Before starting any workout regimen, speak with your doctor if you are currently experiencing back pain. Additionally: Pay attention to balance and posture. You generally want your shoulders and hips to align with one another. Breathe! Deep breathing engages the trunk's stabilising muscles (among many other benefits, including keeping you alive). Exercises should be done thoughtfully. Don't hurt anyone, and move slowly and gently. Working with the foundational Pilates exercises first could be preferable if your back is currently weak are new to pilates. Like a giraffe, keep your neck long and shoulders low and away from your ears. Your back and abdominal muscles work together to support each other. You should engage your abs during these workouts to stabilise your back.