Ankylosing spondylitis (AS) is a chronic inflammatory condition that primarily affects the spine, causing stiffness, pain, and reduced mobility. Over time, it can lead to spinal fusion, making movement even more challenging. While there is no cure, regular stretching can help maintain flexibility, reduce stiffness, and improve overall function.

Why Stretching Matters for Ankylosing Spondylitis
Stretching plays a crucial role in managing AS by:
- Preventing spinal stiffness
- Maintaining posture and alignment
- Improving joint mobility
- Reducing muscle tension
Daily stretching routines help counteract the rigidity caused by inflammation and promote better movement patterns.
Best Stretches for Ankylosing Spondylitis
These gentle stretches can enhance flexibility, reduce stiffness, and support spinal health. Perform them daily to maximize benefits.
1. Chest Opener Stretch
This stretch improves posture and counteracts forward rounding of the shoulders.
How to Do It:
- Stand tall with your feet shoulder-width apart.
- Clasp your hands behind your back and straighten your arms.
- Lift your chest and squeeze your shoulder blades together.
- Hold for 20-30 seconds while breathing deeply.
Why It Helps: It opens up the chest and improves spinal mobility.
2. Seated Spinal Twist
A gentle way to improve rotation in the spine and alleviate stiffness.
How to Do It:
- Sit with your legs extended.
- Bend your right knee and cross it over your left leg.
- Place your right hand behind you and your left elbow on the outside of your right knee.
- Twist gently to the right and hold for 20-30 seconds.
- Repeat on the other side.
Why It Helps: It increases spinal flexibility and relieves tension in the back.
3. Cat-Cow Stretch
A dynamic stretch that promotes spinal movement and relieves stiffness.
How to Do It:
- Start on all fours with your hands under your shoulders and knees under your hips.
- Inhale, arch your back, and lift your head (Cow Pose).
- Exhale, round your back, and tuck your chin (Cat Pose).
- Repeat 8-10 times in a slow, controlled motion.
Why It Helps: It enhances spinal flexibility and reduces stiffness in the back.
4. Standing Side Stretch
This stretch increases flexibility in the spine and ribcage.
How to Do It:
- Stand with feet hip-width apart.
- Raise your right arm overhead and bend slightly to the left.
- Hold for 20-30 seconds, then switch sides.
Why It Helps: It improves lateral movement and relieves tightness in the torso.
5. Hip Flexor Stretch
Maintaining hip flexibility is important for spinal alignment and movement.
How to Do It:
- Kneel on one knee with the other foot forward.
- Shift your weight forward to stretch the hip of the back leg.
- Hold for 20-30 seconds and switch sides.
Why It Helps: It reduces stiffness in the hips, promoting better posture and movement.
Additional Tips for Managing Ankylosing Spondylitis
Stretching is just one part of managing AS. Here are other strategies to improve mobility and reduce discomfort:
1. Stay Active
Low-impact exercises like swimming, walking, and yoga help maintain joint mobility and reduce stiffness.
2. Practice Deep Breathing
AS can affect rib cage expansion. Deep breathing exercises improve lung capacity and rib mobility.
3. Maintain Good Posture
Keeping an upright posture reduces strain on the spine. Use ergonomic chairs and avoid prolonged slouching.
4. Apply Heat Therapy
A warm shower or heating pad can relax muscles and make stretching easier.
5. Strengthen Core Muscles
A strong core provides better spinal support. Include gentle core exercises in your routine.
When to See a Doctor
If stretching causes sharp pain or worsens stiffness, consult a healthcare provider. A physical therapist can recommend personalized exercises for your condition.
Final Thoughts
Ankylosing spondylitis can limit mobility, but regular stretching helps maintain flexibility and ease discomfort. By incorporating these gentle movements into your daily routine, you can improve posture, enhance mobility, and reduce stiffness. Stay consistent, listen to your body, and take proactive steps to manage AS effectively.