When working with a client who has Stenosis, which segment of the spine should not be extended?

In the context of working with a client who has stenosis, it is crucial to understand that stenosis refers to the narrowing of the spinal canal, which can lead to increased pressure on the spinal cord and surrounding nerves. The stenotic segment, being the area where this narrowing occurs, should not be subjected to extension. This is because extension can exacerbate symptoms by further narrowing the canal and increasing pressure on the nerves.

To ensure the client's comfort and safety, the focus should be on maintaining a neutral spine and encouraging movements that promote flexibility and strength without putting undue stress on the affected area. This often involves avoiding excessive extension in the spine, especially within the dysfunctional segment. In this way, the correct choice emphasizes the need to be cautious with the specific area impacted by stenosis, supporting rehabilitation and alleviating discomfort during Pilates training.