Living with ankylosing spondylitis (AS) means dealing with chronic back pain, stiffness, and mobility challenges. Dressing shouldn’t add to the discomfort—but for many, it does.
The right clothing can make a big difference in how you feel throughout the day, reducing strain on your back and making it easier to get dressed.
We independently determine all recommended products. If you click on links we provide, we may receive compensation.
What Is Ankylosing Spondylitis (AS)?
AS is a type of inflammatory arthritis that primarily affects the spine, causing pain, stiffness, and in severe cases, fusion of the spinal bones. It can also impact other joints like the hips, shoulders, and ribs. Symptoms often include:
- Chronic back pain, especially in the lower back.
- Morning stiffness that improves with movement.
- Reduced flexibility in the spine.
- Fatigue due to chronic inflammation.
- Pain in the hips, shoulders, or ribs.
Since AS can limit mobility, making bending, twisting, or reaching difficult, choosing the right clothing is key to staying comfortable and reducing strain on the body.
Best Clothing Choices for AS
1. Loose, Non-Restrictive Tops
Tight clothing can increase pressure on already sore areas, making movement more difficult. Loose-fitting clothing allows for better mobility and overall comfort.
Loose-Fitting Tees & Dresses: Avoid tight sleeves or high-neck designs that might cause discomfort in the neck and shoulders.
Oversized Tops with Ranglan or Dolman Sleeves: These styles allow for better movement and less constriction in the shoulder area.
Side-Opening Shirts: Eliminate the need for overhead movements, making it easier to slip on clothing.
Magnetic or Velcro Closures: Replace traditional buttons and zippers, making dressing simpler.
2. Pants & Bottoms
Elastic Waistbands: Avoid zippers and buttons that press into the lower spine. Flexible waistbands adjust to your movements and reduce strain on the lower back.
Tear-Away Shorts and trousers: Designed for easy dressing and removal, these shorts feature snap or Velcro closures, allowing for effortless wear without straining sensitive areas or requiring excessive movement.
3. Adaptive Underwear
Adaptive underwear is designed to reduce physical strain while getting dressed by including features that make dressing easier for people with mobility challenges. This is particularly helpful for individuals with AS who struggle with stiffness, pain, or limited flexibility.
Adaptive Bras: Since traditional back clasps can be difficult to reach, front-fastening bras are a great option to reduce strain on the arms and shoulders. Some even include Velcro or magnets to make it even easier to close.
- The Easy-On Mobility Bra
- Adaptive side closing underwear
3. Shoes That Support Your Spine & Reduce Strain
Since AS affects posture and balance, proper footwear is essential for minimizing strain on your back and joints. The key features to look for are cushioned soles, good arch support, a slip on option, and shock absorbing materials.
Supportive Sneakers: Orthopedic or athletic shoes with arch support and shock-absorbing soles help reduce back strain.
Slip-On Shoes with Cushioning: Easy to wear without excessive bending or pulling.
Low-Heeled, Supportive Flats: Choose flats with arch support to avoid worsening posture misalignment.
Clothing to Avoid
While comfort is personal, these clothing types often make AS symptoms worse:
- Tight jeans or pants that dig into the waist and hips.
- Stiff fabrics like rigid denim or polyester.
- Heavy coats or sweaters that add unnecessary strain.
- High-neck shirts if they cause discomfort in the neck and shoulders.
- Shoes without arch support, including flip-flops and high heels.