If you have stiffness of the back, which is more in the early morning hours for a long time then it is time to see a doctor. It may be an early case of spondylitis.

The following steps can help alleviate pain and stiffness in people with ankylosing spondylitis:

• Practice good posture in order to keep the spine straight.
• Sleep  on a firm mattress.
• Sleep in a prone position (on the Abdominal) without a pillow.
• Sleep in a supine position (on the back) with a thin pillow.
• Keep the legs straight when sleeping, not supported by a pillow.
• Do not sleep in a curled-up position.
• When walking or sitting, keep the spine as straight as possible.
• Use chairs and work surfaces specially designed to support the spine.

Regular exercise is an essential part of the treatment of ankylosing spondylitis. Exercise that strengthen the back and neck can help maintain correct posture. Aerobic exercises , such as swimming, are very helpful because they promote flexibility of the spine and movement of the shoulder and hip joints. A hot shower before exercise often relieves some joint pain and stiffness and makes exercising easier and less painful. Exercise should be started slowly and performed when pain is minimized.

Rehabilitation therapies are important in the treatment of ankylosing spondylitis. Proper sleep and walking postures, together with abdominal and back exercises, help maintain correct posture. Exercises help maintain joint mobility.

Physical therapy is not believed to prevent the progression of ankylosing spondylitis, but it may minimize symptoms.

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