Clinical Pilates

One-to-one reformer and mat work with physiotherapist Esra Kama. Exercises are chosen for your complaint and the load goes up step by step.

Clinical Pilates with physiotherapist Esra Kama at her clinic in Muratpaşa, Antalya

What Is Clinical Pilates?

Clinical pilates is pilates exercise based on a physiotherapy assessment and delivered by a physiotherapist. The aim isn't to get through a workout. It's to train the deep abdominal and back muscles without straining the painful area, to learn to control movement together with your breath, and to move more comfortably in daily life. In my clinic, clinical pilates is part of physiotherapy. Every programme starts with an assessment: I choose the exercises for your complaint and decide when a movement gets harder based on how you respond to it. Sessions are one-to-one, on the reformer and on the mat, so for the whole session I'm working with you alone.

Who Can Benefit?

  • People with long-standing low back or neck pain
  • Desk workers with posture problems
  • People with scoliosis looking for support alongside their physiotherapy
  • Anyone with weak deep abdominal and back (core) muscles
  • Patients who have finished rehab and want to return to sport or daily activity with confidence
  • Those who want to improve their balance and movement control
  • Pregnant women and new mothers — only with their doctor's approval
  • People who avoid exercise because of pain and want a controlled start

What We Work On

Reformer Work

The reformer's springs can either assist or resist a movement. That lets us start with a lighter load while you're in pain and raise the resistance step by step as you get stronger.

Mat Pilates

Bodyweight exercises on the floor. They carry the control you build on the reformer over to work without equipment, and they form the basis of your home programme.

Breathing and Core Control

You learn to coordinate the deep abdominal muscles, back muscles and pelvic floor with your breath. Many of the later exercises are built on this control.

Bands, Dumbbells and Balance Ball

When it helps, I add resistance bands, light dumbbells or the balance ball, so strength and balance are trained in ways closer to how you move in everyday life.

Posture and Movement Awareness

Throughout the session we watch how your spine, shoulders and hips are positioned as you move. The goal is to keep a good posture in daily life, not only during the session.

How the Programme Works

Your first appointment starts with an assessment, and I don't charge for it. After listening to your complaint, medical history and goals, I look at your posture, range of motion and muscle strength. The aim is to understand where the complaint comes from. As a physiotherapist I don't make diagnoses; if I see anything that needs a doctor's opinion, I refer you to a doctor first. We begin with basic movements that don't strain you. Once you can do a movement correctly and without pain, we increase the spring resistance, the repetitions or the difficulty; if your pain goes up, we change the plan that same day. We agree on how often you come after the assessment, and I put together a short home programme from the movements you've learned. Sessions can be held in English, Turkish or Russian. The clinic is open Monday–Friday 09:00–20:00 and Saturday 09:00–16:00, and closed on Sundays.

What You Gain

  • Strength and control in the deep abdominal and back muscles
  • A more upright, comfortable posture in daily life
  • Learning to move without aggravating your pain
  • Better flexibility and range of motion
  • Improved balance and body awareness
  • A controlled return to activity after rehabilitation
  • An exercise habit you can keep up at home on your own
  • The confidence to return to movements you've been avoiding because of pain

Frequently Asked Questions

How is clinical pilates different from regular pilates?

Clinical pilates starts with a physiotherapy assessment and is led by a physiotherapist. Exercises are chosen for your complaint, movements that aggravate your pain are removed or modified, and the difficulty only goes up once you can do a movement correctly. The goal is not general fitness but focused, measured work on your complaint.

I've never done pilates. Can I start?

Yes. The programme starts at your level: in the first sessions you get to know the reformer and learn the breathing and basic control. Just come in clothes you can move comfortably in.

I have a disc herniation or scoliosis. Is clinical pilates suitable for me?

We decide that together after the assessment. With scoliosis, clinical pilates is used to support your physiotherapy programme; it does not replace the treatment your doctor has recommended. If the assessment shows anything that needs a doctor's opinion, I refer you to a doctor first.

Can I do clinical pilates during pregnancy or after giving birth?

Only with your doctor's approval. Once you have it, I carry out an assessment and choose exercises suited to your stage. After birth, too, we don't start until your doctor has checked you and given the go-ahead.

Where is the clinic? Can I come from Konyaaltı?

The clinic is in Varlık Mahallesi, Muratpaşa, about 20 minutes by car from Konyaaltı; patients also come to us from Lara and Kepez. Sessions run Monday–Friday 09:00–20:00 and Saturday 09:00–16:00, so coming after work is possible too.

Let's build the right plan for you

In the evaluation session we listen to your complaint, examine you, and draw up a personalized roadmap.