Abstract
- Pilates can relieve pain and improve function in cases of knee osteoarthritis—recent systematic reviews (2025) report positive effects but rate the quality of evidence as low. It’s not a cure, but it is a good complementary form of exercise.
- The big advantage of the Reformer: it’s easy on the joints and allows for adjustable resistance. Whether lying down or sitting, you can work out against spring resistance without bearing your full body weight—ideal for knee and hip osteoarthritis.
- Important: Exercise gently, avoid high-intensity exertion and rapid changes in direction, and increase intensity gradually. If you have been diagnosed with osteoarthritis , consult a doctor or physical therapist before beginning.
- For studios, the key features of a rehab reformer are stability, finely adjustable resistance, and secure positioning. The Hegren TALMA 62, with its steel frame and 5-spring system, meets these criteria.
Pilates can relieve pain and improve mobility in cases of osteoarthritis—this is suggested by recent reviews on knee osteoarthritis, even though the quality of the evidence is still limited. The key point: On the Reformer, you exercise in a way that’s gentle on your joints, working against finely adjustable spring resistance without putting your full body weight on the joint. This makes Pilates one of the most accessible forms of exercise for knee and hip osteoarthritis—provided you exercise with minimal pain and proper form.
According to the Robert Koch Institute, osteoarthritis is one of the most common joint diseases in Germany. For those affected, exercise is now a key part of treatment—not rest. This guide shows you how Pilates helps with osteoarthritis, which exercises are beneficial, what you should avoid, and what studios and rehabilitation centers look for when selecting equipment.
Why Pilates Can Be Beneficial for Osteoarthritis
Osteoarthritis is the wear and tear of joint cartilage, often accompanied by pain, stiffness, and muscle weakness around the joint. This is exactly where targeted exercise comes in: It strengthens the stabilizing muscles, improves mobility, and can reduce pain. Pilates is particularly well-suited for this because it is controlled, gentle on the joints, and can be tailored to the individual.
The existing research supports this with cautious optimism: A systematic review with a meta-analysis (2025, International Journal of Rheumatic Diseases) reports a reduction in pain and improved function in knee osteoarthritis through Pilates; another meta-analysis from 2025 (Annals of Medicine) reaches a similar conclusion. However, both emphasize that the quality of the studies is low and that larger studies are lacking. In other words: Pilates is a sensible, safe complement—but not a substitute for medical treatment and does not promise a cure.
Safe Exercises for Knee and Hip Osteoarthritis
The goal is to build strength and improve mobility without experiencing sharp pains. On the Reformer and on the mat, controlled movements within the pain-free range are particularly effective.
For the Knee
- Footwork on the Reformer: Lying leg press against light spring resistance—strengthens the thighs and glutes without impact.
- Bridge (shoulder bridge): engages the glutes and posterior chain, relieves pressure on the kneecap.
- Controlled quadriceps activation: small ranges of motion, proper leg axis alignment.
For the hip
- Side-Lying Series: Abduction and rotation while lying down help mobilize the hip without straining the joint.
- Hip flexor mobilization: gentle, within a pain-free range of motion.
- Pelvic floor and core exercises: stabilize the pelvis and relieve pressure on the hip joint.
What You Should Avoid If You Have Osteoarthritis
| Reasonable | Best to avoid |
|---|---|
| Movement within the pain-free range | Deep squats to full range of motion |
| Slow, controlled repetitions | Quick changes of direction and jumps |
| Light, precisely calibrated spring resistance | Excessive resistance with evasive movements |
| Proper leg alignment (knee over foot) | Knees caving in |
Important Note: In the event of acute flare-ups, severe pain, or after joint surgery, consult your doctor or physical therapist first. This text is not a substitute for individual medical advice.
What Fitness Studios and Rehabilitation Clinics Should Look for in a Reformer
Anyone who cares for clients with osteoarthritis needs a device that allows for safe positioning and precise adjustment. Instead of badmouthing a manufacturer, it’s worth looking at verifiable criteria:
| Criterion | Why It Matters in Osteoarthritis |
|---|---|
| Sturdy, torsion-resistant frame | A smooth ride provides comfort for joints prone to pain |
| Finely Graded Spring/Resistor System | Allows for a very light starting load and gradual progression |
| Removable/adjustable shoulder pads | Safe, joint-friendly positioning; quick adjustment |
| Durability and Longevity in Continuous Use | Rehabilitation work means many hours per week |
The Hegren TALMA 62 meets these criteria: a steel frame for smooth, stable movement; a 5-spring system for finely adjustable resistance; and removable shoulder pads for secure positioning. Especially in rehabilitation and therapy settings, these are the features that make all the difference. You can find matching accessories in our Premium Pilates Accessories category.
As an authorized Hegren dealer offering a manufacturer’s warranty, we provide criteria-based advice to gyms and fitness studios—rated ★ 4.88/5 by our customers. Are you planning a rehabilitation area or upgrading your gym? Talk to our team.
Common Mistakes
- Exercising Through Pain: With osteoarthritis, pain is a warning sign, not an incentive.
- Too much, too fast: Gradually increase resistance and amplitude instead of overdoing it in the first week.
- Ignore alignment: Letting your knees cave in puts additional strain on the joint.
- Start without an evaluation: If you have been diagnosed or have undergone surgery, consult your doctor or physical therapist first.
Frequently Asked Questions
Is Pilates safe for people with knee osteoarthritis?
Generally speaking, yes, as long as you train within your pain-free range, with light weights, and using proper form. If you have acute symptoms or are recovering from surgery, check with your doctor or physical therapist first.
Can Pilates cure osteoarthritis?
No. Osteoarthritis cannot be reversed. However, Pilates can help relieve pain, strengthen muscles, and improve flexibility—as a complement to medical treatment.
Mat or Reformer for Osteoarthritis?
The Reformer offers the advantage of adjustable spring resistance and reclined positions that relieve pressure on the joints. Mat exercises are a good complement, but they offer less finely adjustable resistance.
How often should I practice?
Two to three times a week at a moderate intensity is a good starting point. More important than the frequency is that you stay consistent, keep the pain to a minimum, and increase your intensity gradually.
What should a gym look for when selecting equipment?
A sturdy frame, a finely tuned suspension system, safe and quickly adjustable positioning, and durability in continuous use—these are the features that set the TALMA 62 apart in rehabilitation settings.
Conclusion
Pilates is a safe, joint-friendly form of exercise for osteoarthritis that can relieve pain and improve function—as demonstrated by recent, albeit limited-quality, studies. Key factors include performing exercises with minimal pain, precise adjustment of intensity, and a prior evaluation if osteoarthritis has been diagnosed. Fitness studios and rehabilitation centers should ensure frame stability, finely adjustable resistance, and safe positioning. Would you like to equip your rehabilitation or fitness studio with the right Reformer? Our team will provide you with honest, criteria-based advice.