Effect of combined spa and physical therapy on pain in various chronic diseases

Objective: The purpose of this study was to exhibit the effect of combined therapy (spa and physical therapy) on pain in various chronic diseases. Methods: Retrospectively, 472 (58.1% female and 41.9% male) spa and physical therapy patients with a mean age of 53.4 ± 12.5 years were evaluated during 2001-2004 from the archives of Dumlupinar University TUTAV Thermal Cure Center. Before, after therapy and before discharging, visual analog scale (VAS) for pain, heart and respiratory rates, systolic and diastolic blood pressures were measured for hemodynamic evaluations. Results: Arthrosis (230 patient, 48.7%) was found to be the main problem in our patients. Ankle arthrosis, fibromyalgia and cervical disc herniation were found with the highest VAS values compared to other pathologies before spa therapy (p0,05), Heart and respiratory rate were statistically increased (p0.05) immediately after spa therapy. Before discharging, all hemodynamic parameters were found statistically decreased before treatment and immediately after spa therapy (p