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Balneotherapy ( la, balneum "bath") is a method of treating
disease A disease is a particular abnormal condition that negatively affects the structure or function of all or part of an organism, and that is not immediately due to any external injury. Diseases are often known to be medical conditions that a ...
s by
bathing Bathing is the act of washing the body, usually with water, or the immersion of the body in water. It may be practiced for personal hygiene, religious ritual or therapeutic purposes. By analogy, especially as a recreational activity, the term is ...
, a
traditional medicine Traditional medicine (also known as indigenous medicine or folk medicine) comprises medical aspects of traditional knowledge that developed over generations within the folk beliefs of various societies, including indigenous peoples, before the ...
technique usually practiced at
spa A spa is a location where mineral-rich spring water (and sometimes seawater) is used to give medicinal baths. Spa towns or spa resorts (including hot springs resorts) typically offer various health treatments, which are also known as balneoth ...
s. Since ancient times, humans have used hot springs, public baths and thermal medicine for therapeutic effects. While it is considered distinct from
hydrotherapy Hydrotherapy, formerly called hydropathy and also called water cure, is a branch of alternative medicine (particularly naturopathy), occupational therapy, and physiotherapy, that involves the use of water for pain relief and treatment. The term ...
, there are some overlaps in practice and in underlying principles. Balneotherapy may involve hot or cold
water Water (chemical formula ) is an inorganic, transparent, tasteless, odorless, and nearly colorless chemical substance, which is the main constituent of Earth's hydrosphere and the fluids of all known living organisms (in which it acts as a ...
,
massage Massage is the manipulation of the body's soft tissues. Massage techniques are commonly applied with hands, fingers, elbows, knees, forearms, feet or a device. The purpose of massage is generally for the treatment of body stress or pain. In Eu ...
through moving water, relaxation, or
stimulation Stimulation is the encouragement of development or the cause of activity generally. For example, "The press provides stimulation of political discourse." An interesting or fun activity can be described as "stimulating", regardless of its physica ...
. Many mineral waters at spas are rich in particular
mineral In geology and mineralogy, a mineral or mineral species is, broadly speaking, a solid chemical compound with a fairly well-defined chemical composition and a specific crystal structure that occurs naturally in pure form.John P. Rafferty, ed. ( ...
s such as
silica Silicon dioxide, also known as silica, is an oxide of silicon with the chemical formula , most commonly found in nature as quartz and in various living organisms. In many parts of the world, silica is the major constituent of sand. Silica is one ...
,
sulfur Sulfur (or sulphur in British English) is a chemical element with the symbol S and atomic number 16. It is abundant, multivalent and nonmetallic. Under normal conditions, sulfur atoms form cyclic octatomic molecules with a chemical formula ...
,
selenium Selenium is a chemical element with the symbol Se and atomic number 34. It is a nonmetal (more rarely considered a metalloid) with properties that are intermediate between the elements above and below in the periodic table, sulfur and tellurium, ...
, and
radium Radium is a chemical element with the symbol Ra and atomic number 88. It is the sixth element in group 2 of the periodic table, also known as the alkaline earth metals. Pure radium is silvery-white, but it readily reacts with nitrogen (rather t ...
.
Medicinal clay The use of medicinal clay in folk medicine goes back to prehistoric times. Indigenous peoples around the world still use clay widely, which is related to geophagy. The first recorded use of medicinal clay goes back to ancient Mesopotamia. A wi ...
s are also widely used, a practice known as 'fangotherapy'.


Definition and characteristics

"Balneotherapy" is the practice of immersing a subject in
mineral water Mineral water is water from a mineral spring that contains various minerals, such as salts and sulfur compounds. Mineral water may usually be still or sparkling (carbonated/effervescent) according to the presence or absence of added gases. Tra ...
or mineral-laden mud; it is part of the
traditional medicine Traditional medicine (also known as indigenous medicine or folk medicine) comprises medical aspects of traditional knowledge that developed over generations within the folk beliefs of various societies, including indigenous peoples, before the ...
of many cultures and originated in
hot springs A hot spring, hydrothermal spring, or geothermal spring is a spring produced by the emergence of geothermally heated groundwater onto the surface of the Earth. The groundwater is heated either by shallow bodies of magma (molten rock) or by circ ...
, cold water springs, or other sources of such water, like the
Dead Sea The Dead Sea ( he, יַם הַמֶּלַח, ''Yam hamMelaḥ''; ar, اَلْبَحْرُ الْمَيْتُ, ''Āl-Baḥrū l-Maytū''), also known by other names, is a salt lake bordered by Jordan to the east and Israel and the West Bank ...
.


