Soaking in Hot Springs May Be Effective for Chronic Back Pain: Study Shows Promise

Millions worldwide suffer from chronic low back pain, a condition that can significantly impact daily life. While various treatment options exist, finding lasting relief can be challenging. A study suggests that soaking in hot springs, also known as balneotherapy, could be a valuable tool in managing this condition.

The study, conducted by researchers [insert researcher name here] and colleagues, involved 137 participants with chronic low back pain. They were divided into two groups: one received regular outpatient care, while the other received balneotherapy in addition to their regular care.

The balneotherapy group soaked in 42°C thermal-mineral water for 15 sessions over three weeks. Researchers measured pain levels using a visual analogue scale (VAS), a widely used tool where participants rate their pain on a 0-100 scale. They also assessed participants’ disability using the Oswestry index, quality of life with the EuroQol-5D-5L (EQ-5D-5L) questionnaire, and the number of participants who considered their symptoms “acceptable” (Patient Acceptable Symptom State, PASS).

Significant Improvements Seen in Balneotherapy Group

Excitingly, the balneotherapy group saw significant improvements in several key areas compared to the control group:

  • Reduced Pain: Pain scores on the VAS were significantly lower in the balneotherapy group at both the three-week and twelve-week follow-up compared to baseline (before treatment). On movement, pain scores dropped from an average of 66.82 to 20.09 (a substantial decrease), while at rest, scores dropped from 66.82 to 26.69.
  • Improved Function: The balneotherapy group also showed significant improvement on the Oswestry index, indicating a reduction in pain-related disability.
  • Enhanced Quality of Life: The balneotherapy group reported a significant increase in their quality of life score on the EQ-5D-5L questionnaire.
  • More Participants Reporting “Acceptable” Symptoms: Importantly, a greater number of participants in the balneotherapy group considered their symptoms acceptable (PASS) compared to the control group, highlighting the potential for improved well-being.

Limitations and Next Steps

While the study results are promising, the researchers acknowledge limitations. The sample size could be larger for more definitive conclusions. Additionally, the specific mechanisms by which balneotherapy works need further investigation.

The Future of Balneotherapy for Chronic Back Pain

If future studies with larger sample sizes confirm these findings, balneotherapy could become a more widely recommended treatment option for chronic low back pain. This approach offers a potentially more enjoyable and effective method for pain management, ultimately improving patients’ quality of life and overall well-being.

Tefner I, Bender T, Kleiber J, Hodosi K, Gáti T. 2023. The effects of immersion in 42℃ radon, natrium, calcium, bicarbonate content thermal-mineral water on chronic low back pain. Controlled, follow-up study. Int. J Biometeorolgy. 67(3):527-537.  doi: 10.1007/s00484-023-02433-3.

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