Described below is one of the many approaches I've tried or considered trying for healing my chronic myofascial pain:
BOTTOM LINE: Greatly flared up my symptoms.
I was told conflicting things about Pilates. Some people said it would help me by strengthening my core and by increasing the stability of my spine and thus would reduce my pain. On the other hand, some people said it might only reinforce fascial restrictions and pain. Not knowing who to believe, I tried a one-on-one Pilates class three years into my pain saga (a year after my first John F. Barnes myofascial release [JFB-MFR] intensive, which had greatly reduced my initial pain).
The Pilates session significantly flared up my symptoms maybe because I didn't go to a specially trained instructor in injured populations, as my Pilates-instructor friend told me to do. I know that many people have found pain relief by doing Pilates, but it didn't offer me relief. I think my gymnast mentality pushed me further than I should have gone. Maybe someday I could try it again, but I find that any time my competitive side can leak out, I push myself too far and then regret it later. This doesn't mean others might not benefit, especially if it allows them to tap into their body's wisdom and change maladapted muscle patterns through muscular re-education (and as long as it doesn't reinforce the bad patterns).