Balneotherapy

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Balneotherapy
Roman Baths in Bath Spa, England - July 2006.jpg
Roman Baths in Bath Spa, England
July 2006
MeSH D001452

Balneotherapy (Latin : balneum "bath") is a method of treating diseases by bathing, a traditional medicine technique usually practiced at spas. [1] Since ancient times, humans have used hot springs, public baths and thermal medicine for therapeutic effects. [2] While it is considered distinct from hydrotherapy, [3] there are some overlaps in practice and in underlying principles. Balneotherapy may involve hot or cold water, massage through moving water, relaxation, or stimulation. Many mineral waters at spas are rich in particular minerals such as silica, sulfur, selenium, and radium. Medicinal clays are also widely used, a practice known as 'fangotherapy'.

Contents

Definition and characteristics

The statue of "A man breaking a walking crutch" in the spa town Piestany (Slovakia) - an eloquent symbol of balneotherapy Bad Postyen.jpg
The statue of "A man breaking a walking crutch" in the spa town Piešťany (Slovakia) – an eloquent symbol of balneotherapy

"Balneotherapy" is the practice of immersing a subject in mineral water or mineral-laden mud; it is part of the traditional medicine of many cultures and originated in hot springs, cold water springs, or other sources of such water, like the Dead Sea. [4]

Presumed effect on diseases

Treatment bath at a spa in Hot Springs, Arkansas, United States Badevorrichtung15.jpg
Treatment bath at a spa in Hot Springs, Arkansas, United States

Balneotherapy may be recommended for various illnesses, including arthritis, [5] skin conditions and fibromyalgia. [6] Balneotherapy should be discussed in advance with a physician before beginning treatment since several conditions, like heart disease and pregnancy, can result in a serious adverse effect.

Scientific studies into the effectiveness of balneotherapy do not show that balneotherapy is effective for treating rheumatoid arthritis. [7] There is also no evidence indicating a more effective type of bath, [7] or that bathing is more effective than exercise, relaxation therapy, or mudpacks. [7] Most of the studies on balneotherapy have methodological flaws and are not reliable. [8] [7] 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. [9]

"Balneophototherapy" combines salt bathing (balneotherapy) and exposure to ultraviolet B-light (UVB) as a potential treatment for severe, chronic plaque psoriasis. A Cochrane review found low-quality evidence that salt bathing combined with UVB may relieve psoriasis severity compared to UVB treatment only. [10]

A 2018 systematic review concluded that "balneotherapy and spa therapy may be considered useful interventions for managing stress conditions". [11]

See also

Related Research Articles

<span class="mw-page-title-main">Rheumatoid arthritis</span> Type of autoimmune 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 involved, with the same joints typically involved on both sides of the body. The disease may also affect other parts of the body, including skin, eyes, lungs, heart, nerves, and blood. This may result in a low red blood cell count, inflammation around the lungs, and inflammation around the heart. Fever and low energy may also be present. Often, symptoms come on gradually over weeks to months.

<span class="mw-page-title-main">Psoriasis</span> Skin disease

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 body coverage. Injury to the skin can trigger psoriatic skin changes at that spot, which is known as the Koebner phenomenon.

<i>Onsen</i> Japanese hot springs

In Japan, onsen are hot springs and the bathing facilities and traditional inns around them. There are approximately 25,000 hot spring sources throughout Japan, and approximately 3,000 onsen establishments use naturally hot water from these geothermally heated springs.

<span class="mw-page-title-main">Methotrexate</span> Chemotherapy and immunosuppressant medication

Methotrexate (MTX), formerly known as amethopterin, is a chemotherapy agent and immune-system suppressant. It is used to treat cancer, autoimmune diseases, and ectopic pregnancies. Types of cancers it is used for include breast cancer, leukemia, lung cancer, lymphoma, gestational trophoblastic disease, and osteosarcoma. Types of autoimmune diseases it is used for include psoriasis, rheumatoid arthritis, and Crohn's disease. It can be given by mouth or by injection.

<span class="mw-page-title-main">Fibromyalgia</span> Chronic pain of unknown cause

Fibromyalgia is a medical condition which causes chronic widespread pain, accompanied by fatigue, waking unrefreshed and cognitive symptoms. Other symptoms include headaches, lower abdominal pain or cramps, and depression. People with fibromyalgia can also experience insomnia and a general hypersensitivity.

<span class="mw-page-title-main">Osteoarthritis</span> Form of arthritis caused by degeneration of joints

Osteoarthritis (OA) is a type of degenerative joint disease that results from breakdown of joint cartilage and underlying bone. It is believed to be the fourth leading cause of disability in the world, affecting 1 in 7 adults in the United States alone. The most common symptoms are joint pain and stiffness. Usually the symptoms progress slowly over years. Other symptoms may include joint swelling, decreased range of motion, and, when the back is affected, weakness or numbness of the arms and legs. The most commonly involved joints are the two near the ends of the fingers and the joint at the base of the thumbs, the knee and hip joints, and the joints of the neck and lower back. The symptoms can interfere with work and normal daily activities. Unlike some other types of arthritis, only the joints, not internal organs, are affected.

