How effective is exercise therapy for ankylosing spondylitis?

Ankylosing spondylitis can cause stiffness, pain, reduced spinal movement, and changes in posture. A programme may include spinal mobility, hip movement, strengthening, posture practice, breathing exercises, and aerobic activity. The aim is to preserve movement and confidence in daily tasks; exercise does not remove the underlying inflammatory condition. A physiotherapist adjusts the plan for symptoms, fitness, joint involvement, and flare patterns.

Start with movements you can repeat with controlled technique. Short, regular sessions may be easier to maintain than occasional strenuous workouts. Include posture changes during desk work, travel, and rest, and use warm-up strategies if stiffness is prominent. During a flare, ask how to reduce intensity without stopping all movement. Pair rehabilitation with the medical treatment plan for inflammation.

Arrange prompt assessment for a sudden major change in pain after an injury, new weakness, spreading numbness, or difficulty walking. Seek urgent care for loss of bladder or bowel control or numbness around the groin. Contact your clinician if exercise repeatedly causes a marked flare or symptoms remain difficult to control.

Which movements suit my current stiffness and joint involvement? How should I adapt exercise during a flare? How will we track mobility and function? Are there activities I should pause while symptoms settle?