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7 BEST EXERCISES FOR ANKYLOSING SPONDYLITIS 

7 BEST EXERCISES FOR ANKYLOSING SPONDYLITIS 

Dr Nidhi Kumari
Reviewed & Verified by
Dr Nidhi
January 12, 2026 4:21 pm
5/5 - (172 votes)

Table of Contents

Physiotherapy for ankylosing spondylitis is one the best routes that you can opt for in case you are diagnosed with Ankylosing Spondylitis (AS). In this article, we'll be explaining how the Ankylosing Spondylitis exercise will help in your healing journey and enhance your overall fitness and health. These exercises are explained with detailed steps and can be done by yourself but only after consulting your doctor. 

Clinical evidence and expert consensus support ankylosing spondylitis exercises for improving symptoms, maintaining mobility, physical function, and quality of life.

What is Ankylosing Spondylitis?

Ankylosing spondylitis, commonly abbreviated as AS, is a chronic (long-term) inflammatory disease that affects your spine and sacroiliac joints (the point where the spine meets pelvis).

It is a type of arthritis, specifically belonging to a group of diseases that are inflammatory joint diseases).

It can cause swelling in the vertebrae, which can start fusing gradually and make the spine stiff. This leads to difficulty in performing minor actions like bending and standing upright.

 

AS usually begins in individuals aged between 20 to 40 years, mostly affecting males. 

Other than the spine, it can affect shoulders, hips, buttocks and other joints especially rest or after waking up in the morning.

Scientific Causes of Ankylosing Spondylitis (Why It Happens)

Ankylosing spondylitis does not occur by a singular cause. It occurs when genetic and immune system factors combine together to develop inflammatory conditions. 

 These causes can be: 

GENETIC FACTORS

  • The strongest genetic link is a gene identified as HLA-B27
  • 80 to 90% people with ankylosing spondylitis have these gene
  • Presence of this gene does not guarantee occurrence of AS

IMMUNE SYSTEM MALFUNCTION

  • Ankylosing spondylitis is an auto-inflammatory disease 
  • The immune system mistakenly causes chronic inflammation in joints and ligaments

ENVIRONMENTAL TRIGGERS

  • Gut bacteria imbalance can play a role in AS (research ongoing)
  • Certain infections can trigger AS in genetically predisposed individuals. 

What Are The 7 Best Ankylosing Spondylitis Exercises?

Ankylosing spondylitis can cause pain, stiffness, and reduced movement in the spine, making daily activities uncomfortable. The good news is that you don’t always need to rely only on medicines—physiotherapy exercises play a key role in managing pain, improving posture, and maintaining spinal flexibility. When done slowly and correctly, these exercises help reduce stiffness and support long-term mobility; however, if you feel sharp pain, stop and consult your physiotherapist.

1. Cat-Cow Stretch

This is one of the best physiotherapy exercises for neck pain to correct poor posture and release tension from the upper back. Sitting at a desk for long hours can make your shoulders round and chest tight, pulling your neck forward and causing pain. This exercise helps open the chest, improve posture, and relax neck muscles.

Step-by-Step Guide:

  1. Lie on a foam roller placed along your spine so it supports your head and tailbone.
  2. Bend your knees and keep your feet flat on the floor for balance.
  3. Form a “T” position: Stretch your arms out sideways and hold for 20 seconds, breathing slowly.
  4. Form a “Y” position: Move your arms upward into a “Y” shape and hold for another 20 seconds.
  5. Repeat this cycle 3 to 4 times.

 

Muscles Targeted: Chest muscles, upper back muscles, and neck stabilizers.

Benefits:

  • Improves posture by opening tight chest muscles.
  • Reduces tension in the neck and upper back.
  • Helps prevent slouching during work.
  • Promotes better breathing by expanding the chest.

 

Pro Tip: Do this 3–4 times a week for best results.

Common Mistake to Avoid: Don’t lift your head off the roller; keep it supported to prevent strain.

2.Glute Bridges

Neck and Shoulder Rolls are one of the easiest and most effective ways to relax your upper body. Sitting for long hours, working on a computer, or using your phone can make your neck and shoulders tight and sore. This exercise gently loosens those muscles, improves blood flow, and reduces stress, making you feel lighter and more comfortable.

Step-by-Step Guide

  1. Sit or stand with your back straight and shoulders relaxed.
  2. Roll your shoulders forward in a circular motion 10 times slowly.
  3. Roll your shoulders backward in a circular motion 10 times.
  4. Tilt your head gently to the right side, then to the left, holding each for 5 seconds.
  5. Repeat the sequence 2–3 times.

