Initial management often involves conservative strategies. Physical Therapy is vital, providing tailored exercises and stretches to maintain flexibility in the spine, strengthen supporting muscles, and improve overall posture. The application of heat and ice can also aid in managing inflammation and alleviating pain.

Ongoing physical therapy is crucial for managing spondylitis. It focuses on exercises that promote spinal flexibility and strength, as well as techniques to improve posture and relieve pain.

Chiropractic interventions can be beneficial for some individuals with spondylitis, focusing on maintaining spinal alignment and mobility. Gentle spinal adjustments and manipulative therapies may help in reducing discomfort and improving function.

Medications are often recommended depending on the severity of symptoms. These can include non-steroidal anti-inflammatory drugs (NSAIDs), pain relievers, and in some cases, biologics or disease-modifying antirheumatic drugs (DMARDs) for more severe cases.

Lifestyle changes are important in managing and preventing the progression of spondylitis. This includes regular physical activity, maintaining a healthy weight, and practicing good posture.

A balanced diet, possibly with omega-3 fatty acids and anti-inflammatory foods, can be beneficial in managing inflammation associated with spondylitis.

For cases with severe pain, interventional procedures such as steroid injections may be considered to provide relief.

Surgery may be an option in advanced cases where there is significant spinal damage or severe joint problems. Surgical procedures can vary based on the affected areas and severity.

Complementary therapies like acupuncture, massage therapy, and yoga can support overall treatment, offering pain relief, stress reduction, and improved flexibility.