Stomach Pain & Pilates

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If you are new to Pilates, some of the exercises have the potential to work your ab muscles hard enough that they become strained. Some soreness is to be expected when you start a new exercise, but stomach pain during and after Pilates may mean that you have overexerted yourself in one of the poses and strained or torn your abdominal muscle. Beginner Pilates students are best served by a competent certified teacher who can help them recognize their limit and ease into the more advanced poses.

Muscle Strain

Stomach pain represents the primary symptom of a strain in your abdominal muscle. Other symptoms include tenderness, a feeling of heat and inflammation in one region of the abdominal muscle. In more severe strains the pain will be sharp and stabbing and more intense when your abdominal muscles contract, such as during the Pilates 100s exercise. If these symptoms apply, the treatment involves rest, ice and heat therapy. Avoid Pilates classes altogether until the pain has subsided completely.

Muscle Imbalances

Stomach pain experienced during Pilates exercises may also indicate that you have muscle imbalances among your core muscles. In this case different muscles will fatigue earlier than other muscles, cause pain, and also be more likely to encounter a strain. This often happens in athletes who only do crunches but no exercises to work the other core muscles such as the obliques. Pilates works all the core muscles in concert, so it offers a superb way to equalize muscle strength and endurance. Work at your own pace in the Pilates class and stop the exercise when you feel pain. Regular practice will help your core muscles achieve balance.


An adequate warmup is a crucial component of any exercise program, and a Pilates class is not exception. Warm abdominal muscles are less likely to encounter a strain and cause stomach pain, since a warmup raises your internal temperature, lubricates your muscles, joints and connective tissue and provides more flexibility. One simple way to ensure you are properly warmed up for your Pilates class is to perform a session of cardio immediately before the class.


Resist the temptation to “push through” the pain if you experience pain in your stomach while performing Pilates exercises. Allow your body the time it needs to rest and heal the strain Typically muscle strains heal within two weeks. Ignoring the pain may lead to a rupture of the stomach muscle, which in some cases requires surgery.