How should you address spinal flexion limitations in a client with disc pathology during reformer work?

• A. Encourage maximum spinal flexion to build flexibility.
• B. Ignore symptoms and push through.
• C. Only perform unsupported standing flexion.
• D. Avoid end-range spinal flexion, reduce depth and range, encourage neutral spine with controlled sequencing, and substitute with safe seated or standing variations as advised by a clinician.

Answer: (D)