If you're deconditioned and carrying multiple chronic injuries pilates is a high level exercise program that has to be built to. Your pilates instructors will not be aware of this.
You'll have to knock it back to core activation exercise, endurance, and slowly build out from there. A well educated physio will help with this, the trick is finding one as it is a real clinical skill to rehab people with chronic injury, and a lot of them do not have the awareness.
You're right about the body tho, at some point it will just say enough as the load is to great, and pushing through the pain barrier is counter productive (and not fun). But you may well be able to build beyond your current level with a (slowly) graduated program, and paying plenty of attention to your body.



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