<span class="mw-page-title-main">Psoriatic arthritis</span> Long-term inflammatory arthritis

Psoriatic arthritis (PsA) is a long-term inflammatory arthritis that occurs in people affected by the autoimmune disease psoriasis. The classic feature of psoriatic arthritis is swelling of entire fingers and toes with a sausage-like appearance. This often happens in association with changes to the nails such as small depressions in the nail (pitting), thickening of the nails, and detachment of the nail from the nailbed. Skin changes consistent with psoriasis frequently occur before the onset of psoriatic arthritis but psoriatic arthritis can precede the rash in 15% of affected individuals. It is classified as a type of seronegative spondyloarthropathy.

<span class="mw-page-title-main">Bathing</span> Washing or immersing the body with water

Bathing is the act of washing the body, usually with water, or the immersion of the body in water. It may be for personal hygiene, religious ritual or therapeutic purposes. By analogy, especially as a recreational activity, the term is also applied to sun bathing and sea bathing.

<span class="mw-page-title-main">Hydrotherapy</span> Alternative medicine using water for pain relief and treatment

Hydrotherapy, formerly called hydropathy and also called water cure, is a branch of alternative medicine, occupational therapy, and physiotherapy, that involves the use of water for pain relief and treatment. The term encompasses a broad range of approaches and therapeutic methods that take advantage of the physical properties of water, such as temperature and pressure, to stimulate blood circulation, and treat the symptoms of certain diseases.

<span class="mw-page-title-main">Spa</span> Location where mineral-rich spring water is used to give medicinal baths

A spa is a location where mineral-rich spring water is used to give medicinal baths. Spa towns or spa resorts typically offer various health treatments, which are also known as balneotherapy. The belief in the curative powers of mineral waters goes back to prehistoric times. Such practices have been popular worldwide, but are especially widespread in Europe and Japan. Day spas and medspas are also quite popular, and offer various personal care treatments.

<span class="mw-page-title-main">Mud bath</span> Bath of mud, commonly from areas where hot spring water can combine with volcanic ash

A mud bath is a therapeutic spa treatment that involves soaking in a bath of warm mud, often in a natural hot spring or geothermal pool. Mud baths have been used for centuries as a way to promote health and relaxation, and are still popular today in many parts of the world.

<span class="mw-page-title-main">Destination spa</span> Resort centered on a 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 biochemistry and pharmacotherapy, "taking the waters" was often believed to have great medicinal powers. Even without such mystic powers, the stress relief and health education of spas also often has some degree of positive effect on health. Destination spas offer day spa facilities, but what sets them apart is that they also offer hotel facilities so that people can stay multiple nights.

<span class="mw-page-title-main">Bath salts</span> Water-soluble, usually inorganic, solid products designed to be added to water during bathing

Bath salts are water-soluble, pulverized minerals that are added to water to be used for bathing. It is said that these salts improve cleaning, enhance the enjoyment of bathing, and serve as a vehicle for cosmetic agents. Bath salts have been developed which mimic the properties of natural mineral baths or hot springs. Some bath salts contain glycerine so the product will act as an emollient, humectant, or lubricant. Fragrances and colors are often added to bath salts; the fragrances are used to increase the users' enjoyment of the bathing experience.

Biological response modifiers (BRMs) are substances that modify immune responses. They can be endogenous or exogenous, and they can either enhance an immune response or suppress it. Some of these substances arouse the body's response to an infection, and others can keep the response from becoming excessive. Thus they serve as immunomodulators in immunotherapy, which can be helpful in treating cancer and in treating autoimmune diseases, such as some kinds of arthritis and dermatitis. Most BRMs are biopharmaceuticals (biologics), including monoclonal antibodies, interleukin 2, interferons, and various types of colony-stimulating factors. "Immunotherapy makes use of BRMs to enhance the activity of the immune system to increase the body's natural defense mechanisms against cancer", whereas BRMs for rheumatoid arthritis aim to reduce inflammation.

<span class="mw-page-title-main">Peloid</span>

Peloid is defined as a mature clay, mud or mud suspension or dispersion with curative or cosmetic properties, consisting of a complex mixture of fine-grained materials of geological and/or biological origin, mineral or sea water, and organic compounds commonly arising from some biological metabolic activity", 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.

<span class="mw-page-title-main">Peat pulp bath</span>

A peat pulp bath, a form of peloid therapy, is a bath prepared of peat pulp from wetlands. Balneotherapy in form of peat pulp baths is offered in many health resorts. Its therapeutic principle is based on thermal and/or biochemical effects of peloid application on the human body.

