In this episode of the Pilates Lab series, Sean works one-on-one with long-time client Steven, who deals with chronic lower back dysfunction and pain. Rather than focusing on traditional abdominal strengthening, Sean introduces Steven to the concept of axial elongation (AE) — creating length through the spine as the foundation of all movement. Using the Pilates reformer, they explore lumbar stabilization through pelvic rotation, flat back and round back progressions, and seated marching, all with an emphasis on oppositional movement over compression. Sean breaks down why tight hamstrings, poor pelvic awareness, and right-side asymmetry are contributing to Steven’s back issues, and offers practical homework — simple chair-based pelvic rotation drills — to reinforce these movement patterns in daily life. A must-watch for anyone dealing with lower back pain or looking to deepen their understanding of movement-based rehabilitation.
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