Therapeutic Pilates · Los Altos, CA

For people who need more than a class.

Clinically informed, expert-led Pilates with instructors who understand your body, your condition, and your history. A combined 100+ years of rehabilitation experience on our team.

Movement with clinical purpose

Pilates that meets your body where it actually is.

At PhysioFit, Pilates is not a fitness offering. Our instructors bring deep expertise in orthopedic conditions, surgical recovery, chronic pain, and the kind of complex movement challenges that require more than a fitness background to address.

A combined 100+ years of rehabilitation and Pilates experience on our team.

Unlike typical Pilates programs, every session is therapeutic and personalized. We address the underlying issue, not just the symptom, and tailor every movement to your body's current needs and limitations. When it's appropriate, our instructors collaborate directly with our on-site Physical and Occupational Therapists to support your broader care.

The Definition

What is Therapeutic Pilates?

A specialized, clinically-informed approach that combines traditional Pilates principles with rehabilitation techniques to relieve pain, restore movement, and help you stay active.

Whether you're recovering from surgery, managing a chronic condition, or maintaining the progress you made in physical therapy, this is movement designed for your body, not your fitness goals.

At its core, it's about learning to move safely and efficiently, building a strong central foundation that supports your spine, joints, and daily function. Every exercise is selected with your condition in mind, modified as needed, and progressed only when your body is ready.

At PhysioFit, our Pilates program is not a standalone fitness offering. It is built on clinical knowledge, and that knowledge lives first and foremost in our instructors.

The PhysioFit difference

Why our Pilates is different.

Five things that separate this from a fitness studio, a gym class, or a generic Pilates certification.

/01

Specialists in the body, not just the method.

Our instructors have spent their careers working in rehabilitation and movement, not fitness. With a combined 100+ years of experience, they understand orthopedic conditions, post-surgical recovery, chronic pain, and how the body compensates after injury.

They know how the body changes after a hip replacement. They understand what movement is and isn't appropriate after spinal surgery. And they adjust your session accordingly, every time.

/02

Private, one-on-one instruction.

Most of our clients work with us privately. One instructor. One client. One session built entirely around your condition, your history, and where you are that day.

There is no class plan to follow, no group to keep pace with, and no movement that hasn't been selected specifically for your body.

/03

Condition-informed, not fitness-driven.

We are not a fitness studio. Our approach is built around your condition and how your body moves, not around performance goals or preset programming.

If something doesn't work for you, we modify it. If your needs change, so does your session. Nothing here is one-size-fits-all.

/04

Access to an integrated care team.

Because our instructors work in the same practice as our licensed Physical and Occupational Therapists, collaboration is available when it's appropriate.

If something comes up in your sessions that warrants a closer look, your instructor can loop in the right person. You're not navigating your care in separate silos. Everything is under one roof.

/05

A calm space, built for real conditions.

Our space is not loud, not crowded, and not intimidating. It is designed for people who need to concentrate, move carefully, and feel genuinely supported.

Many of our clients come to us on referral from their orthopedic surgeon, physical therapist, or OB-GYN. They stay because the results carry into their daily lives.

Who we work with

Designed for people managing real conditions.

Our Therapeutic Pilates program is built around specific orthopedic, post-surgical, and hormonal-shift conditions, with instructors who actually understand them.

Back pain
Including herniated disc, spinal stenosis, and chronic lower back pain.
Neck and shoulder issues
Including post-surgical recovery, impingement, and mobility limitations.
Hip and knee conditions
Including osteoarthritis, post-replacement recovery, and joint instability.
Osteoporosis and osteopenia
Safe, bone-informed movement to build strength and reduce fracture risk.
Pelvic floor dysfunction
Condition-informed instruction with an understanding of how it connects to core and whole-body movement.
Post-surgical or post-PT recovery
Maintaining and building on the progress you made in formal rehab.
Perimenopause and menopause changes
Managing hormonal shifts that affect joints, bone density, and core stability.
Complex movement histories
For people who've worked with multiple providers and need someone who can read between the lines.
If your doctor or PT has told you to "stay active" but you're not sure what's safe, this is where you belong.
How to think about our Pilates

Pilates as part of your ongoing care.

