Balneotherapy in dermatology and rheumatology: a systematic review
DOI:
https://doi.org/10.12775/QS.2025.42.60807Keywords
balneology, balneotherapy, peloid baths, water bathsAbstract
Objective: Article’s aim is to characterize what a balneology is, what it consists of. To picture actual usage of balneotherapy in different fields of medicine; its possibilities and restrictions.
Methods: A vast literature review was conducted using PubMed database. Reviewed articles included systematic reviews, randomized controlled trials, observational studies and meta-analyses. Keywords included “balneology”, “balneotherapy”, “peloid baths”, “water baths”, “balneotherapy dermatology”, “balneotherapy rheumatology”.
Conclusions: Although balneotherapy might be considered as antiquated and according to some physicians, not scientifically proven, is efficient in reducing symptoms of some dermatological and rheumatological conditions due to its anti-inflammatory, keratolytic, antimicrobial, analgesic and myorelaxant effects. Albeit its role as complement therapy, it can achieve very good results alleviating pain and reducing amount of painkillers used, extending periods of remission or quality of live and well-being improvement.
References
[1] Tomczak H, Hansdorfer-Korzon R, Majkowicz M et al. Balneoterapia w kompleksowym leczeniu fibromialgii – przegląd wybranego piśmiennictwa. BÓL. (2016);17(1):33-37. https://doi.org/10.5604/1640324x.1202373.
[2] Annegret F, Thomas F. Long-term benefits of radon spa therapy in rheumatic diseases: results of the randomised, multi-centre IMuRa trial. Rheumatol Int. 2013;33(11):2839-2850. doi:10.1007/s00296-013-2819-8
[3] Latour T.: The evaluation criteria and generic classification of „healing mineral waters” and „natural mineral waters”. History, present time and new amendments proposals. Acta Balneol. 2018; 4(154):253-257 (in Polish)
[4] Ziemska J, Szynal T, Mazańska M, Solecka J. Natural medicinal resources and their therapeutic applications. Roczniki Państwowego Zakładu Higieny / Annals of the National Institute of Hygiene. 2019;70(4):407-413. doi:10.32394/rpzh/2019.0093.
[5] Gambichler T, Küster W, Kreuter A, Altmeyer P, Hoffmann K. Balneophototherapy--combined treatment of psoriasis vulgaris and atopic dermatitis with salt water baths and artificial ultraviolet radiation. J Eur Acad Dermatol Venereol. 2000;14(5):425-428. doi:10.1046/j.1468-3083.2000.00102-4.x
[6] Grzybowski G. The use of balneotherapy and balnephototherapy in the treatment of psoriasis vulgaris. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2003;20(5):307-310.
[7] Halevy S, Giryes H, Friger M, et al. The role of trace elements in psoriatic patients undergoing balneotherapy with Dead Sea bath salt. Isr Med Assoc J. 2001;3(11):828-832.
[8] David M, Efron D, Hodak E, Even-Paz Z. Treatment of psoriasis at the Dead Sea: why, how and when?. Isr Med Assoc J. 2000;2(3):232-234.
[9] Borroni G, Brazzelli V, Fornara L, et al. Clinical, pathological and immunohistochemical effects of arsenical-ferruginous spa waters on mild-to-moderate psoriatic lesions: a randomized placebo-controlled study. Int J Immunopathol Pharmacol. 2013;26(2):495-501. doi:10.1177/039463201302600223
[10] Léauté-Labrèze C, Saillour F, Chêne G, et al. Saline spa water or combined water and UV-B for psoriasis vs conventional UV-B: lessons from the Salies de Béarn randomized study. Arch Dermatol. 2001;137(8):1035-1039.
[11] Borroni G, Brazzelli V, Fornara L, et al. Clinical, pathological and immunohistochemical effects of arsenical-ferruginous spa waters on mild-to-moderate psoriatic lesions: a randomized placebo-controlled study. Int J Immunopathol Pharmacol. 2013;26(2):495-501. doi:10.1177/039463201302600223
[12] Shani J, Seidl V, Hristakieva E, Stanimirovic A, Burdo A, Harari M. Indications, contraindications and possible side-effects of climatotherapy at the Dead-Sea. Int J Dermatol. 1997;36(7):481-492. doi:10.1046/j.1365-4362.1997.00286.x
[13] Dikova A JA, Seite S. An Observational Study on Patients Suffering from Atopic Dermatitis Undergoing Balneotherapy. J Am Acad Dermatol. 2016; 76:AB41.