<span class="mw-page-title-main">Endre Mester</span>

Hungarian physician Endre Mester (1903–1984) was a pioneer of laser medicine, especially the use of low level laser therapy (LLLT). In 1967, only a few years after the first working laser was invented, he started his experiments with the effects of lasers on skin cancer. He is credited as the discoverer of positive biological effects of low power lasers, which have been advocated as alternative medicine for use in wound healing, smoking cessation, tuberculosis, temporomandibular joint disorders, and musculoskeletal conditions such as carpal tunnel syndrome, fibromyalgia, osteoarthritis, and rheumatoid arthritis. LLLT devices are popular and may bring about temporary relief of some types of pain. As of 2009, a summary from Quackwatch reported medical authorities found no reason to believe LLLT influence the course of any ailment or are more effective for pain control than other forms of heat delivery. Subsequent research has found LLLT may offer benefit in treating several health ailments, including rheumatoid arthritis, osteoarthritis, tendinopathy, and frozen shoulders.

Polynesian Spa is a developed geothermal spa facility in Rotorua, North Island, New Zealand.

<span class="mw-page-title-main">Arshan, Republic of Buryatia</span> Place in Buryatia, Russia

Arshan is a small resort village in the Tunkinsky District, Republic of Buryatia, Russian Federation. It is known for its mineral waters, spa, and the Khoymorski Datsan Boddhidharma Tibetan Buddhist temple. The name comes from the Buryat word for "spring."

<span class="mw-page-title-main">Buxton Baths</span> Listed buildings in Derbyshire, England

The Buxton Baths using natural thermal spring water are in Buxton, Derbyshire, England. The baths date back to Roman times and were the basis for developing Buxton as a Georgian and Victorian spa town. The present buildings of the Thermal Baths and the Natural Mineral Baths were opened in the 1850s. They are positioned either side of the Buxton Crescent at the foot of The Slopes in the town's Central Conservation Area. They are both Grade II listed buildings designed by Henry Currey, architect for the 7th Duke of Devonshire.

References

  1. Angus Stevenson, ed. (2007). "Definition of balneo therapy". Shorter Oxford English Dictionary . Vol. 1: A-M (6th ed.). Oxford: Oxford University Press. p. 180. ISBN   978-0-19-920687-2.
  2. Melillo, L. (1995). "Thermalism in the ancient world". Med Secoli. 7 (3): 461–483. PMID   11623481 . Retrieved 15 June 2022.
  3. Chisholm 1911.
  4. Matz, H; Orion, E; Wolf, R (2003). "Balneotherapy in dermatology". Dermatologic Therapy. 16 (2): 132–40. doi: 10.1046/j.1529-8019.2003.01622.x . PMID   12919115. S2CID   27602504.
  5. Sukenik S; Flusser, D; Codish, S; Abu-Shakra, M (1999). "Balneotherapy at the Dead Sea area for knee osteoarthritis". IMAJ. 1 (2): 83–85. PMID   10731301.
  6. Deniz Evcik; Kizilay, B; Gökçen, E (June 2002). "The effects of balneotherapy on fibromyalgia patients". Rheumatology International. 22 (2): 56–59. doi:10.1007/s00296-002-0189-8. PMID   12070676. S2CID   40868870.
  7. 1 2 3 4 Verhagen, Arianne P.; Bierma-Zeinstra, Sita M. A.; Boers, Maarten; Cardoso, Jefferson R.; Lambeck, Johan; de Bie, Rob; de Vet, Henrica C. W. (11 April 2015). "Balneotherapy (or spa therapy) for rheumatoid arthritis". The Cochrane Database of Systematic Reviews. 2015 (4): CD000518. doi:10.1002/14651858.CD000518.pub2. ISSN   1469-493X. PMC   7045434 . PMID   25862243.
  8. Verhagen AP; De Vet, HC; De Bie, RA; Kessels, AG; Boers, M; Knipschild, PG (October 1997). "Taking baths: the efficacy of balneotherapy in patients with arthritis. A systematic review". J Rheumatol. 24 (10): 1964–71. PMID   9330940.
  9. Falagas ME; et al. (2009). "The therapeutic effect of balneotherapy: Evaluation of the evidence from randomized controlled trials". International Journal of Clinical Practice. 63 (7): 1068–84. doi: 10.1111/j.1742-1241.2009.02062.x . PMID   19570124. S2CID   26008531.
  10. Peinemann F, Harari M, Peternel S, Chan T, Chan D, Labeit AM, Gambichler T. (May 2020). "Indoor salt water baths followed by artificial ultraviolet B light for chronic plaque psoriasis". The Cochrane Database of Systematic Reviews. 2020 (5): CD011941. doi:10.1002/14651858.CD011941.pub2. PMC   7199317 . PMID   32368795.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  11. Antonelli, Michelle; Donelli, David (2018). "Effects of balneotherapy and spa therapy on levels of cortisol as a stress biomarker: a systematic review". International Journal of Biometeorology. 62 (6).

Further reading