Ankylosing spondylitis (AS) is one of several types of arthritis, or joint inflammations, that usually causes symptoms related to inflamed vertebrae--the bones of the spine--however, other joints, such as those of the hand or feet, may also be affected. The Spondylitis Association of America reports that the cause of AS is unclear, though genetics may play a role. There is no known cure for AS, but there are several treatments that may help with the symptoms of joint pain and stiffness; some of these treatments are "natural;" that is, they do not involve taking medications.
Exercise
The Spondylitis Association of America emphasizes the importance of exercise as a critical part of managing the symptoms of A.S. and coping with this chronic condition. Exercise may benefit a person with A.S. in several ways. First, it is a good habit for general well-being. Secondly, regular exercise, on a daily basis if possible, may help increase flexibility and improve the symptoms of stiffness that often accompany AS. Finally, a patient with A.S. may find that, over time, regular exercise actually improves the pain associated with this disease. Yoga is also beneficial, according to Spondylitis Association of America.
Good Posture
In a patient with A.S., the constant reminder "don't slouch"--a refrain that may have been heard throughout childhood--is especially important. Certain exercises and techniques may help improve the posture of a patient with A.S., which in turn, can improve two complications of this disease: joint stiffness and kyphosis. Kyphosis is a term that means the spine, or backbone, has fused in such a way that the curvature of the spine is altered; the person with kyphosis walks in a way that is stooped due to this abnormal curvature. Maintaining good posture and being vigilant about doing exercises to achieve an erect posture may help prevent these complications from developing. An example of a posture improvement technique is called "prone lying." In this exercise, the patient lies flat on a floor or firm bed on his stomach--face down. This position is maintained for several minutes if possible. After a few minutes, the patient turns his head to the left or right, while still lying on the stomach, and then turns the head to the other side. If possible, the "prone lying" exercise should be done for 20 minutes; preferably after the muscles and joints have been "warmed up" with a bath or shower.
Temperature
The use of heat--for instance heat packs, hot baths, and hot showers--may help to soothe and relax stiff, aching joints. Applying heat to muscles, which may be tight due to the joint stiffness and inflammation of A.S., may provide relief as well. The use of cold--for example, placing an ice pack on the affected area--may reduce the inflammation and swelling that can occur in A.S.. Both these treatments may be helpful ways to reduce discomfort without having to take pain medications. This can be augmented by massage, according to Spondylitis Association of America.