     

Muscles Targeted: Neck muscles, trapezius, and shoulder muscles.

Benefits:

  • Reduces stiffness in the neck and shoulders.
  • Improves blood circulation.
  • Helps relieve tension from sitting or working for long hours.
  • Prevents headaches caused by tight neck muscles.

     

Pro Tip: Do this exercise during short breaks at work or after using your phone for a long time.

Common Mistake to Avoid: Avoid rolling your head in a full circle; this can strain the neck joints.

3. Chest Expansion(Deep Breathing Exercise)

This exercise is perfect for relieving tightness on the sides of your neck, which often happens due to looking at screens or sleeping in the wrong position. It gently stretches the muscles and improves flexibility.

How to do it:

  • Sit on a chair with your spine straight and shoulders relaxed.
  • Slowly tilt your head toward your right shoulder (don’t lift the shoulder), and hold for 20 seconds while breathing deeply.
  • Return to the center and repeat on the left side.
  • Do this stretch 3 times on each side.

 

Benefits:

  • Reduces stiffness in the neck muscles
  • Improves flexibility and range of motion
  • Helps prevent tension headaches caused by tight neck muscles

 

Pro Tip: Do this stretch during short breaks at work or after long hours on your phone or computer.

Common Mistake to Avoid:
Don’t lift your shoulder toward your ear while tilting your head; keep the shoulder relaxed to avoid strain.

4. Neck & Shoulder Rolls

This exercise strengthens the muscles of your upper back and neck, which support good posture and reduce neck pain caused by long hours of sitting or working at a desk.

How to do it (Prone Rows):

  • Lie face down on a mat with your arms by your sides.
  • Slowly pull your elbows back, squeezing your shoulder blades together.
  • Hold for 3 seconds, then relax.
  • Repeat 10–15 times.

Alternative (Resistance Band Rows):

  • Tie a resistance band to a stable doorknob or object.
  • Sit or stand, hold the ends, and pull the band toward your body, squeezing the shoulder blades.
  • Hold for 2–3 seconds, then slowly release. Repeat 10–15 times.

Muscles Targeted: Upper back, trapezius, rhomboids, and neck stabilizers.

Benefits:

  • Strengthens upper back and neck muscles for better posture
  • Reduces strain on the cervical spine
  • Improves overall shoulder stability and alignment

 

Pro Tip:
Focus on squeezing your shoulder blades together, not just moving your arms. Keep movements slow and controlled.

Common Mistake to Avoid:
Avoid shrugging your shoulders or arching your lower back; maintain a neutral spine to prevent strain.

5. Aquatic Exercises for Neck Pain

Water exercises are gentle and effective for relieving neck pain because the water supports your body and reduces pressure on your spine. This makes them ideal for easing stiffness, tension, or mild neck injuries.

How to do it:

  1. Stand in shoulder-deep water with feet shoulder-width apart.
  2. Slowly move your head side to side, keeping your movements smooth and controlled.
  3. Then move your head up and down, again slowly and carefully.
  4. Repeat each movement 10–15 times, resting if needed.

 

Muscles Targeted:
Neck muscles, upper back muscles, and shoulder stabilizers.

Benefits:

  • Reduces pressure on the neck and spine
  • Gently strengthens neck and upper back muscles
  • Improves flexibility and range of motion
  • Safe for people with mild neck injuries or chronic stiffness

 

Pro Tip:
Do these exercises in a warm pool to relax muscles and enhance comfort.

Common Mistake to Avoid:
Avoid moving too quickly or forcing your neck; water supports your body, so slow, gentle movements are enough.

6. Planks

Planks are core exercises that engage the abs, back, shoulders, glutes and legs for overall stability and fitness of the body.

How is it done?

  • Lie on your stomach on a mat
  • Prop yourself up on your forearms with elbows directly under your shoulders
  • Hold this pose and tighten your core
  • Avoid sagging or drooping. Breathe deeply
  • Hold for 10 to 30 seconds initially or as long as you can then rest.

Key Benefits:

  • Core strengthening 
  • Body stabilization 
  • Engages whole body

7. Swimming/Aquatic Therapy

Swimming or doing aquatic exercises improve overall fitness and health by reducing strain on the muscles.

How is it done?

  • Water based movements or swimming with gentle strokes without jerky movements. 
  • Always warm up before entering the pool.

Key Benefits:

  • Reduces strain on body muscles
  • Enhances endurance and mobility
  • Improves posture and coordination 

How Does Ankylosing Spondylitis Exercises Help?

