate for you.
Sessions
Your first appointment is a 60-minute clinical assessment — not a Pilates session. It covers a detailed clinical history, a physical assessment of your movement, posture, core function, and strength, and a review of relevant scans or medical reports. You receive a written clinical summary and proposed programme outline. Your first actual Pilates session is a 1:1 programme introduction; you do not join the group on your first session.
Typical programme lengths:
  • Postural correction: 8–12 sessions over 2–3 months
  • Chronic back pain: 10–16 sessions over 3–4 months
  • Post-surgical rehabilitation: 12–24 sessions over 3–6 months
  • Antenatal programme: Ongoing — adapted per trimester
We do not sell fixed session packages — programme length is determined by clinical progress.
Yes — and for many patients with chronic back pain, Clinical Pilates is specifically indicated. If you are in acute pain (severe, within the last 48–72 hours), we may recommend a physiotherapy assessment first. Moderate or chronic pain is not a contraindication. Your physiotherapist will modify exercises as needed and will never progress you through pain that is clinically inappropriate.
Wear comfortable, form-fitting exercise clothing that allows your physiotherapist to observe your spine and hip movement clearly — leggings or fitted shorts are better than loose trousers. Bring grip socks if you have them (we have some available). For your assessment, also bring any MRI reports, X-rays, surgical notes, and a list of current medications.
For most programmes, once per week is the starting frequency. As you progress and are given a home exercise programme, the session frequency may reduce to once every 10–14 days. For complex post-surgical rehabilitation, twice weekly may be recommended in the early phase. Your physiotherapist will recommend the optimal frequency after your assessment.
We ask for 24 hours notice for cancellations where possible — this allows us to offer the slot to another patient. Sessions cancelled with less than 24 hours notice may be charged in full. If you have a genuine acute flare-up or medical reason, please call or WhatsApp directly — we handle these individually.
Conditions
For mechanical lower back pain, a well-designed Clinical Pilates programme combined with physiotherapy where needed can produce lasting resolution — not just symptom management. For degenerative conditions (disc degeneration, spinal stenosis), Clinical Pilates significantly reduces pain and improves function even where complete elimination is not achievable. The honest answer depends on your specific diagnosis, which is why we assess first.
Yes — when supervised by a physiotherapist with obstetric experience. Contraindicated exercises (strong abdominal loading, full supine lying in the third trimester) are screened and avoided. Antenatal Clinical Pilates at Sevens focuses on pelvic floor function, postural support, and breathing mechanics. Postnatal programmes begin with diastasis recti and pelvic floor screening before loading. Please inform us of your pregnancy when booking.
Yes — with specific programme modifications. Standard Pilates exercises involving spinal flexion (roll-ups, forward bends) are contraindicated in significant osteoporosis as they increase vertebral fracture risk. Programmes at Sevens are designed around axial loading, postural extension, and weight-bearing movements that support bone density without creating fracture risk. Osteoporosis screening is part of every assessment.
This depends on the type of procedure and your surgeon’s protocol. For spinal discectomy or decompression, most surgeons clear gentle core rehabilitation from 6–8 weeks post-op. For spinal fusion, typically 12 weeks and above. We request your surgical notes and surgeon’s protocol before designing any post-surgical programme and work within those parameters throughout.
Yes — but exercise selection is critical. For disc herniations, certain movement directions (typically flexion-biased loading) can worsen symptoms while others (extension-biased loading, neural mobilisation) are therapeutic. Your assessment will identify your directional preference and your programme will be built around this. Disc herniations are one of the most common presentations in our Clinical Pilates practice.
Practical & Booking
The initial 60-minute clinical assessment is priced separately from the group sessions. Ongoing group sessions (maximum 4 clients) are priced per session with no obligation to purchase block bookings. We do not offer fixed session packages — you attend as many sessions as your clinical programme requires. Exact pricing is available when you call or WhatsApp.
Coverage varies significantly by insurer and policy. When Clinical Pilates forms part of a physiotherapy rehabilitation programme, some insurers cover it as physiotherapy. We provide clinical documentation, detailed receipts, and a clinical letter to support insurance claims. We recommend checking with your insurer before your first appointment.
You can book through three channels: via the booking form on this page, by calling us directly at +91 98765 43210, or by WhatsApp. We call back within 2 working hours to confirm. Please mention that you are booking for Clinical Pilates so we can allocate the right slot with Ananya. Assessments are typically available within 2–4 working days.
Most patients report improved body awareness and reduced pain sensitivity within the first 3–4 sessions — even before significant strength changes occur. More meaningful structural changes in core strength and postural control typically become apparent from session 6 onwards. We set honest milestones at your assessment so you know what to expect and when.
It is a finite programme with a clear discharge goal. We build a home exercise programme throughout your sessions — the intention is always to make you independent. Once your clinical goals are achieved, you are discharged. Optional maintenance sessions every 2–4 weeks are available for those who want ongoing supervised practice, but these are a choice, not a requirement.
Book Your Assessment

Start with an assessment.
Not a guess.

Your first appointment is a 60-minute clinical assessment with Ananya Kumar. You leave with a written summary of your clinical findings and a clear programme outline — before committing to anything further.

Request a Callback We respond within 2 working hours. Please mention you are booking for Clinical Pilates.
60-min assessment · No GP referral needed · No obligation
WhatsApp Us Call Us
Assessment-first approach Max 4 per group Physiotherapist-supervised HSR Layout, Bangalore Same-week appointments