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  What's Included?

Initial health status, fitness and functional assessments including genotype & biomechanics

Neurological Integration System assessment

Individual Nutritional, Exercise & Lifestyle Plan

Teach the principles of healthy living and aid understanding of your own health & fitness

End of course Re-assessment

Continuing Support Plan

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Ankylosing Spondylitis


It most often starts in early adulthood. It affects white men about four times as often as women.

iThe pain usually starts around the sacroiliac joints of the pelvis. There may also be low back pain that may spread down into the buttocks and thighs. It may spread to the rib joints causing limitation of chest expansion. It can also cause hip pain.

Pain varies in intensity and duration, and it is episodic (comes and goes). Stiffness is usually worse in the morning and improves with exercise. Iritis (eye inflammation) is sometimes associated with ankylosing spondylitis.

On examination, significant stiffness of the spine is observed.  X-rays and blood tests confirm the diagnosis.  A CT scan or MRI scan may also show the problem.


Anti-inflammatory and immuno-suppressant medicines may be prescribed for pain relief and to slow progression of the disease. Regular daily exercise is a wonderful way to deal with symptoms of AS.

Range of motion exercises help you maintain how well your joints move—very important in AS.

Massage may help to ease the pain and gentle osteopathic mobilisations ease the joint pain.

Rehabilitation & Protecting Your Back

In the long term, good posture is maintained by increasing the muscular stability of the spine. The osteopath will identify muscles that have become over-stretched or shortened, weak or tense and can then teach a range of exercises and techniques that will help to stabilise the back, including improving abdominal, pelvic floor and back strength.

About Ankylosing Spondylosis

Ankylosing spondylitis is a rheumatic disease characterised by inflammation and progressive stiffening of the spinal joints including the sacroiliac, facet, costochondral and sometimes the hips as well.

There is a connection between the genetic marker HLA-B27 and ankylosing spondylitis. Heredity does play a role in who develops AS.