Ankylosing spondylitis physiotherapy exercises are valuable and evidence supported management components of the disease. It helps maintain flexibility, supports physical function, and may reduce pain and disease activity when part of a structured program

The proven benefits of Ankylosing Spondylitis exercises are:

  • Reduced pain
  • Improved spinal mobility 
  • Physical functioning improved
  • Stretching and mobility enhancement 
  • Strengthening of back and core muscles
  • Posture correction
  • Improved well being and quality of life.

A structured treatment program helps the patients to record their progress and plan further exercises for Ankylosing spondylitis accordingly. 

Preventing Neck Pain: Best Daily Habits

Once you’ve recovered or even while performing physiotherapy, preventing neck pain is equally important. Simple daily habits can help maintain healthy neck muscles, improve posture, and prevent chronic issues:

  • Adjust your workstation: Keep your laptop or monitor at eye level, and use a supportive chair to avoid slouching.
  • Use a supportive pillow: Ensure your pillow keeps your neck aligned with your spine while sleeping.
  • Perform daily neck stretches: Gentle stretches reduce stiffness and improve flexibility.
  • Take regular breaks from screen work: Stand up, walk around, or do light stretches every 30–45 minutes to relieve tension.
  • Maintain good posture throughout the day: Keep shoulders relaxed, back straight, and avoid leaning forward for prolonged periods.

 

Pro Tip: Combining these daily habits with physiotherapy for neck pain, either in-clinic or physiotherapy online, ensures faster recovery, reduces the risk of future pain, and keeps your neck muscles strong and flexible

Why to Join Resolve360 for Ankylosing Spondylitis Physiotherapy Exercises?

When it comes to neck pain, getting expert guidance is key. Resolve360 provides professional physiotherapy designed to give long-term relief and improve your quality of life. Here’s why patients trust us:

  • Certified Physiotherapists with Experience: Our team of trained professionals specializes in treating neck pain, posture issues, and related conditions.
  • Convenient Online Physiotherapy Sessions: Access expert care from the comfort of your home through guided physiotherapy online. No need to travel or wait for appointments.
  • Personalized Treatment Plans: Every patient receives a customized program based on their specific symptoms, lifestyle, and recovery goals.
  • Focus on Long-Term Recovery: We strengthen muscles, improve posture, and provide strategies to prevent future neck pain—our goal is lasting relief, not just temporary fixes.
  • Evidence-Based Approach: All treatments follow proven physiotherapy methods to ensure safe, effective results.

 

Pro Tip: Combining online physiotherapy from Resolve360 with simple daily habits, like posture correction and short breaks from screens, helps achieve faster, sustainable relief from neck pain.

Start Your Neck Pain Recovery Today

Neck pain doesn’t have to control your life. With Physiotherapy for Neck Pain, you can relieve discomfort naturally, improve posture, and prevent future issues. Resolve360 offers expert physiotherapy online, providing personalized care for neck pain, back pain, joint pain, and disc bulges.

By combining professional guidance with daily habits and targeted exercises, you can strengthen your muscles, reduce pain, and regain mobility—without relying on medication. Start your journey toward a healthier, pain-free life today with Resolve360

It takes at least 4 to 8 weeks of consistent ankylosing spondylitis physical therapy exercise sessions to see positive results so that you can witness improved posture, reduced pain, enhanced mobility and all together a good quality of life.

Muscular neck pain feels like soreness, tightness, or stiffness. Nerve-related neck pain may cause sharp shooting pain, tingling, numbness, or weakness in arms and shoulders. A physiotherapy evaluation with Resolve360 helps identify the exact cause and provides the right treatment plan.

Yes. You can exercise daily but with gentle and low impact activities like walking, swimming, stretching and deep breathing. These daily activities help control chronic pain safely. 



Yes. Physical therapy for ankylosing spondylitis helps enhance spine mobility and reduces stiffness. Regular physiotherapy helps restore mobility and corrects posture. Guided physiotherapy sessions can reduce the need for long term medications.

Yes. You can do Ankylosing Spondylitis physiotherapy at home through telerehabilitation with expert guidance from Resolve360 where you can get regular supervision and flexibility outcomes from the comfort of your home.

A medium-firm, ergonomic cervical pillow or memory foam pillow that keeps your neck aligned with the spine is best. Using the right pillow with physiotherapy exercises ensures faster recovery from cervical pain

The best exercise for Ankylosing Spondylitis consists of spine stretching, core strengthening, deep breathing exercises and posture correction movements. These can help reduce stiffness, improve flexibility, and prevent fusion of vertebrae. 



