Clinical Pilates

Service

Clinical Pilates

Precision. Clinical expertise. Movement designed for your body. 

Clinical Pilates at Mayfair Health encompasses the full spectrum of clinically informed, expert-delivered Pilates — from exclusively one-to-one physiotherapy-led sessions for those with complex rehabilitation needs, through to equipment-based sessions delivered by specialist trained instructors for a broader range of patients and goals. 

All Clinical Pilates sessions are underpinned by clinical knowledge, grounded in an understanding of anatomy, movement dysfunction and rehabilitation principles, and tailored to the individual. This is not a generic programme — your practitioner will take a thorough history and movement assessment before your first session, and your programme is built around you and progressed as you develop.

How we Help

Physio-Led Clinical Pilates is an exclusively one-to-one session designed, delivered and clinically overseen by a specialist physiotherapist. It is a targeted clinical intervention — using Pilates methodology as a rehabilitation and management tool, adapted at every stage to your specific diagnosis, symptoms and goals. 

For patients with complex conditions, post-surgical needs or presentations where exercise must be prescribed with precision, Physio-Led Clinical Pilates provides the highest level of clinical care within a movement setting. Your physiotherapist retains full clinical responsibility throughout and adapts every session based on how you are progressing. 

Who Is Physio-Led Clinical Pilates For? 

  • Post-surgical rehabilitation — including spinal, hip, knee, shoulder and abdominal surgery 
  • Hypermobility and connective tissue disorders — hEDS, HSD and related conditions 
  • Women’s health — prenatal, postnatal, perimenopause and menopause 
  • Chronic pain and complex musculoskeletal conditions 
  • Neurological conditions where Pilates-based movement is indicated 
  • Patients referred by their physiotherapist as part of an integrated rehabilitation programme 

Instructor-Delivered Clinical Pilates is delivered by our specialist trained Pilates instructors with clinical Pilates expertise, working closely alongside the physiotherapy team. Sessions use the full suite of professional apparatus — Reformer, Cadillac, Wunda Chair and more — and are exclusively one-to-one. 

The resistance, feedback and variety provided by equipment-based Pilates makes it a particularly powerful tool for building joint stability, improving neuromuscular control, restoring strength and supporting key life stages such as perimenopause and menopause. 

Who Is Instructor-Delivered Clinical Pilates For? 

  • Rehabilitation following injury, surgery or a musculoskeletal condition 
  • Hypermobility and connective tissue disorders 
  • Women’s health — prenatal, postnatal, perimenopause and menopause 
  • Chronic pain and postural conditions 
  • Performance and injury prevention for active individuals and athletes 
  • Those who want the benefits of equipment-based Pilates with clinical expertise behind every session 

Working with Pilates apparatus provides something mat-based work cannot: resistance, spring tension, moving surfaces and tactile feedback that challenge the body in three dimensions. For patients rebuilding strength and stability, this means: 

  • Greater proprioceptive input — helping the nervous system learn where joints are in space 
  • Variable resistance — allowing load to be precisely calibrated to your current capacity 
  • Supported positions — making certain exercises accessible that would otherwise be too demanding 
  • Progressive challenge — equipment can be adjusted as your strength and control develop 
Meet The Team

Our Pilates Team

Get to know the people behind the care. Our friendly team is committed to making every visit comfortable, supportive, and tailored to your individual needs from start to finish.

FAQs

Frequently Asked Questions

What is the difference between Physio-Led and Instructor-Delivered Clinical Pilates?

In Physio-Led Clinical Pilates, a specialist physiotherapist designs and delivers every session and retains full clinical responsibility throughout — suited to those with complex presentations, post-surgical needs or conditions requiring the highest level of clinical oversight. Instructor-Delivered Clinical Pilates is delivered by a specialist trained instructor working closely alongside the physiotherapy team, and is suited to a broader range of patients. Our team will advise which is most appropriate for you.

