Weather and Pain In Ankylosing Spondylitis- Tips for Ese the Pain. Physiotherapy is a very important part of the treatment for ankylosing spondylitis. A physiotherapist can put together a programme of exercises to improve your muscle strength and help you maintain mobility in your spine and other joints. It’s especially important to exercise your back and neck to avoid them stiffening into a bent position. A physiotherapist will advise you on how to maintain good posture and may be able to offer you hydrotherapy, also known as aquatic therapy. This involves specific exercises for the spine, hips and shoulders carried out in a special warm-water pool. Many people with ankylosing spondylitis find this therapy helpful and continue their programme at their local warm swimming pool. Keeping active If you have ankylosing spondylitis, keeping active can really help you manage your condition. Regular exercise is good for the range of movement of your back and t...