Balneotherapy in rheumatic diseases: what scientific evidence is there?

EVENTO FORMATIVO N.: 
132143
NUMERO CREDITI: 
6.00
EDIZIONE N.: 
1
SEDE DELL'EVENTO: 
CONGRESS VENUE
Terme Antica Querciolaia
Via Trieste, 22
53040 Rapolano Terme (SI)

Mar

29

Settembre

2015

da 09:00 a 18:15

QUOTA D'ISCRIZIONE: 

Registration is free

SEGRETERIA SCIENTIFICA: 
Antonella Fioravanti, Siena, Italy
Chiara Giannitti, Siena, Italy
Nicola Antonio Pascarelli, Siena, Italy
DOCENTI: 
Mahmoud Abu Shakra, Beer Sheva, Israel
Alberto Cauli, Cagliari, Italy
Sara Cheleschi, Siena, Italy
Franco Cozzi, Padova, Italy
Antonella Fioravanti, Siena, Italy
Mauro Galeazzi, Siena, Italy
Chiara Giannitti, Siena Italy
Giacomo Maria Guidelli, Siena Italy
Yehuda Shoenfeld, Tel-Aviv, Israel
Sara Tenti, Siena, Italy
Elias Toubi, Haifa, Israel
 

 

INTRODUCTION TO THE CONGRESS
Spa (salus per aquam) therapy comprises a broad spectrum of therapeutic modalities including hydrotherapy, balneotherapy, physiotherapy, mud-pack therapy, exercise, and even the change in environment and lifestyle.
Nowadays, it still represents a popular treatment for many rheumatic diseases, because of their chronic nature, problems related to the use of drugs that often have significant side effects, and the occasional lack of valid therapeutic strategies. Thousands of years of history and the abundance of spa resorts in many European countries and Israel have undoubtedly contributed to the popularity of these therapies.
The results of recent studies showed that balneotherapy and mud-bath therapy improved pain and function as well as the quality of life in patients with rheumatic diseases, such as osteoarthritis, fibromyalgia syndrome, low-back pain, psoriatic arthritis and spondyloarthritis. Interestingly, the clinical efficacy lasts over time, after the treatment. Furthermore, mud-bath therapy resulted to be well tolerated and have a lower percentage of side effects, which also are less severe, than those associated with pharmacological treatments. Today, this practice is not only used to treat many disorders and diseases, but also in rehabilitation and to improve the quality of life in general. Currently, rehabilitation in water is a fundamental way of ensuring modern and valid functional recovery for neurological and rheumatic conditions.
The mechanisms of action of bath and mud-bath therapy is probably the result of a combination of factors, among which the mechanical, thermal and chemical effects are most prominent. New interesting evidence in basic research clarified the effects deriving from the application of thermal treatments.
Spa therapy seems to have a role in the treatment of many rheumatic diseases, however, it cannot substitute for conventional therapy but can complement to it.