
Q I have ankylosing spondylitis. What kind of exercise is good? Is it okay to lift heavy objects or run?
A Swimming, aqua exercises, yoga, Pilates, and walking are most recommended for ankylosing spondylitis. The key is to consistently perform extension and rotation exercises every day to maintain spinal and thoracic flexibility. High-impact running or contact sports should be avoided during acute exacerbations, but light exercise is acceptable during remission. Lifting heavy objects with proper posture while wearing an abdominal support belt reduces the load on the spine.
Detailed Answer
Exercise is a treatment just as important as medication in the management of ankylosing spondylitis. Multiple randomized controlled trials (RCTs) have confirmed that regular exercise is effective for maintaining BASMI (Body Movement Index), reducing pain, and improving fatigue. Aquatic exercise is particularly advantageous because, thanks to buoyancy, it allows for the simultaneous improvement of whole-body strength and flexibility without loading the joints. It is recommended to sufficiently relax muscles with heat before exercising, and on days with severe pain, reduce the intensity but avoid complete rest.
Perspective of a Korean Medicine Clinic
In Korean medicine, exercise is an active form of self-treatment that promotes the circulation of Qi and blood and clears blocked pathways. However, since excessive exercise in a state of kidney energy deficiency can actually deplete the vital energy stored in the kidneys, it is important to exercise within the limits of one's own recovery capacity. At Dongjedang, we provide step-by-step guidance on exercise intensity and types based on the patient's Qi and blood condition during treatment, and instruct patients to actively relax the muscles surrounding the spine by combining gymnastic exercises and breathing techniques. The fastest functional recovery occurs when treatment and exercise are combined.
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Can I continue working even with ankylosing spondylitis? I have an office job and have to sit all day.
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I am a female patient with ankylosing spondylitis and am planning to get pregnant. How should I manage treatment during pregnancy?
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