If you suffer from lower back pain, work with your Pilates instructor to strengthen your abs and your glutes. Back pain can often mean that your back is overcompensating for weakness in your abs and bum. Once these become stronger, using mat Pilates or Pilates equipment, you take the stress off of your back. Strong abs and glutes also help improve your balance and make it easier for you to catch yourself if you trip or stumble. Strong muscles help your body to relax and ease itself out of fight or flight mode.