EC Clinical and Medical Case Reports

Salus per Aquam (Spa) therapy (or medicine) uses “healing” waters as part of its treatment regimen—in particular, sulfate mineral water (containing predominantly sulfate anion SO4²⁻). The therapy generally incorporates hydrotherapy, therapeutic drinks, medical massage, water jet massage, bathing, and physical therapy in thermal water. Over many centuries, countries have used spa therapy to treat various diseases and promote overall wellness. The mechanisms by which broad spectrums of diseases respond to spa therapy incorporate chemical, thermal, and mechanical effects. Spa mineral waters are chemically classified as sulfurous, sulfate, arsenical-ferruginous, and bicarbonate. Clinical treatment typically uses sulfate mineral waters with sulfate anion SO4²- as the predominant element. Spa therapy techniques primarily prevent, treat, and rehabilitate musculoskeletal conditions. However, they have also shown promise for several other indications, including treating or rehabilitating dermatological, immuno-inflammatory, chronic pain syndrome, cardiac, metabolic, and neurological diseases. Here, we describe the antioxidant and therapeutic role of thermal or spa mineral water in specific health conditions and disorders and its improvement of quality of life (QoL).

Keywords: Cardiovascular Disorders; Chronic Pain Syndrome; Medical Mineral Water; Natural Remedies for Skin Conditions; Physical Therapy; Sulfate Mineral Water

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