Aug 12, 2026 · 1 hr 2 min · 11 segments
**Can Pilates actually help with pain and mobility, or do you just need to stretch more?** Phoenix physical therapist Gillian Van Denend breaks down why flexibility is not always the answer and how…
stability like how do you build stability for like your hip issues your shoulder issues because a lot of people misunderstand that like having a good stable core actually with pilates specifically totally like your core stability like really like engages your whole body and like for, for most people, it doesn't like, you don't need to be that core extensive, but like, you get to help out your posture throughout the day, not have back problems like I'm having right now.
Everyone needs the core stability.
Like you're saying not every, I think more than pretty much most people do.
Yeah.
Um, so as far as hypermobility goes and stability in general, I kind of think of more as like a neuromuscular thing rather than like a physical joint thing.
And, um, when I was dancing, I didn't get formal, like, I didn't even know what Pilates was when I was dancing.
And I think that, um, with being hypermobile and having that stability, it's important to not only have your joints more stable and your muscles holding your joints accountable, right? It's kind of like a tug of war between the joint and muscle with hypermobility but also your brain being connected to your body to be able to get those muscles to fire and i feel like pilates does a really good job plies principles in general does a really good job at teaching people how to engage their muscles properly whether that's starting from the core which i always typically start no matter people's injuries to be honest um and then going from joint to joint and using the apparatuses and the principles as a tool in my practice to help people gain that stability and get that their minds to click right
yeah
so do you have to build more muscles around your major joints that you have issues like your shoulders or your hips you have to work more on those muscles to kind of stabilize it more
So hypermobile people have more range of motion, right? So it's harder for someone to say, for example, like my hips are extremely hypermobile.
go over and then i have super super deep hip flexion most people have trouble with that getting into their deepest squats and i have really a lot of dorsiflexion so it's harder for me to control weight because i have so much range yeah so you always want to work i always start my patients who are very hypermobile working in a shortened very very small range of motion to get their muscles to fire so it is harder in a sense and also hard on the brain too
But you build on that.
stability like how do you build stability for like your hip issues your shoulder issues because a lot of people misunderstand that like having a good stable core actually with pilates specifically totally like your core stability like really like engages your whole body and like for, for most people, it doesn't like, you don't need to be that core extensive, but like, you get to help out your posture throughout the day, not have back problems like I'm having right now.
Everyone needs the core stability.
Like you're saying not every, I think more than pretty much most people do.
Yeah.
Um, so as far as hypermobility goes and stability in general, I kind of think of more as like a neuromuscular thing rather than like a physical joint thing.
And, um, when I was dancing, I didn't get formal, like, I didn't even know what Pilates was when I was dancing.
And I think that, um, with being hypermobile and having that stability, it's important to not only have your joints more stable and your muscles holding your joints accountable, right? It's kind of like a tug of war between the joint and muscle with hypermobility but also your brain being connected to your body to be able to get those muscles to fire and i feel like pilates does a really good job plies principles in general does a really good job at teaching people how to engage their muscles properly whether that's starting from the core which i always typically start no matter people's injuries to be honest um and then going from joint to joint and using the apparatuses and the principles as a tool in my practice to help people gain that stability and get that their minds to click right
yeah
so do you have to build more muscles around your major joints that you have issues like your shoulders or your hips you have to work more on those muscles to kind of stabilize it more
So hypermobile people have more range of motion, right? So it's harder for someone to say, for example, like my hips are extremely hypermobile.
go over and then i have super super deep hip flexion most people have trouble with that getting into their deepest squats and i have really a lot of dorsiflexion so it's harder for me to control weight because i have so much range yeah so you always want to work i always start my patients who are very hypermobile working in a shortened very very small range of motion to get their muscles to fire so it is harder in a sense and also hard on the brain too
But you build on that.
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