You can release neck muscles naturally with physiotherapy stretches, warm compresses, foam roller “T” & “Y” exercises, and posture correction. These improve blood circulation and ease tension.

Yes, online physiotherapy sessions with Resolve360 provide guided exercises, posture correction, and real-time feedback from experts—giving the same benefits as clinic visits, while saving time and travel.

To prevent cervical pain, keep your screen at eye level, take breaks every 30 minutes, use a supportive pillow, practice posture correction, and do regular neck stretches. Physiotherapy + lifestyle changes ensure long-term relief.

Dr Nidhi Kumari

Dr. Nidhi Kumari

She has persuaded her bachelor’s from SGT University, Gurugram, she has done her internship at Dr. Ram Manohar Lohia Hospital, and persuade her Master in Physiotherapy from Chaudhary Charan Singh University, Meerut. She has previously worked with Orthocure clinic, Dr.Nasir physiotherapy rehabilitation, Quantum physiotherapy, and wellness center.

If you have more questions.

Dr Nidhi Kumari

Dr. Nidhi

She has persuaded her bachelor’s from SGT University, Gurugram, she has done her internship at Dr. Ram Manohar Lohia Hospital, and persuade her Master in Physiotherapy from Chaudhary Charan Singh University, Meerut. She has previously worked with Orthocure clinic, Dr.Nasir physiotherapy rehabilitation, Quantum physiotherapy, and wellness center.

If you have more questions.

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The therapy sessions were very helpful in regaining heart and lung fitness after recovering from covid. The trainers were friendly, knowledgeable and they provided a customised program depending on my fitness level and health condition.

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Resolve360 is great platform for online physiotherapy.
I was suffering from scapula dyskinesia and had lot of pain in right shoulder movement. I was introduced to Resolve 360 by my oncologist.

Within a month (26 sessions) there was a considerable improvement. Sessions are very cost-effective and doctors are very kind and efficient.
Doctor David has been really great and helpful. I would highly recommend Resolve 360.

Ms Shruti Gupta

Rehab for Scapula Dyskinesia

I took prenatal care program from Resolve 360. Dr. Preyrna was assigned to me and she has done commendable job. I did prenatal exercises under her supervision, she designed program according to my body need. With her help my pregnancy was healthy and I got good dilations at the time of delivery. I am blessed with a healthy baby girl and very happy with Resolve 360.

Ms Shubhra Jain

Prenatal Care

Best therapy sessions that too at home and timings are very flexible. I had a issue in my neck and lower back since almost 4 to 5 years, taken so many treatments and physio sessions. But all gave a temporary relief. Then my friend referred me this Resolve 360 in 2020, in starting i was hesitant as everything was online, but after taking almost 10 sessions i got much relief, and now i am almost free of pain. Thanks to the team of Resolve 360.

Ms Garima Gupta

Rehab for Neck & Back Pain

By the advice of my gynaecologist, I found this place. I thank doctor Apporva for supported me and encouraged me well even before my sessions begin. Doctor Prerna who dealt me personally in my workout sessions also led me nicely according to my health condition. After every session she will ask my feedback of previous sessions. Accordingly she changed the workouts and made the class enjoyable. Much helpful. So interactive and friendly. They understood my health condition and cope with that nicely. Not straining me rather made me to enjoy. I did course for 1 month only for my tummy after C section. Lots of improvements. If I continue furthur, I would have seen a lot more. Given health advices, diet chart also along with workouts. I highly recommend.

Ms Christy J

Post Natal Care

My father’s case was worse case of covid he had severe lung damage and was in hospital for almost 40 days, My mentor here provided really great guidance and help; sessions helped so much in recovery. He was in ICU for 30 days we continued sessions there and with the grace of god he recovering.

Mr Nikhil Shrivastava

COVID19 Rehab

Let the year 2021 bring laughter, joy and happiness and good health. It already has, in mine and my husband Narayans life. Yes we are now freely moving around doing our daily chores, on our own, with full energy. The credit goes to Dr.Apoorva who has magical fingers. We were in pain at the outset of covid. we were doing all our work with no help. The result… Back pain😈. Dr.Apoorva was kind enough to treat us immediately, following with caution all covid safety procedures. 🙏☺️ There was instant relief and in a weeks time we were ready for work. We were adviced physiotherapy. Dr.Prerna and Dr.David were mine and Narayanan’s instructors respectively. We were fortunate to have such dedicated professionals. They taught us with Patience answering to all our queries and methodically helped us to do the workouts in the right way. They made the sessions interesting and challenging too! Now we do the workout with passion to stay active. As senior citizens, we manage our daily routine independently now. Thank you Dr.Apporva, Dr.Prerana and Dr. David. Hope many people receive your services for the betterment of their health. 🙏🙏Happy New Year🌹 2021.☺️

