MOVEMENT THAT MEETS YOU WHERE YOU ARE

Chronic Health Conditions

Long-term health conditions can change how pain, energy, balance, joints and recovery feel from one day to the next. Mobilates adapts the class, position and pace to the person in front of us rather than expecting your body to fit a fixed workout.

Your diagnosis is not your class plan

Two people with the same diagnosis can need completely different things from movement. We use your own symptoms, mobility, confidence, energy and goals to guide adaptations. You can take breaks, change position, make a movement smaller or stop altogether.

You do not need to be able to stand, get onto the floor or keep up with anyone else to belong in a Mobilates class.

A quick safety note

Mobilates is not a medical service and this page is general information, not individual medical advice. If you have new or worsening symptoms, a recent injury or operation, a high fracture risk, or you are unsure whether a class is appropriate, speak to your healthcare professional first.

If movement makes you feel unwell, causes pain, marked dizziness, chest tightness or severe shortness of breath, stop and seek appropriate medical advice.

Connective tissue & joint stability

Ehlers-Danlos syndrome (EDS) & hypermobility spectrum disorder (HSD)

EDS is a group of inherited connective-tissue disorders. Hypermobility can also occur as part of HSD. Joint instability, pain, fatigue and other symptoms can make generic exercise advice a poor fit.

How we can adapt

  • Use smaller, slow and controlled ranges rather than chasing a deeper stretch.
  • Prioritise stability, body awareness and comfortable strengthening.
  • Offer supported, seated or lying options when standing is not useful.
  • Build gradually and respond to how your joints and energy feel that day.

Read exercise and movement guidance from EDS UK

“Mobilates for me has been life-changing and that’s not an exaggeration. I am physically stronger, in less pain, have suffered no dislocations and am mentally much happier and more relaxed too.”

Amy, Mobilates member
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Joints, stiffness & inflammation

Arthritis

Arthritis is an umbrella term for many conditions, including osteoarthritis, rheumatoid arthritis and psoriatic arthritis. Symptoms and flare patterns vary, so the right amount and type of movement is personal.

How we can adapt

  • Use low-impact, joint-friendly options and props for support.
  • Make the range smaller when a joint feels stiff or sensitive.
  • Choose chair, floor or standing work depending on what feels best.
  • Pause when a joint becomes unusually hot, swollen or severely painful and follow your clinical advice.

Read NHS information about arthritis and staying active

“I have found my experience with Mobilates so supportive and welcoming. I wasn’t sure I would manage, but exercises are offered at appropriate levels according to needs and ability.”

Cathy, Mobilates member

Fatigue, balance, mobility & coordination

Multiple sclerosis (MS) & neurological conditions

Neurological conditions can affect movement, sensation, balance, coordination, fatigue and confidence in very different ways. With MS in particular, there is no single “MS exercise” that suits everybody.

How we can adapt

  • Use seated or supported options when balance or walking is unpredictable.
  • Reduce intensity or class time on higher-fatigue days.
  • Build in rests rather than treating them as a failure to keep up.
  • Adapt around stiffness, spasms, weakness or heat sensitivity where needed.

Read the MS Society’s guidance on MS and exercise

There is no prize for pushing through

A shorter, gentler class can still be worthwhile. Mobilates classes can be adapted around changing mobility and fatigue rather than using one fixed level for the whole group.

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Energy limits & post-exertional malaise

ME/CFS

ME/CFS can cause profound fatigue, cognitive symptoms and post-exertional malaise, where symptoms worsen after physical or mental activity. Current NICE guidance does not recommend fixed increases in exercise or graded exercise therapy.

Energy limits come first

  • If you have ME/CFS, speak with your ME/CFS specialist team before using an exercise class as part of your management.
  • If they agree that a class is appropriate, tell us about your energy limits and any plan they have given you.
  • Participation can mean a few minutes, a bed or chair option, watching only, or stopping early.
  • We will not use fixed progression or tell you to push through post-exertional symptoms.

Read the NICE ME/CFS recommendations

Bone strength, balance & fracture risk

Osteoporosis & osteopenia

Osteoporosis weakens bones and increases fracture risk. Osteopenia means bone density is lower than expected but has not reached the threshold for osteoporosis. Movement can be valuable for bone and muscle health, but the safest choices depend on your fracture risk and history.

How we can adapt

  • Tell your instructor about osteoporosis, previous fractures, spinal fractures or spinal surgery before class.
  • Use supported strength and balance work where it is appropriate for you.
  • Adapt impact, loading, bending and twisting according to your clinical guidance.
  • Choose a chair or other support when balance confidence is low.

Read the Royal Osteoporosis Society’s exercise safety guidance

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mobilates instructor leanne smiling wearing a Britney mic

Orthostatic intolerance & exercise tolerance

Postural orthostatic tachycardia syndrome (PoTS)

PoTS affects the autonomic nervous system and can cause symptoms such as a marked rise in heart rate when upright, dizziness, palpitations, fatigue and exercise intolerance. What is manageable can vary a lot between people and between days.

How we can adapt

  • Start with lying, ground-based or seated movement when upright work is not well tolerated.
  • Change position gradually and avoid long periods standing still.
  • Use your usual hydration or compression strategy if this has been recommended for you.
  • Keep the environment cool where possible and stop or change position if symptoms build.

Read PoTS UK’s guidance on PoTS and exercise

“It’s amazing that I can do walk fit and Pilates at all with PoTS. We built up really slowly, starting with just a few minutes.”

Mobilates member

Don't see your condition here?

This is not a list of who is “allowed” to join Mobilates. We work with people living with many long-term conditions, disabilities, mobility changes, chronic pain and fatigue. What matters is understanding what you need from movement and whether we can support it safely.

If you are unsure, start with a free trial or contact us and tell us what would make a class more accessible for you.

Three things are always allowed

  • Change your mind.A standing option can become a chair option halfway through.
  • Take a break.Rest is part of adapting, not falling behind.
  • Tell us.If something feels wrong for your body, your instructor needs to know.

Find movement that works for your body

Join a welcoming community built around adaptation, choice and what your body CAN do.