For clients who are also receiving Physical or Occupational Therapy at PhysioFit, Pilates can become a natural next step or complement to your formal treatment. Your instructor is familiar with rehabilitation principles and can work in alignment with your broader care goals, whether that means reinforcing what you've been working on in PT, or helping you maintain progress after you've been discharged.

If you're coming to us independently, our instructors bring enough clinical background to work effectively with most conditions on their own, and will let you know if additional support from another provider would be beneficial.

You are not paying for a class. You are working with an expert who knows your body.

Our session formats

Private instruction is our primary offering.

We offer a range of formats to fit your needs, but the great majority of our clients work with us privately, one-on-one.

Primary Format
Private Pilates
1 instructor · 1 client
Fully customized to your condition and goals. Begins with a thorough evaluation of your movement history, current condition, and goals. Every exercise is selected, modified, and progressed based on you alone. This is the format most of our clients choose, and the one we recommend for anyone managing an injury, chronic condition, post-surgical recovery, or complex movement history.
Duo Pilates
1 instructor · 2 clients
Ideal for couples, close friends, or family members managing similar conditions who want shared accountability alongside individualized instruction. Both participants are assessed individually. This is not a paired class.
Small Group Therapeutic Pilates
1 instructor · 3 to 4 clients
For those who prefer a group setting, our small group sessions are intentionally capped at 3 to 4 participants. Every person in the room has a condition. Every session includes real-time modification and individualized attention. Your instructor knows exactly who is there and why. This is not a gym class, and it is not priced like one.
A separate clinical service
Clinical PT/OT Service
Pilates for Rehabilitation.
Different from our Pilates instruction. Pilates Rehab is a clinical service led by one of our licensed Physical or Occupational Therapists, using Pilates as a therapeutic tool in formal rehabilitation. If you're recovering from surgery, managing a complex orthopedic condition, or working through chronic pain, this is the path your doctor or PT may have pointed you toward.
Learn about Pilates Rehab →
Led by
A licensed PT or OT
Best for
Post-surgical, complex orthopedic, chronic pain
Starts with
A 1:1 clinical evaluation
Ready to find out if Therapeutic Pilates is right for you?

Start with an intro session.

An introductory session at a reduced rate so you can experience our approach, meet your instructor, and figure out the right format for where your body is right now, before committing to a full program.

Request An Appointment

Pick a time to talk:

Want to start with a conversation?


Pilates and Yoga Fusion class at PhysioFit in Los Altos, CA
Now at PhysioFit

Pilates + Yoga Fusion:
Precision Meets Flow

Our Pilates + Yoga Fusion sessions take everything you love about Therapeutic Pilates, precision, core strength, and controlled movement. As well as layer in the breath awareness, flexibility, and mindfulness of yoga. The result is a deeply integrated practice that sharpens your alignment, calms your nervous system, and carries into how you move every day.

What you'll experience:

  • Deeper core engagement through breath
  • Enhanced spinal mobility and flexibility
  • Improved posture and body awareness
  • Nervous system calming and stress relief
  • Stronger mind-body connection
  • Support for injury prevention and recovery
Get Started Today!

Common conditions we treat with Pilates:

At PhysioFit, Pilates isn’t just a workout — it’s a therapeutic tool we adapt to help people move with strength, confidence, and control. Many of our clients come to us with specific health concerns like back pain, osteoporosis, menopause-related changes, or postpartum recovery needs.

We tailor each Pilates session to address your body’s unique challenges — helping you safely build strength, restore function, and prevent future issues. Below are some of the most common conditions we treat using Pilates.

🦴 Osteoporosis & Our Therapeutic Pilates

Pilates can play a powerful role in maintaining bone health. By combining safe, controlled loading with balance training, Therapeutic Pilates helps improve posture, strength, and coordination — all key to reducing fall and fracture risk.

At PhysioFit, we focus on:

  • Safe spinal alignment and posture correction

  • Gentle, weight-bearing movements that stimulate bone without strain

  • Balance and core stability exercises to improve confidence and mobility

We avoid excessive flexion, twisting, or high-compression movements in vulnerable spines, and modify each exercise to your bone density and comfort level.

Many clients notice improved balance and strength after just a few weeks of consistent practice.

👉 Learn more about how we adapt Pilates for bone health:

🌸 Menopause & Our Therapeutic Pilates

Menopause brings hormonal changes that can affect bone density, muscle mass, weight distribution, and overall energy. Therapeutic Pilates offers a smart, sustainable way to maintain strength, support posture, and boost mood during this transition.

