
Q Do patients with ankylosing spondylitis need to pay attention to their sleeping posture? Is the choice of pillow or mattress important?
A For patients with ankylosing spondylitis, sleeping posture and bedding play a crucial role in maintaining proper posture. It is recommended to avoid sleeping on your stomach without a pillow or with a low pillow on a hard, flat mattress, and instead sleep on your back. Placing a cushion under your knees reduces strain on the lower back, and adjust the pillow height so that the cervical spine maintains a neutral position. Performing light extension exercises in bed for 3 to 5 minutes before getting out of bed in the morning helps alleviate stiffness.
Detailed Answer
To prevent kyphosis (spinal curvature deformity) in ankylosing spondylitis, it is important to maintain an extended spinal position during sleep. A soft mattress can lock the spine in a flexed position, potentially worsening morning stiffness. A medium-firm mattress and a pillow that maintains cervical neutrality are standard recommendations. A routine of relaxing the area around the spine with a heat pack before bedtime is also effective. From the Perspective of a Korean Medicine Clinic In Korean medicine, sleep is a time when nourishing energy circulates internally and the vital energy stored in the kidneys is replenished. If you sleep with the energy and blood pathways compressed due to an incorrect posture, this recovery process is hindered, leading to more severe morning stiffness. At Dongjedang, after assessing the patient's degree of spinal deformity and body type, we guide you through a routine of correcting sleeping posture, along with simple spinal heat application and maintaining a stretched position before bed. A key feature of Dongjedang's approach is connecting daily care with treatment so that the effects of acupuncture treatment in the treatment room can continue even during sleep.
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