Physiotherapy challenges for spondylitis and flat feet patients

A patient named Josephine has reported difficulties managing spondylitis and flat feet, noting that previous attempts at physiotherapy resulted in increased pain levels. Following a referral from an orthopaedic doctor, the patient expressed concerns regarding the safety and efficacy of physical interventions, specifically seeking alternatives to pain medications due to side effects like dizziness and fatigue.

Medical experts note that spondylitis involves spinal joint inflammation, which can lead to stiffness. When combined with flat feet (pes planus), the lack of arch support can compromise biomechanical alignment, transmitting impact more directly through the legs to the spine. While physiotherapy is a standard recommendation, professionals emphasize that exercises must be precisely calibrated to avoid triggering pain flares during active inflammation. Patients experiencing increased discomfort during treatment are advised to consult their doctors to adjust personalized treatment plans.