Hot packs or thermotherapy increase circulation and relieves pain.
Cryotherapy or cold therapy decreases inflammation and muscle spasm.
Hydrotherapy uses the therapeutic effect of water in the treatment of Ankylosing Spondylitis as it relieves pain and muscle spasms, maintains and increases the range of motion of joints, strengthens the weak muscles, and increases circulation.
Mobilization helps to maintain the mobility of joints like the spine, hip, shoulder, and thoracic cage are essential in Ankylosing Spondylitis Treatment. As maintenance of mobility is essential so that all the joints are moved to their maximum limit and thus, we can delay the process of ankylosis.
Prevent and correct the deformity
While standing and walking the spondylitis patient should always be conscious of his posture and should maintain an erect posture during these activities. As it helps to prevent and correct the deformity. The patient should sleep in a prone position or supine on a firm mattress with a thin or no pillow to keep the spine in an extended position and not in flexion.
Patients who spend most of their working hours sitting at the desk should avoid low-arm chairs, an upright chair with some cushioning to support the lower lumber spine is better.
Also, the height of the working table should be such that the patient does not stoop on that. Prolonged immobilization or bed rest, should also be avoided so that the spinal extensors don't become weak.
Breathing exercises are recommended to increase chest expansion and vital capacity. These exercises include apical breathing exercises, diaphragmatic breathing exercises, and lateral costal breathing exercises.
Range of motion, Strengthening, and Stretching Exercises:
Simple range of motion exercises can slow or stop disease progression. Strengthening exercises are done by working muscles against light resistance and high repetition i.e, for a longer time. Strengthening exercises for abdominal and back muscles are recommended. Stretching exercises are also done for pain relief and to increase flexibility.