“My back used to hurt all the time and now I don’t feel it anymore,” is a common phrase I hear from those who exercise on a consistent basis at my studio. Whether the cause of pain is from an injury or a culmination of the effects of poor posture, lack of strength and flexibility and inefficient movement habits, back pain is a messenger letting us know that we have to pay more attention to how we live in our bodies. Pilates is so effective because it addresses the underlying structural imbalances in the body that lead to back pain. Issues like lack of core support, pelvic instability, muscular imbalances, poor posture and lack of body awareness all affect back health, and they are the issues that Pilates exercise specializes in helping people improve. Pilates exercises are commonplace at physical therapy centers, and the principles are consistent with an exercise program that promotes back health.