Balneotherapy ( "bath") is a method of treating

disease A disease is a particular abnormal condition that adversely affects the structure or function (biology), function of all or part of an organism and is not immediately due to any external injury. Diseases are often known to be medical condi ...

s by

bathing Bathing is the immersion of the body, wholly or partially, usually in water, but often in another medium such as hot air. It is most commonly practised as part of personal cleansing, and less frequently for relaxation or as a leisure activity. ...

, a

traditional medicine Traditional medicine (also known as indigenous medicine or folk medicine) refers to the knowledge, skills, and practices rooted in the cultural beliefs of various societies, especially Indigenous groups, used for maintaining health and treatin ...

technique usually practiced at spas. 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 Physical therapy, physiotherapy, that involves the use of water for pain relief and ...

, there are some overlaps in practice and in underlying principles. Balneotherapy may involve hot or cold

water Water is an inorganic compound with the chemical formula . It is a transparent, tasteless, odorless, and Color of water, nearly colorless chemical substance. It is the main constituent of Earth's hydrosphere and the fluids of all known liv ...

massage Massage is the rubbing or kneading 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 pa ...

through moving water, relaxation, or

stimulation Stimulation is the encouragement of development or the cause of activity in general. For example, "The press provides stimulation of political discourse." An interesting or fun activity can be described as "stimulating", regardless of its physic ...

. Many mineral waters at spas are rich in particular

mineral In geology and mineralogy, a mineral or mineral species is, broadly speaking, a solid substance with a fairly well-defined chemical composition and a specific crystal structure that occurs naturally in pure form.John P. Rafferty, ed. (2011): Mi ...

s such as

silica Silicon dioxide, also known as silica, is an oxide of silicon with the chemical formula , commonly found in nature as quartz. In many parts of the world, silica is the major constituent of sand. Silica is one of the most complex and abundant f ...

sulfur Sulfur ( American spelling and the preferred IUPAC name) or sulphur ( Commonwealth spelling) is a chemical element; it has symbol S and atomic number 16. It is abundant, multivalent and nonmetallic. Under normal conditions, sulfur atoms ...

selenium Selenium is a chemical element; it has symbol (chemistry), symbol Se and atomic number 34. It has various physical appearances, including a brick-red powder, a vitreous black solid, and a grey metallic-looking form. It seldom occurs in this elem ...

, and

radium Radium is a chemical element; it has chemical symbol, symbol Ra and atomic number 88. It is the sixth element in alkaline earth metal, group 2 of the periodic table, also known as the alkaline earth metals. Pure radium is silvery-white, ...

. Medicinal clays 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. It is usually still, but may be sparkling ( carbonated/ effervescent). Traditionally, mineral waters were used or consumed at t ...

or mineral-laden mud; it is part of the

of many cultures and originated in

hot springs A hot spring, hydrothermal spring, or geothermal spring is a Spring (hydrology), spring produced by the emergence of Geothermal activity, geothermally heated groundwater onto the surface of the Earth. The groundwater is heated either by shallow ...

, cold water springs, or other sources of such water, like the

Dead Sea The Dead Sea (; or ; ), also known by #Names, other names, is a landlocked salt lake bordered by Jordan to the east, the Israeli-occupied West Bank to the west and Israel to the southwest. It lies in the endorheic basin of the Jordan Rift Valle ...

Presumed effect on diseases

Balneotherapy may be recommended for various illnesses, including

arthritis Arthritis is a general medical term used to describe a disorder that affects joints. Symptoms generally include joint pain and stiffness. Other symptoms may include redness, warmth, Joint effusion, swelling, and decreased range of motion of ...

, skin conditions and

fibromyalgia Fibromyalgia (FM) is a functional somatic syndrome with symptoms of widespread chronic pain, accompanied by fatigue, sleep disturbance including awakening unrefreshed, and Cognitive deficit, cognitive symptoms. Other symptoms can include he ...

. Balneotherapy should be discussed in advance with a

physician A physician, medical practitioner (British English), medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the Medical education, study, Med ...

before beginning treatment since several conditions, like

heart disease Cardiovascular disease (CVD) is any disease involving the heart or blood vessels. CVDs constitute a class of diseases that includes: coronary artery diseases (e.g. angina pectoris, angina, myocardial infarction, heart attack), heart failure, ...

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 compli ...

. 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 synovial joint, joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and h ...

. There is also no evidence indicating a more effective type of bath, or 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 patches of abnormal skin. These areas are red, pink, or purple, dry, itchy, and scaly. Psoriasis varies in severity from small localized patches to complete b ...

. A

Cochrane review Cochrane is a British international charitable organisation formed to synthesize medical research findings to facilitate evidence-based choices about health interventions involving health professionals, patients and policy makers. It includes ...

found low-quality evidence that salt bathing combined with UVB may relieve psoriasis severity compared to UVB treatment only. A 2018 systematic review concluded that "balneotherapy and spa therapy may be considered useful interventions for managing stress conditions".

Definition and characteristics

Presumed effect on diseases

See also

References

Further reading