What is the best spinal movement for a client with Spinal Stenosis?

The best spinal movement for a client with spinal stenosis is focused on neutral-based movements. Spinal stenosis often leads to narrowing of the spinal canal, which can result in increased pressure on the spinal cord and nerves. Therefore, maintaining a neutral spine helps to alleviate excessive strain on these structures.

Neutral-based movements typically emphasize alignment and stability without pushing the spine into extreme flexion or extension, which could exacerbate symptoms. These movements allow the client to engage in exercise without compromising their spinal integrity, facilitating better range of motion and muscular control.

Flexion movements can potentially increase pressure within the spinal canal, while extension movements might lead to discomfort for those with stenosis, as they can stretch the spinal canal further. Rotational movements may not provide the necessary stability and could lead to discomfort or increased symptoms. Thus, neutral-based movements present a safer and more effective approach for managing spinal stenosis while allowing the client to benefit from Pilates exercises.