Your initial Physio-Led Clinical Pilates session includes a full physiotherapy assessment, so no separate appointment is required. For Instructor-Delivered Clinical Pilates, your instructor will carry out a thorough movement assessment at your first session. 

Physio-Led Clinical Pilates is delivered by a physiotherapist and may be covered under your physiotherapy benefit. We recommend contacting your insurer in advance to confirm your cover. 

Clinical Pilates — whether physio-led or instructor-delivered — is designed around rehabilitation or therapeutic goals and is grounded in a clinical understanding of anatomy and movement dysfunction. Instructor-Led Pilates is focused on fitness and general movement quality. Both are personalised and delivered by experts; the distinction lies in the clinical framework applied. 

Yes. Clinical Pilates is suitable for all experience levels. Your practitioner will assess your starting point and build your programme accordingly — no prior Pilates experience is needed. 

Google Reviews

Check out our Google Reviews and see how we’ve helped others

Google
Lamia Diani profile picture
Lamia Diani
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I have recently started one to one Pilates sessions with Gary, and I can’t recommend him highly enough. He is incredibly professional, knowledgeable, and genuinely attentive. He pays close attention to every detail and tailors each session to work around my injury, which has made a huge difference to my confidence and progress. I really appreciate the care and thought he puts into every session, and I always leave feeling stronger and more positive. If you’re looking for a fantastic Pilates instructor, Gary is the one to see.
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Ilaria Pefano profile picture
Ilaria Pefano
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I had a very positive experience with Adriana P. She is a knowledgeable and attentive instructor, with strong expertise in pregnancy Pilates. The exercises were always appropriate and well tailored, but what I appreciated most was her genuine care for how I was feeling, she constantly checked that I was comfortable and adapted each session to my needs on the day. She supported me with professionalism and reassurance throughout such a special time, making me feel safe and very well looked after!
Google
Sara profile picture
Sara
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I’ve been doing private Pilates sessions with Adriana for over a year and can genuinely recommend her. She is a fantastic Pilates teacher. She adapts each session to you, pays close attention to form, and corrects your form with clear and precise cues.
Google
Mira Goubran profile picture
Mira Goubran
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I love the place. Staff are very friendly and helpful. All pilates instructors are very professional. But special thanks to Adriana Papa. She helped me a lot in understanding and loving Pilates. It became part of my life style and also helped me with my back and neck pain. She listened carefully to my concerns, and helped me improve. And I actually recommend it to all my friends.
Google
Shelley Richardson profile picture
Shelley Richardson
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I am really impressed with Mayfair Health and the attention given to detail. My physio is looking after me first class.
Google
Sophie Trotzig profile picture
Sophie Trotzig
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Rachel Davies has helped me so much with my back and hips. A holistic way of working and putting together a programme that’s really helped me staying consistent and enjoyable at the same time. Couldn’t recommend her enough
Google
alessia tarantino profile picture
alessia tarantino
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I came in completely blocked at neck and upper back level. After just a few sessions Jack Musgrave worked wonders. Extremely skilled, knowledgeable, and attentive, with a really effective approach. On top of being highly professional, he also makes you feel comfortable and supported. Truly excellent – I couldn’t recommend more!
Google
Anabelle profile picture
Anabelle
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Amazing physio. Horrible coffee bar service. Ordered a drink for the first and last time. Patronising service.
Google
M profile picture
M
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I absolutely love this Pilates studio! The atmosphere is calm and clean The instructor Adriana is amazing.. she’s professional, patient, and really pays attention to every detail. I’ll definitely continue with them .. this place is my favorite now!
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Othman Alkassabi profile picture
Othman Alkassabi
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I tried their service in personal training physio, and Pilates. The trainers are so professional and cater for your personal needs This place is a must visit if you are in London and you want to be in good health
Services

Other Services We Offer

Based in Mayfair, with further clinics in Marylebone, South Kensington and Liverpool Street, we offer you an excellent diagnostic ability to allow you the fastest route to recovery or optimising your health with our physiotherapy, movement, pilates, personal training, nutrition and medical screening.

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