Ms Uma Narayanan

Rehab for Back Pain

A friend introduced me to Resolve 360 so that I could treat a ligament injury that was hindering my day to day activities. It was a bad phase! This platform is not only a venture but a baby to Ms. Apoorva Shrivastava. With a lot of love, care and experience she brings together some of the best people in the industry to help with physical therapy and other treatments. She chose Ms Prayerna Bhattarai as my therapist and since then i started recovering faster with a well-thought out and personalized plan. My strength is coming back steadily and now i am planning to do a complete fitness routine with them so that such injury never happens in the future! I highly recommend that everyone should connect with Resolve 360!

Ms Shilpi B

Rehab for Ligament Injury

One of the best app available for therapy sessions online. I was covid positive, and one more my friend recommended this app, trust me, it was the best decision I have ever taken. I took more than 10 sessions and it was really very helpful for me. I recovered from Covid with the help of sessions very fast. Special thanks to Dr Tanveer Kaur Ma’am for the amazing sessions. Highly Recommended.

Mr Narayan Vyas

COVID19 Rehab

I had online Physiotherpy sessions by Prerana for my heel pain. ( Tendo Achilis Sprain).
Though virtual, it was more interactive.

She was very observant throughout the sessions, correcting me while doing the exercises and was assertive in her outlook.

I found her instructions and methodology very helpful. She is updated in her academic knowledge in the field of Physiotherpy. She clarified my doubts about the role of Laser and Ultrasound treatment quoting evidence based data. With my personal experience I agree with her opinion that these are more of placebo effect.

Physiotherpy though not a miracle treatment, is a compelling necessity to most of the musculoskeletal and neurological illnesses. It needs to be accepted as healthy way to live.

Dr Shrinivas H

Rehab for Heel Pain

From being a couch potato with poor cardio respiratory system to reaching pre-athlete levels of fitness in a span of 3 months, my journey with Resolve360 and Dr.David (Physiotherapist) has been anything but magical!

About 3 to 4 months ago, my blood report showed very high bad cholesterol levels, I was low on stamina and had frequent breathing issues. My GP prescribed me cholesterol meds for a month but I felt that alone wouldn’t get me back in shape because I needed a major lifestyle overhaul.

Dr.David educated me about my condition in detail and where it could lead me to if I don’t take action in the long run. He put me on a balanced workout regime being easy with cardio workouts in the initial days and gradually upgraded it observing me closely. He also advises me on dietary choices and follows up frequently. During the initial days, my ears used to get blocked within 5 wall squats and I stop right away but now I do over 20 in one shot and hardly feel a thing. I used to lose balance and fall off over my face within 6 push-ups or 20 seconds of plank and now I do about 24 push-ups in one shot. My heart rate used to raise above 150 bpm doing jumping jacks or other cardio workout within 20-30 seconds. You won’t believe I don’t do any of these cardio workouts without additional weights on my feet these days and my heart rate and recovery are as steady as they could get. I couldn’t run for over 2 min without stopping and gasping and now I cover about 4.6 km in 30 min and follow-up with a 20 min walk. Not convinced yet? My VO2 Max (I use an Apple Watch to measure this stat) was just about 33 while I started with Resolve360 and David. That reflects a very poor cardio respiratory fitness for a 34 year old. It’s 43.5 today ! Easily above average. Please read upon about VO2 Max and how it directly relates to cardio respiratory fitness so you get an accurate picture about my monumental progress in the last 3 months. I’ve been trying to get into a regular physical workout and balanced diet discipline since my 20s but I’d never been so motivated as I’m now. Give these guys a try. After all, the best investment you could ever make is on your health !

Mr Ram Kumar

Physical Fitness

We contacted resolve360 for our child speech issue and I must say Resolve 360 team and Apoorva doing a wonderful job.

Our speech therapist Jaslia from Resolve360 is having a excellent knowledge and it helps our child a lot. Jaslia understand child psychology very well. Due to her efforts, we are seeing tremendous improvements in our child. She has a strong dedication towards her work and her nature towards kids makes her a very special one. She has given us enough confidence, due to her efforts and excellent service, we are seeing good improvements for my child speech & communication skills.

I would highly recommend Jaslia & Resolve360 team for their excellent work. God bless you!!

Keyur Dalwadi

Speech Therapy for his Kid