Back & Neck
Ankylosing spondylitis physical therapy
This inflammatory condition can affect spinal mobility and posture; rehabilitation complements rheumatology care.
Dr. Valeria DaCosta, PT, DPT, provides one-on-one assessment and rehabilitation for children and adults. Your plan is based on your movement, medical precautions and the activities that matter to you.
In-home care in the approved service area. Virtual visits depend on clinical suitability. No fixed recovery timeline is promised.

Understanding your needs
Your evaluation considers comfortable movement, strength, tolerance for activity and the demands of your everyday environment. Relevant medical instructions help determine safe next steps.
An individualized plan
Depending on your evaluation, treatment may include spinal mobility, breathing expansion and posture. Progress is reviewed regularly and exercises are adjusted to your response.
Care connected to daily life
We choose practical goals together and work with the space and routines you use at home. Exercises, education and functional practice are selected for your current abilities, not a standard program for everyone.
VITALIS Spine & PainPhysical therapy supports function and does not replace medical diagnosis or specialist care. Sudden neurological symptoms, chest pain or acute breathing difficulty require urgent medical attention.
About rehabilitation
Rehabilitation for ankylosing spondylitis usually starts by finding positions and movements that feel tolerable, then gradually building spinal mobility, breathing expansion and posture.
Functional goals
- Sit, stand and walk for longer periods
- Return to household tasks and work
- Sleep more comfortably
- Bend and lift with confidence
Guidance for family members
- Encourage regular, gentle movement rather than prolonged bed rest unless a physician advises otherwise.
- Help adjust home set-ups such as chairs, pillows and work stations.
- Avoid lifting heavy items for the patient beyond what is needed; let them practice safe strategies.
Questions before starting
Should I stop moving when it hurts?
Not necessarily. Your therapist helps you find a level of activity that is safe and adjusts it as symptoms change.
Do I need imaging first?
Not always. Your physician decides on imaging; therapy is guided by your examination and function.
Is this care appropriate for me?
An individualized evaluation determines whether your needs fit the available service. Medical clearance or coordination with your treating team may be needed.
What should I have ready?
Choose a clear space and clothing that lets you move comfortably. Have relevant physician or surgeon instructions ready for the private clinical visit; do not enter medical details in the public scheduling form.
How much does a visit cost?
Fees depend on the program and visit type. Insurance & Pricing lists current self-pay rates and superbill information. Reimbursement is not guaranteed.
