Pilates is widely appreciated as a form of workout if you have back pain. But as with everything, you need to consult with your doctor and Pilates instructor if having back pain before you do any kind of workout. Many times it is important to move and stregthen up core and the entire body when having back problems. Pilates is great as you can work with various machines that you can adjust depengin on your injury and still being able to get a workout.