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What is Hydrotherapy? Getting to Know Therapy with “Water”

JINTANA KASEMSUWAN,M.D.

What is Hydrotherapy? Getting to Know Therapy with “Water”

When the body is injured or has chronic pain, physical therapy is considered a key element in rehabilitation. One therapeutic method that uses the properties of water as a tool is ‘hydrotherapy’ or Hydrotherapy. It is the use of buoyancy, viscosity, and temperature of water to help the body move joints and exercise effectively, especially for those who have severe pain or limitations in weight-bearing. Therefore, hydrotherapy is a gentle but highly effective option for physical rehabilitation.


Key Takeaways


  • Hydrotherapy or water therapy is a form of physical therapy that utilizes buoyancy, viscosity, and temperature of water to gently rehabilitate the body.
  • Hydrotherapy helps relieve chronic pain, improve movement efficiency, and enhance recovery after surgery.
  • People with underlying heart conditions should be cautious before deciding to undergo hydrotherapy. It is recommended to consult a doctor beforehand, as it may risk overworking the heart to a dangerous level.
  • Those with open wounds or skin infections should avoid hydrotherapy until the wounds are completely healed, as there is a high risk of infection.

What is Hydrotherapy and how does it work?


Hydrotherapy (Hydrotherapy) or water therapy (Water Therapy) is a form of physical therapy that utilizes the physical properties and temperature of water to rehabilitate the body. The process of hydrotherapy involves having the patient exercise or perform activities in a specially designed warm-water pool. The principle of water therapy is the use of three properties of water in treatment, namely:


  • Buoyancy helps reduce the weight pressing on joints and the spine, making the body feel lighter and allowing easier joint movement without pain or excessive impact. It is suitable for those with knee osteoarthritis or those who have undergone knee surgery.
  • Viscosity resists movement, making each exercise a form of muscle strengthening at the same time, without the need for weight equipment.
  • Temperature: warm water helps stimulate blood circulation, relax muscles, and relieve pain such as ankle or knee pain, making hydrotherapy a gentle yet effective rehabilitation method.

What are the benefits of hydrotherapy?


Hydrotherapy uses the properties of water for physical rehabilitation, resulting in various health benefits, especially for those with movement problems or chronic pain. The benefits of water therapy are as follows:


  • Reduces impact on joints: the buoyancy of water reduces pressure from body weight on the knees, hips, and spine, allowing rehabilitation exercises without causing repeated injury.
  • Relieves pain: warm water stimulates blood circulation and relaxes tense muscles, helping reduce joint pain, chronic muscle pain, or muscle inflammation.
  • Increases muscle strength: the viscosity of water acts as natural resistance, making muscles work harder during movement, thereby building strength and endurance simultaneously.
  • Post-surgical rehabilitation: helps initiate joint exercises and promotes faster return to movement.
  • Improves movement efficiency: the feeling of lightness in water allows joints to move more widely and stretch more easily, which is beneficial for treating joint stiffness.
  • Helps relieve stress: the warm water environment helps relax the body and mind, reduces anxiety, and promotes better sleep quality.

What conditions can hydrotherapy help rehabilitate?


Hydrotherapy is a highly effective and very gentle rehabilitation method because the buoyancy of water reduces force on joints. This allows injured individuals or those with shoulder pain, back pain, joint pain, or chronic neck pain to move more easily without repeated impact. The main benefits of hydrotherapy cover rehabilitation from conditions and diseases as follows:


  • Muscle pain and inflammation: warm water increases blood circulation and relaxes muscles, helping relieve muscle pain.
  • Joint diseases and knee osteoarthritis: suitable for those with knee pain, as water supports body weight, allowing strengthening exercises without pressure on injured joints.
  • Post-major surgery rehabilitation such as anterior cruciate ligament repair, after knee surgery, or treatment of shoulder dislocation, helping to start physical therapy earlier with lower risk.
  • Neurological disorders: helps rehabilitate and train balance in neurological patients such as Parkinson’s disease patients or stroke patients, as water allows safer movement and reduces the risk of falls.
  • Ankle swelling and joint stiffness: the viscosity of water acts as gentle resistance, helping build muscle strength and increase range of motion in affected joints, such as inflamed swollen ankles.

Precautions before hydrotherapy: what you should know


Although hydrotherapy is a gentle physical therapy method, there are important precautions that should be discussed with a doctor before starting:


  • If there are cardiovascular problems such as heart disease or high blood pressure, caution is needed regarding water temperature, which may cause the heart to work harder, and the exercise program intensity must be adjusted appropriately for each individual.
  • Those with bowel or urinary incontinence: if unable to control excretion, public pool use should be avoided to maintain hygiene standards of the pool water (if this condition exists, consult a physical therapist to find suitable therapy methods).
  • Acute illness or high fever: if there is high fever, acute illness, or severe dizziness, hydrotherapy should be postponed to prevent worsening of the condition.
  • Those with fresh wounds, open wounds, infections, or skin inflammation should not enter the pool due to the risk of infection and transmission.
  • Caution must be taken to prevent slipping. For those who cannot swim or have balance problems, a physical therapist should supervise at all times to prevent drowning.
  • Services should be chosen from facilities that control water quality and have standard disinfection to prevent infection.

Hydrotherapy: a method to rehabilitate movement for a fuller life


Hydrotherapy (Hydrotherapy) is a rehabilitation method that uses the buoyancy of water to reduce pressure on injured joints, allowing gentle and effective muscle strengthening and increased range of motion. If you want to rehabilitate joint pain or recover after surgery, you can consult the medical team at the Advanced Pain Management and Wellness Institute(Fix&Fit), Praram 9 Hospital. We are equipped with quality equipment and technology to help you recover and return to living life more fully.


For more information


Facebook : Praram 9 Hospital International & Expats

Line : @Praram9Hospital

Tel. 1270


Frequently Asked Questions about Hydrotherapy


1. How should one prepare before entering a hydrotherapy pool?


You should clean your body and wear appropriate swimwear. Eat easily digestible food before entering the pool, and inform the physical therapist in detail about any injuries or pain before each session.


2. How many sessions of hydrotherapy are needed to see results?


The number of sessions varies depending on each person’s physical condition and symptoms. Generally, improvements in strength and pain reduction begin to be seen after about 6–12 continuous sessions, according to the doctor’s recommendation.


References


Rapaport, L. (2024, October 10). What Is Hydrotherapy: Benefits, Risks, and Techniques. Everyday Health. https://www.everydayhealth.com/pain-management/hydrotherapy/


Types and Health Benefits of Hydrotherapy. (2021, November 5). Cleveland Clinic. https://health.clevelandclinic.org/what-is-hydrotherapy


Rath, L. (2023, July 6). Water Therapy. Arthritis Foundation. https://www.arthritis.org/health-wellness/treatment/complementary-therapies/natural-therapies/water-therapies


Johnson, J. (1970, January 1). Hydrotherapy: Types of treatments. Medical News Today. https://www.medicalnewstoday.com/articles/29108


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