Ask a Question…

Please feel free to ask questions about Pilates, Physical Therapy, Difficult patients, PMA Memberships, PMA Certification Exam, Bollywood Dancing!!! Or anything!  I will do my best to answer your questions or find the answers for you.

Just email your questions to me at  and I will post the questions and answers to the blog for others to read.  

10 responses to “Ask a Question…

  1. Nikki Martin

    Hey so I accidenttally sent the last email before I finished it. So that is the medical history of a client I will be starting with in about 2 weeks. She is a RN in the OB department at CHOMP hospital, super nice and very interested in “getting into her body” and we are working on slowing down, getting into breath, and thinking more about the local muscular system instead of the the global muscles. So I was wondering if you had any advise on how to gain some awareness through the transverse and deeper abdominal layers. She is also osteopenic on top of it all but moves relatively well and is gaining some connection. When I palpate the transverse, and ask her to contract/kegel, I feel NOTHING, I just see her sternum lift and rib cage flare. I am starting to do some research in the different prosedures she has gone through, I really want to help her gain connection and stability throughout her body. I repesct your education and experience so much, I was hoping you could point me in the right direction.

    Laparotomy x 3 (ovarian cysts & infertility)
    C. section – which caused numbness from pubic area to half way to the navel.

    Anteroir cervical fusion C6/C7 (20 years ago) which has limited cervical rotation.
    February 2009 – Discetomy L5/S1
    2 degenerative discs – L5/S1 & L4/L5
    March 2009 Right total hip posterior aproach

    • Hi Nikki,
      Try getting her to cough, sneeze, “blow out birthday candles”, exhaling as LONG as she can to see if you can get the Transversus Abdominus to fire. You might also consider using the “Stabilizer” (like a blood pressure cuff to monitor lumbar control) It can be ordered online from It is a Chattanooga product developed by Paul Hodges group. When you receive it, if you decide to order it, I can talk you through how to use it. Also, if you just can’t seem to get things working, you could come with her to Santa Cruz for a session with us all together, that might be a good option if you just can’t get things working. But here is the main point: Can she stabilize her spine as she moves her arms and legs (with your fingers palpating the lumbar spine?) And can she lift both legs up one at a time into tabletop without abdominal bulge?



  2. mauri

    hello I´m from londrina brasil and I want to know if there are some one who give pilates , please send me his o her email thanks

  3. Interesting stories in this site. Great tips for me to think about

  4. Vic


    Just curious what your impression of the demand for pilates teachers is at this time. Has it gone down, stayed the same, going up (both nationwide and more specifically in California and the Bay area)?

    I am considering a pilates teacher training program, think it’s a wonderful opportunity to share in doing something I enjoy very much, however, it’s hard to go into it without having a sense of how pilates teachers are doing nowadays.

    What might you suggest to make sure one is in an ideal position to teach pilates?

    • Hi Vic,
      We have remained steady with our Pilates clients through this economic downturn…however…in 2009, three studios have closed in Santa Cruz. I really think that you have to be passionate, dedicated, with an entrepreneurial spirit to make it as a movement teacher. If you are highly skilled, do public outreach, volunteerism and marketing, you will likely be a busy teacher!

  5. There are some interesting points in time on this article however I don’t know if I see all of them heart to heart. There may be some validity however I will take hold opinion till I look into it further. Good article , thanks and we would like more! Added to FeedBurner as properly

  6. your website is both educative and entertaining. thanks for posting those good articles. lista de email lista de email lista de email lista de email lista de email

  7. Daniela

    I stumbled upon your blog and Im loving it (and the opportunity to ask questions). Here is my question:
    I tend to have too much lumber curve (weak low abdominals) and too much thoracic curve. How can I work on both without aggravating / falling out of alignment in the other? In order to protect my low back, I try to scoop my low belly in and up (which is helping me a lot, yet I’m not always able to maintain it through the exercises). However, when I do this scooping action, I find it harder to extend my thoracic spine. How do I find balance in those two actions? Also, how much of the ribs pushing forward is acceptable when trying to find extension in the thoracic spine? Can you recommend an exercise routine / sequence to correct the low back instability and the mid back rounding over time?
    Thank you,
    I appreciate you sharing your expertise! 🙂
    Warm regards,

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