Jacquie: You are right that there is a LOT to modify for those with osteoporosis from the flexion-bias in Pilates. It's one of the reasons I created the Buff Bones® workout - to offer additional options. But also because as great as Pilates is, I felt there were other movements and modalities to support osteoporosis that should be integrated into a movement system for osteoporosis... However I have several osteo-safe Pilates classes here on PA and there are others too like Sheri Betz!
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