One of the most frustrating things about spondylitis is the awful pain, and not from any excessive exertion but simply sleeping. The more you rest; the worse is your pain. Hence, you may always suffer from the worst neck and back aches when you wake up from a good night’s sleep. While it is advisable to consult a doctor and take the prescribed medicines, it is also helpful to combine some natural pain relief supplement to manage your back pain and other symptoms. These are purely organic in nature and made from herbal extract. They primarily help in increasing the blood flow to the joints and reduce the stiffness in back and shoulder. They can be used every day without any worry about its side effects.

There are also a few things that you can include in your day to day routine to ease your back pain:

1. Exercise and stretching: Rochella Ostrowski, MD, an assistant professor of rheumatology at the Loyola University Health System in Maywood, Ill; advises, “If you have ankylosing spondylitis, you need to stay active to maintain your flexibility. The best exercises are those that avoid high impact." She suggests one to get a personal trainer to start or opt for working with a physical therapist. Get your exercises and stretching program designed by a fitness professional for you, including when to work out. The best time would be later in the day when you're less stiff.

2. Good posture: Keep a check of your posture frequently, when at home and at work. Always make sure that you’re well-aligned, and keep doing gentle range-of-motion exercises often to avoid long spans of immobility. Maintain a good posture by routinely checking your alignment against a wall. You don’t want your spine to stiffen into a bent position, neither keep it tall and straight.
   
   
3. Good posture in bed: Your posture while you sleep is also very important. Use a firm bed and a pillow that will help in supporting your neck properly. Avoid using a pillow that’s too high. Sleeping on your belly can be the best for your posture, but some people can only sleep on their sides or back. If you're one of those people, try spending a few minutes, lying face down on your bed, while you are still awake. For comfort, you can keep turning your head from side to side. This exercise will help in promoting a better daily posture. Work up to a twenty minutes session to help with your back pain relief.
   
   
4. Acupuncture: This is an ancient technique that involves inserting really narrow needles through the skin that may stimulate your body’s natural pain relievers. Studies on acupuncture for back pain relief have had mixed results. It has helped quite some people with their back pain. According to the Spondylitis Association of America (SAA), there is enough research that supports acupuncture for chronic pain relief, to give it a try. There is a forewarning, though: You must go to a trained and licensed acupuncture professional.
   
   
5. Yoga: Yoga is a great and a natural pain reliever for spondylitis. Start with the very basic poses and stay patient, and if you work with a proper instructor who can modify and customize the yoga positions for you, you can get great benefits from this form of exercise. A 2013 review of yoga for lower back pain published in The Clinical Journal of Pain; looked at 10 controlled experiments that involved 967 people. The conclusion: There was strong evidence for short-term and moderate evidence for long-term back pain relief from yoga.
   
   
   
   Hence we see that a perfect combination of prescribed drugs, organic medicines and exercises can keep you healthy and ease your pain.