Presumed effect on diseases

Balneotherapy may be recommended for a wide range of illnesses, including
arthritis Arthritis is a term often used to mean any disorder that affects joints. Symptoms generally include joint pain and stiffness. Other symptoms may include redness, warmth, swelling, and decreased range of motion of the affected joints. In som ...
, skin conditions and
fibromyalgia Fibromyalgia (FM) is a medical condition defined by the presence of chronic widespread pain, fatigue, waking unrefreshed, cognitive symptoms, lower abdominal pain or cramps, and depression. Other symptoms include insomnia and a general hyp ...
. Balneotherapy should be discussed in advance with a
physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
before beginning treatment, since a number of conditions, like
heart disease Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. CVD includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). Other CVDs include stroke, hea ...
and pregnancy, can result in a serious
adverse effect An adverse effect is an undesired harmful effect resulting from a medication or other intervention, such as surgery. An adverse effect may be termed a "side effect", when judged to be secondary to a main or therapeutic effect. The term complica ...
. Scientific studies into the effectiveness of balneotherapy do not show that balneotherapy is effective for treating
rheumatoid arthritis Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and hands are involv ...
. There is also no evidence indicating a more effective type of bath, or to indicate that bathing is more effective than exercise, relaxation therapy, or mudpacks. Most of the studies on balneotherapy have methodological flaws and are not reliable. A 2009 review of all published clinical evidence concluded that existing research is not sufficiently strong to draw firm conclusions about the efficacy of balneotherapy. "Balneophototherapy" combines salt bathing (balneotherapy) and exposure to ultraviolet B-light (UVB) as a potential treatment for severe, chronic
plaque psoriasis Psoriasis is a long-lasting, noncontagious autoimmune disease characterized by raised areas of abnormal skin. These areas are red, pink, or purple, dry, itchy, and scaly. Psoriasis varies in severity from small, localized patches to complete ...
. A
Cochrane review Cochrane (previously known as the Cochrane Collaboration) is a British international charitable organisation formed to organise medical research findings to facilitate evidence-based choices about health interventions involving health professi ...
found low-quality evidence that salt bathing combined with UVB may relieve psoriasis severity compared to UVB treatment only.


See also

* Boleslav Vladimirovich Likhterman * Enoch Heinrich Kisch *
Destination spa A destination spa or health resort is a resort centered on a spa, such as a mineral spa. Historically, many such spas were developed at the location of natural hot springs or mineral springs; in the era before modern biochemical knowledge and p ...
*
Hot spring A hot spring, hydrothermal spring, or geothermal spring is a spring produced by the emergence of geothermally heated groundwater onto the surface of the Earth. The groundwater is heated either by shallow bodies of magma (molten rock) or by circ ...
*
Hydrotherapy Hydrotherapy, formerly called hydropathy and also called water cure, is a branch of alternative medicine (particularly naturopathy), occupational therapy, and physiotherapy, that involves the use of water for pain relief and treatment. The term ...
*
Mineral spa Mineral spas are destination spa, spa resorts developed around naturally occurring mineral springs. Like seaside resorts, they are mainly used recreationally although they also figured prominently in traditional medicine, prescientific medicine. ...
*
Onsen In Japan, are the country's hot springs and the bathing facilities and traditional inns around them. As a volcanically active country, Japan has many onsens scattered throughout all of its major islands. There are approximately 25,000 hot ...
*
Peloid Peloid is mud, or clay used therapeutically, as part of balneotherapy, or therapeutic bathing. Peloids consist of humus and minerals formed over many years by geological and biological, chemical and physical processes. Numerous peloids are av ...
*
Thalassotherapy Thalassotherapy (from the Greek word ''thalassa'', meaning "sea") is the use of seawater as a form of therapy. Note: Thalasso therapy is a sub-definition under the listing for Thalasso. It also includes the systematic use of sea products and shore ...


References


Further reading

* Nathaniel Altman, ''Healing springs: the ultimate guide to taking the waters : from hidden springs to the world's greatest spas.'' Inner Traditions / Bear & Company, 2000. * James Crook
''The Mineral Waters of the United States and their Theraputic Uses''
Lea Brothers & Co., New York and Philadelphia, 1899. * Dian Dincin Buchman, ''The complete book of water healing.'' 2nd ed.,
McGraw-Hill Professional McGraw Hill is an American educational publishing company and one of the "big three" educational publishers that publishes educational content, software, and services for pre-K through postgraduate education. The company also publishes referenc ...
, 2001. * Jane Crebbin-Bailey, John W. Harcup, John Harrington
''The Spa Book: The Official Guide to Spa Therapy''
Publisher:
Cengage Learning EMEA Cengage Group is an American educational content, technology, and services company for the higher education, K-12, professional, and library markets. It operates in more than 20 countries around the world.(Jun 27, 2014Global Publishing Leaders 2 ...
, 2005. * * Esti Dvorjetski, ''Leisure, pleasure, and healing: spa culture and medicine in ancient eastern Mediterranean.'',
E. J. Brill Brill Academic Publishers (known as E. J. Brill, Koninklijke Brill, Brill ()) is a Dutch international academic publisher founded in 1683 in Leiden, Netherlands. With offices in Leiden, Boston, Paderborn and Singapore, Brill today publishes 275 ...
, 2007 (illustrated). * Carola Koenig, ''Specialized Hydro-, Balneo-and Medicinal Bath Therapy.'' Publisher:
iUniverse iUniverse, founded in October 1999, is an American self-publishing company based in Bloomington, Indiana.Kevin Abourezk"iUniverse to move to Indiana" incoln Journal Star, January 22, 2008 History iUniverse focuses on print-on-demand self-publi ...
, 2005. * Anne Williams, ''Spa bodywork: a guide for massage therapists.''
Lippincott Williams & Wilkins Lippincott Williams & Wilkins (LWW) is an American imprint of the American Dutch publishing conglomerate Wolters Kluwer. It was established by the acquisition of Williams & Wilkins and its merger with J.B. Lippincott Company in 1998. Under the LW ...
, 2006. {{Authority control Bathing Naturopathy