[14] Soroka Y, Ma'or Z, Leshem Y, et al. Aged keratinocyte phenotyping: morphology, biochemical markers and effects of Dead Sea minerals. Exp Gerontol. 2008;43(10):947-957. doi:10.1016/j.exger.2008.08.003
[15] Ma'or Z, Henis Y, Alon Y, Orlov E, Sørensen KB, Oren A. Antimicrobial properties of Dead Sea black mineral mud. Int J Dermatol. 2006;45(5):504-511. doi:10.1111/j.1365-4632.2005.02621.x
[16] Sachdev, H.; Chavda, R.; Mery, S. Interest of Associating Thermal Spring Water Spray with Emollient in the Maganement of Atopic Dermatitis; Poster at European Academy and Dermatology and Venerology: Berlin, Germany, 2009.
[17] Shani J, Seidl V, Hristakieva E, Stanimirovic A, Burdo A, Harari M. Indications, contraindications and possible side-effects of climatotherapy at the Dead-Sea. Int J Dermatol. 1997;36(7):481-492. doi:10.1046/j.1365-4362.1997.00286.x
[18] Little CJ, Kulyk WM, Chen X. The Effect of Chondroitin Sulphate and Hyaluronic Acid on Chondrocytes Cultured within a Fibrin-Alginate Hydrogel. J Funct Biomater. 2014;5(3):197-210. Published 2014 Sep 18. doi:10.3390/jfb5030197
[19] Jokić A, Sremcević N, Karagülle Z, Pekmezović T, Davidović V. Oxidative stress, hemoglobin content, superoxide dismutase and catalase activity influenced by sulphur baths and mud packs in patients with osteoarthritis. Vojnosanit Pregl. 2010;67(7):573-578. doi:10.2298/vsp1007573j
[20] Franke A, Reiner L, Pratzel HG, Franke T, Resch KL. Long-term efficacy of radon spa therapy in rheumatoid arthritis--a randomized, sham-controlled study and follow-up. Rheumatology (Oxford). 2000;39(8):894-902. doi:10.1093/rheumatology/39.8.894
[21] Reps VF, Kozlova VV. Biologicheskie mekhanizmy radonoterapii: eksperimental'nye i klinicheskie aspekty. (Obzor literatury) [Biological mechanisms of radon therapy: experimental and clinical aspects. (Literature review)]. Vopr Kurortol Fizioter Lech Fiz Kult. 2025;102(1):66-73. doi:10.17116/kurort202510201166
[22] Santos I, Cantista P, Vasconcelos C, Amado J. Balneotherapy and Rheumatoid Arthritis: A Randomized Control Trial. Isr Med Assoc J. 2016;18(8):474-478.
[23] Altan L, Bingöl U, Aslan M, Yurtkuran M. The effect of balneotherapy on patients with ankylosing spondylitis. Scand J Rheumatol. 2006;35(4):283-289. doi:10.1080/03009740500428806
[24] Schmidt KL. Scientific basis of spa treatment in rheumatic diseases. Rheumatol Europe 1995;24:136–40
[25] van Tubergen A, Landewé R, van der Heijde D, et al. Combined spa-exercise therapy is effective in patients with ankylosing spondylitis: a randomized controlled trial. Arthritis Rheum. 2001;45(5):430-438. doi:10.1002/1529-0131(200110)45:5<430::aid-art362>3.0.co;2-f
[26] Yurtkuran M, Ay A, Karakoç Y. Improvement of the clinical outcome in Ankylosing spondylitis by balneotherapy. Joint Bone Spine. 2005;72(4):303-308. doi:10.1016/j.jbspin.2004.06.006
[27] Ciprian L, Lo Nigro A, Rizzo M, et al. The effects of combined spa therapy and rehabilitation on patients with ankylosing spondylitis being treated with TNF inhibitors. Rheumatol Int. 2013;33(1):241-245. doi:10.1007/s00296-011-2147-9
[28] Fioravanti A, Perpignano G, Tirri G, et al. Effects of mud-bath treatment on fibromyalgia patients: a randomized clinical trial. Rheumatol Int. 2007;27(12):1157-1161. doi:10.1007/s00296-007-0358-x
[29] Ozkurt S, Dönmez A, Zeki Karagülle M, Uzunoğlu E, Turan M, Erdoğan N. Balneotherapy in fibromyalgia: a single blind randomized controlled clinical study. Rheumatol Int. 2012;32(7):1949-1954. doi:10.1007/s00296-011-1888-9
[30] Ardiç F, Ozgen M, Aybek H, Rota S, Cubukçu D, Gökgöz A. Effects of balneotherapy on serum IL-1, PGE2 and LTB4 levels in fibromyalgia patients. Rheumatol Int. 2007;27(5):441-446. doi:10.1007/s00296-006-0237-x
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Kacper Kiereta, Zuzanna Cichowska, Laura Chmielowiec, Katarzyna Wacławek, Kamil Janawa, Anna Ciesielka, Małgorzata Bacik, Aleksandra Rechcińska, Klaudia Głodowska, Bartłomiej Józef Rdzanek, Jakub Żelazo

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 60
Number of citations: 0