how to start a proper routine or exercises when you are already in so much pain

Take biologic. It will reduce pain then start exercise

As your pain is severe,So there is no other way except biologics.First start with biologics & with passage of time when your pain will be little subsidised,Make yoga & pranayam is the daily routine of the day along with swimming.

Others are right here. Dnt stop medication on your own. Talk to your doctor about biologics. It will do wonders

Kushagra Jain........... what are your x-rays saying. have you seen bone over growth in your hip joints x-ray...........??? pain is a common denominator in ankylosing ,so thats ok. what your x-rays say,is more important.........plus which blood tests have you done ?????? hows your digestion & and motions ,any acidity ?????

havent had a xray since long.. crp esr is considerably low after proper diet.. gluten and dairy free plus supplements.. digestion is ok until i follow diet if i deviate it turns bad.. if i take a nsaid then there is no pain anywhere.. so i guess its just pain.. and as per ralph its emotions..

If it's emotions, why don't you try hypnotherapy to get rid of them.

Kushagra Jain.............. i am asking again, what do your x-rays say. i care two hoots about emotions right now. in your case ,you need to focus on stopping further progression of ankylosing & ARE YOU DOING PHYSIOTHERAPY ???????

i have recently stopped it coz it was not helping me at all even after months of physio and chiro pain levels were only increasing..

tried that .. it helped alot in changing the perspective and approach to life.. but stil at the end pain is pain.. it keeps bringing down..

Can you access a heated pool to very gently begin range of motion movement?

doesnt have that anywhere