At PhysioFit, we design programs that:

  • Maintain lean muscle and bone health through resistance-based Pilates

  • Focus on posture and core control to counteract changes in alignment

  • Offer a supportive, stress-relieving movement practice to enhance wellbeing

Modifications are made for joint comfort, hot flashes, or other symptoms, so every session feels empowering — not exhausting.

Many of our clients find that our Therapeutic Pilates helps them feel strong, centered, and in control of their bodies again.

👉 Explore our Therapeutic Pilates for menopause wellness:

🦵 Osteoarthritis & Our Therapeutic Pilates

For those living with osteoarthritis, joint stiffness and pain can make traditional workouts uncomfortable. Therapeutic Pilates offers a low-impact, joint-friendly way to strengthen surrounding muscles, improve alignment, and restore mobility.

Our approach includes:

  • Controlled, pain-free ranges of motion to keep joints lubricated and mobile

  • Strengthening muscles that support the affected joints

  • Gentle stretching and alignment work to reduce stress on painful areas

We pay special attention to pacing, ensuring you can build strength without aggravating symptoms.

Clients often report feeling more flexible, stable, and confident after a tailored Therapeutic Pilates program.

👉 See how our Therapeutic Pilates can support your joint health:

🌿 Back Pain & Our Therapeutic Pilates

Back pain is one of the most common issues we treat. Weak core muscles, poor posture, and movement compensations often contribute to discomfort. Pilates helps by retraining your body to move with balanced strength and control.

Our Pilates programs for back pain focus on:

  • Deep core activation to stabilize the spine

  • Restoring hip and shoulder mobility for better movement patterns

  • Correcting postural imbalances and improving body awareness

We screen for any red flags and modify each exercise to your pain and mobility level, so you can safely rebuild strength without flare-ups.

Many clients report reduced pain and improved movement confidence after 6–8 sessions.

👉 Start your back pain recovery:

💧 Stress Incontinence & Our Therapeutic Pilates

Stress incontinence — the leakage that happens with coughing, sneezing, or exercising — is incredibly common, especially postpartum or during menopause. Pilates can be a valuable part of pelvic floor rehabilitation when guided properly.

Our pelvic-aware Pilates approach focuses on:

  • Coordinating breath with core and pelvic floor engagement

  • Training functional core control without straining

  • Teaching movement strategies that reduce pressure on the bladder and pelvic floor

We adapt each exercise to your level, ensuring safe progression and helping you rebuild confidence.

Many women see meaningful improvements in control and strength within weeks of consistent practice.

👉 Discover our pelvic floor–focused Therapeutic Pilates:

🤰 Pregnancy & Postpartum and Pilates

During pregnancy and postpartum, your body undergoes major changes. Pilates is an ideal way to maintain mobility, protect your core and pelvic floor, and support recovery after birth.

At PhysioFit, we use safe, tailored modifications to:

  • Maintain posture and core stability during pregnancy

  • Protect and retrain the pelvic floor

  • Support safe return to activity postpartum, including addressing diastasis recti

Exercises are adapted for each trimester and stage of recovery, so you can stay active and supported through every step of the journey.

Many new moms tell us our Therapeutic Pilates helped them feel strong, connected, and confident again.

👉 Explore our prenatal & postpartum Pilates programs:

FREE GUIDE: “PILATES BODY - 10 Reasons Why Pilates Will Ease Your Pain And Reshape Your Life."

16 Pages Reveal Exactly How ANYONE Can End Pain, Discover More Energy, AND Seriously Tone Up With Pilates.

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What Our Clients Say

J.C.
⭐⭐⭐⭐⭐

“PhysioFit's Pilates classes are always varied, and never become boring. Their instructors use different props and exercises each session which keeps it interesting. The moves keep us all challenged and engaged!”
Los Altos, CA

M.A.
⭐⭐⭐⭐⭐
"A decade's old car accident (and age) was catching up to me and I decided it was time to find help. PhysioFit has restored so much of my health. I can do many things now that I had thought were gone from my life thanks to the physical therapy, therapeutic yoga, pilates and gyrotonics trainers. They are totally professional, coordinate with each other about my needs, and they make it fun. Having all these modalities under one roof is the only way to go. Thanks PhysioFit!
Los Altos, CA

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