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Rheumatology 2001; 40: 4-6
© 2001 British Society for Rheumatology

Editorials

Prophylactic hydrotherapy

K. A. Reilly and H. A. Bird1

Reading Clinic, Reading and
1 Clinical Pharmacology Unit (Rheumatism Research), Chapel Allerton Hospital, Leeds, UK

The first 10% of the full text of this article appears below.

The role of hydrotherapy in the treatment of rheumatic diseases continues to arouse controversy. Understandably, enthusiasm is greatest and advocates are most vocal in countries where there are substantial facilities for balneotherapy and where the cost is traditionally reimbursed by health insurance schemes. There is also a strong cultural tradition of this, with whole journals devoted to the craft in Eastern and Germanic-speaking Europe. Western Europe, where the recovery of the cost from medical insurance is not normally possible, has adopted a more neutral position, tempered with scientific scepticism. In North America, apart from one or two notable centres famous for hydrotherapy, relaxing exercises in warm water have been the object of commercial exploitation, often with the use of ‘personal trainers’, a cult now spreading across Europe.

In the face of this divergent opinion, sometimes embellished with hype, is there a place for prophylactic . . . [Full Text of this Article]


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