One of the biggest challenges Pilates instructors face when working with osteoporosis clients is this: “How do I keep the class challenging and interesting without relying on all the spinal flexion in traditional Pilates repertoire?” And honestly… you’re not alone. A huge amount of Pilates exercises involve spinal bending: roll ups, rolling like a ball, short spine, teaser variations, spine stretch, jackknife, and loaded flexion patterns in general. So if you’re trying to be