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The
ancient Greeks believed that
water contained the essence of life and the secret
of health. In hydrotherapy, water is used internally and externally in all its
forms - hot and cold, as liquid, steam, or ice - to cleanse, revitalize,
restore, and maintain health. Traditionally, hydrotherapy consisted of baths, saunas,
and compresses, but in modern times, whirlpools and water jets have been
introduced. An established part of conventional medicine until the beginning of
the 20th century, hydrotherapy has long been practiced by naturopaths, and is
now enjoying a resurgence in popularity.
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| HISTORY
The
therapeutic properties of water have been valued throughout history by societies
around the world, from the Chinese to the Native Americans. In ancient Greece,
temples to Asklepios, god of medicine, were built near hot springs. In New
Zealand, natural hot springs have been used for centuries to improve health.
No
Roman town was deemed complete without baths where citizens could enjoy hot,
cold, and tepid immersions. In many towns, such as Baden-Baden in Germany, Spa
in Belgium, and Bath in the UK, the practice of "taking the waters"
at natural springs has continued to the present day. The first serious medical
use of the therapy was probably made by Vincent Priessnitz, who opened a spa in
the early 19th century at Grafenburg, Austria.
The
true pioneer of hydrotherapy, however, was Father Sebastian Kneipp, a
19th-century Bavarian monk who claimed that water could cure disease by
improving the elimination of waste products from the body. His patients
followed a program of hot and cold baths and compresses, foot baths, sitz
baths, steam baths, showers, and wraps - techniques still in use today.
In
Germany and a number of eastern European countries, hydrotherapy is still
widespread and is often subsidized by the government. It is an important part
of naturopathy, which is popular in the US and Australia, and has gained a
reputation as a cheap therapy with few side effects.
Water
has a remarkable ability to alter the body's blood flow, and this can be
manipulated by varying its temperature. Cold water is stimulating. It makes
surface blood vessels constrict, restricting blood flow and inhibiting the
biochemical reactions that cause inflammation. It sends blood toward the
internal organs, helping them to function more efficiently. Hot water,
conversely, is relaxing. It dilates blood vessels, which reduces blood pressure
and increases blood flow to the skin and muscles, easing stiffness. The
improved circulation boosts the immune system, helps remove waste products from
the body, and sends more oxygen and nutrients to the tissues to repair damage.
Some
therapies use hot and cold water alternately. This is said to stimulate the
hormonal system, reduce circulatory congestion caused by muscle spasm, and
relieve inflammation. Floating in warm water, unburdened by gravity, can also
be mentally soothing.
EVIDENCE & RESEARCH
European
studies in 1995 found that warm underwater jet massage enhanced athletes'
performances. American research in 1991 showed that hydrotherapy was helpful
for varicose veins, while two studies in Israel indicated that mud and mineral
baths were beneficial for rheumatoid arthritis. A 1986 study published in the British
Medical Journal concluded that sitz baths were helpful in healing anal
fissures.
The
effect of water as a vehicle for heat and cold is obvious. Recently,
conventional medicine has expressed renewed interest in the ability of water
temperature to affect body tissues, and in its buoyant and stimulating
properties, as used in physiotherapy. Hydrotherapy is an example of a therapy
that is not as far removed from conventional practice as it may appear.
CONSULTING
A PRACTITIONER
Hydrotherapy
is usually practiced at health farms and spas, particularly those founded on
naturopathic principles, and you are most likely to visit one if referred by a
naturopath. Treatments are diverse and will depend on your condition. They may
include some of the following: High-powered jets: Hot or cold water is directed
at your back for about 2-3 minutes as you face the wall, holding supports. Jets
are said to stimulate the circulation and internal organs, and are used for
anemia, amenorrhea, angina, arthritis, and asthma. Whirlpool baths: Immersing
the body in pressurized bubbles for about 15 minutes soothes and massages the
body and is also believed to treat sores, infected wounds, swellings, and
circulatory problems. Sitz baths (see below): This treatment uses two hip
baths, and may benefit hemorrhoids, menstrual problems, cystitis, incontinence,
and prolapse. Hot or warm baths: Soaking in hot water (about 100°F/38°C) for
20-30 minutes is believed to help arthritic conditions. Therapeutic herbs, oils
(see page 65), and minerals can be added to a warm bath. These include Epsom
salts to relieve swollen joints and relax muscles, finely blended oatmeal or
bran (possibly added in a muslin bag) to soothe the skin, and mineral
"muds" and extracts, such as Dead Sea salts, to nourish the skin.
Seawater
treatments ("thalassotherapy"):
Seawater is said to have healing properties, and minerals in seaweed are
believed to induce sweating, cleanse and tone the skin, and promote relaxation.
Treatments may include seawater jets, seaweed wraps, or
seawater
or kelp (seaweed) baths. Wraps: Cold, wet flannel sheets are wrapped
around your body, then covered with dry towels and finally blankets. After the
initial shock, the body warms up rapidly, drying the sheets. Wraps promote
sweating, which is said to flush out waste products, and may be used for
fevers, colds, bronchitis, back pain, and skin disorders. Compresses: Towels
are soaked in hot or cold water, wrung out and applied to the affected area of
the body. Hot compresses increase blood flow, make the body sweat, and ease
stiff muscles. Cold ones restrict circulation, reducing inflammation. Turkish
baths, steam rooms, and cabinets: Sitting in a hot, steamy room for about 20
minutes, or in a cabinet for up to 1 hour, induces sweating, eliminating
impurities and relieving water retention. Saunas: These are similar to
Turkish baths but generate dry rather than humid heat. PRECAUTIONS
Avoid hot baths, steam baths, and saunas if
you have high blood pressure, angina, or heart disease.
Avoid steam baths or sitz baths in the first
three months of pregnancy, and limit steam treatments to a maximum of 10
minutes for the remaining months.
Avoid steam treatment if you are
postoperative, epileptic, asthmatic, or have a history of thrombosis.
Avoid seaweed if you are allergic to iodine,
and do not add ingredients to a bath if you have an open wound. |