Spondylitis and the Alexander Technique:
quick relief or lasting solution?

Spondylitis is, like arthritis, an inflammation of joints. Spondylitis affects the joints of the spine, leading to pain and stiffness.

Ankylosing spondylitis is just the same. The spondylitis is said to be “ankylosing” if the stiffness and loss of mobility are becoming permanent. So if you have ankylosing spondylitis you are getting stuck in your bent position and unable to straighten up.

A lot can often be done to encourage your spine to free up again, so long as the joints have not actually fused. Even if they have fused, there is still a lot that can be done to improve the mobility of the rest of your body.

The main causes of the inflammation and consequent pain and loss of mobility are:–

  1. wear and tear
  2. physical damage due to injury
  3. rheumatoid arthritis

Wear and Tear

The usual assumption is that the wear and tear is the result of over-use. It isn’t. Mis-use is the culprit.

Question: “What can be done about this?

Answer: “A great deal. This kind of spondylitis boils down to osteoarthritis of the spine. To learn more, see my osteoarthritis page.”

Physical Damage due to Mechanical Injury

The expectation for recovery must depend on the particular details of the injury. Just a few general points:–

  • The body does have a natural ability to heal itself. Given the right conditions, much more is possible than you probably expect. Since every case is individual, and since the possible is rarely attempted, nobody is in a position to make authoritative predictions: you can only work at it and see what happens.
  • Many injuries never heal because the right conditions are not fostered. This is not only about the quality of medical care — though, of course, that is important. It also depends on your readiness to try whatever seems to be the most promising option, not knowing how well, or even whether, it will work. Your courage, common sense and open mind will often work wonders. Always remember that the most dedicated and talented human help you can get is only human and therefore fallible. If you expect other people to perform miracles for you, you will probably be disappointed. If, refusing to give up you persist until you find the key, what seems like a miracle often does happen. More often than not, the Alexander Technique is that key.
  • Very often the main factor that stops the spondylitis healing is that same mis-use that I mentioned earlier. Before the injury, you could ignore it. Now, if you want to get better, it is vital that you investigate this matter further.
    My osteoarthritis page is a good place to start.

Rheumatoid Arthritis

The Alexander Technique does not attempt to correct auto-immune disorders. These must be dealt with in other ways.

However …

Even in rheumatoid arthritis, there is almost always a strong element of mis-use. The arthritic pain alone is enough to encourage this mis-use. Even if your quality of movement was impeccable before your immune system started attacking your joints, the habit of stiffening (because it hurts to move) itself creates more pain — usually a lot more pain. This can be dealt with by learning the Alexander Technique. It is all too easy to turn the rheumatic problem into a scapegoat.

So, even if your spondylitis is caused by rheumatoid arthritis, a course of Alexander lessons could be very helpful. If you haven’t done so yet, I recommend that you read my arthritis page now.

This article is included under the following categories:‒


Further Resources

Here are some ways I can help you further.

Wherever you live

  1. If you’re not already getting my free weekly article delivered to your inbox, then go here to get it.   Subscribe to “Back in Action”  (It’s free)
    When you subscribe you also get to download “The Hows & Whys of Semi-Supine”. This free e-booklet is indispensable to anyone serious about strengthening their bad back (or further strengthening an already-strong back).
  2. Repoise is our membership site for people who are serious about improving themselves (and getting out of pain as they do that). When you join, you will:–
    1. Have daily access to me. Together we will work out what’s going wrong for you and how to fix it
    2. Learn from reading other Repoise members’ questions and following their progress as they work with me
    Find out more about joining Repoise here.
  3. I’m writing a book about my work. It will come out on the 1st December 2010. If you’re getting the free weekly articles, I’ll send out more details about the up-coming book as soon as the information is available.

If you’re in Liverpool (or can get to Liverpool)

  1. I’m also running Friday lunchtime group lessons. Go here for details.
  2. There’s nothing better than individual lessons. Ring me on 0151 708 6172 to talk to me about booking individual lessons. (Leave your number so I can get back to you).

If you’re further away and can’t get to Liverpool

  1. There’s still nothing better than individual lessons. Here’s where you can find a teacher near you in the UK or elsewhere
  2. I suggest you also do the things I listed above for everyone:–
    1. Read my weekly articles
    2. Get direct day-to-day guidance from me by joining Repoise.
    If you’re having plain Alexander Technique lessons from someone else, you still need to learn the Smiling Back Method of the Alexander Technique. You’ll get a lot more out of your lessons when you do.


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Medical Study proves lasting effectiveness of the Alexander Technique for low back pain.

Published in the prestigious British Medical Journal on 19 August 2008, this randomised controlled medical trial compares Alexander Technique lessons, exercise and massage for chronic and recurrent back pain.

British Medical Journal video on the Alexander TechniqueBritish Medical Journal video

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