Eczema, also known as atopic dermatitis, is a chronic inflammatory skin condition that affects over 31 million Americans according to the National Eczema Association. Living with eczema and other such skin conditions is a constant battle as itchiness, redness and discomfort frustrate you more than ever.
While conventional treatments like topical steroids can help reduce symptoms but don't provide a cure. Hydrotherapy, or water therapy, is an alternative treatment that some claim can relieve eczema and other skin conditions naturally.
Curious to know what is hydrotherapy for eczema and skin conditions, and how it works? Let's take a closer look.
What is hydrotherapy?
Hydrotherapy, or water therapy, involves using water in different temperatures and forms to help moisturise, soothe, and reduce inflammation. It can be done with different types of water, such as fresh, salt, mineral, or thermal water.1 Hydrotherapy can have various benefits for the body and mind, such as:
- Improving blood circulation and oxygen delivery
- Reducing inflammation and pain
- Relaxing muscles and nerves
- Enhancing mood and sleep quality
- Detoxifying the skin and body
How does hydrotherapy benefit the skin?
Our skin loves water almost as much as we do. Hydrotherapy can benefit the skin in various ways, not only for eczema but also for other skin conditions and concerns. Some of the benefits of hydrotherapy for the skin are:
Moisturisation
We all know water acts like a big humidifier, right? Well, it does the same thing for your skin - it draws moisture up from the lower layers.2 After hydrotherapy your skin feels hydrated and prevents water loss. Hydrated skin is more elastic, smooth, and healthy, and less prone to dryness, cracking, and irritation.
Healing
Hydrotherapy also helps heal your skin by stimulating blood flow and oxygen delivery, which promote tissue regeneration and wound healing.3 It causes your blood vessels to open up so your circulation improves. More blood means bringing more nutrients to your skin cells. This keeps your skin healthy and happy.
Detoxification
Water helps flush toxins, bacteria, dead skin cells and waste from pores. This cleansing effect leaves skin feeling fresh and looking clearer. Hot water in particular opens pores for deeper cleansing. Your pores get all opened up too so the impurities can release. No wonder your complexion looks brighter!
Relaxation
Hydrotherapy can help relax the skin by reducing stress and tension, which can have negative effects on the skin, such as premature ageing, acne, and inflammation.4 Hydrotherapy can also help relax the muscles and nerves, which can improve the skin tone and texture. The relaxation response may help minimise fine lines and wrinkles over time.
Reduces inflammation
Some research even says hydrotherapy can help reduce inflammation. If you have sensitive skin issues like eczema or rosacea, hydrotherapy might give relief from swelling and irritation.5 The water pressure works wonders on sore muscles too, including those tiny facial ones. Over time, this deep relaxation could help fight wrinkles.
Hydrotherapy for eczema
Hydrotherapy can help treat eczema by maintaining skin integrity and hydration while reducing skin water loss. Hydrotherapy for eczema involves using water-based treatments to alleviate symptoms and improve the condition of the skin.
Avene thermal spring water (ATSW) has been studied extensively and has shown therapeutic effects on atopic dermatitis (AD. It has been found to have anti-inflammatory effects, improve keratinocyte differentiation, and modulate cytokines involved in AD.6
Balneotherapy, which involves the use of mineral water, has been found to improve skin lesions such as eczematous dermatitis and non-specific skin issues when used for at least three or more days. It has also been observed that longer durations of balneotherapy, such as a week or longer, lead to even better outcomes in improving skin lesions.7
Thermal water treatment offers several advantages in treating skin diseases. It does not require the use of chemicals or potentially harmful drugs, has minimal side effects, and poses a low risk to the patient's general health and well-being.8
The exact molecular mechanisms underlying the efficacy of hydrotherapy in treating skin conditions are complex and not fully understood.
However, hydrotherapy treatment can be a beneficial and complementary approach for managing chronic inflammatory skin diseases.
What other skin conditions can hydrotherapy treat?
Hydrotherapy is not only beneficial for eczema, but also for other skin conditions that affect the appearance, function, or health of the skin. Some of these conditions are:
- Acne: Hydrotherapy can help reduce acne by cleansing the pores, removing excess oil, and killing bacteria. It can also reduce inflammation and redness, and promote healing of the skin.8
- Psoriasis: Hydrotherapy can help relieve psoriasis by moisturising the skin, removing scales, and soothing itchiness. It can also reduce stress, which is a common trigger for psoriasis flare-ups.
- Seborrheic dermatitis: Hydrotherapy can help manage seborrheic dermatitis by soothing the skin, reducing scaling, and controlling inflammation. It can also help improve skin barrier function and prevent fungal overgrowth.
Tips for using hydrotherapy safely and effectively
- If you want to try hydrotherapy for your skin, here are some best practices:
- Start with warm (not hot) water and test your tolerance. Cool water may also help reduce itch and inflammation.
- Use soothing ingredients like Dead Sea salt, baking soda or oatmeal to further benefit skin. Avoid irritating soaps.
- Limit bath time to 10-15 minutes max to avoid drying out skin further. Moisturize within 3 minutes of drying off.
- Consider targeted shower streams in affected areas if a full bath isn't practical.
- Seek guidance from a medical hydrotherapist to develop an appropriate home regimen.
- Monitor results and discuss with your doctor, as hydrotherapy is meant to complement prescription creams not replace them.
- By incorporating hydrotherapy carefully and as an adjunct therapy, most people can realize relief from chronic skin issues like eczema naturally and safely. Its anti-inflammatory effects make it a worthwhile addition to treatment plans.
Caution
Hydrotherapy is an alternative treatment option not approved by the FDA. While generally safe, it may cause some risks.
Here are some potential cautions of hydrotherapy:
- Consult a doctor before starting any hydrotherapy treatment if you have a medical condition like heart disease or diabetes. Certain conditions may contraindicate specific hydrotherapy methods.
- Avoid very hot water soaks, as excessive heat can dehydrate the skin or cause dizziness/fainting in some people. Lukewarm water is generally best tolerated.
- Test your tolerance for cold/cool water before using thermal contrast techniques like alternating hot and cold. Such methods come with a risk of temperature shock.
- Pregnant women should check with their obstetrician before engaging in vigorous hydrotherapy like swimming or jet baths, as these can involve force/pressure on the abdomen.
- Watch for signs of overhydration like swollen fingers/wrists if soaking for extended periods of time. Limit bath time if this occurs.
- Use caution when getting in and out of tubs or pools to prevent slips and falls, especially for older adults at higher risk of falls.
- Certain essential oils added to baths may cause skin irritation in sensitive individuals. Do a small patch test first.
- Seek guidance from a qualified hydrotherapy practitioner for specific conditions or complex treatment routines. Improper use provides no benefit and risks harm.
- As with any therapy, discontinue use if side effects like increased pain or discomfort arise, and consult a medical provider.
FAQ’s
What are the benefits of hydrotherapy for the skin?
Hydrotherapy can benefit the skin in various ways, such as hydration, healing, protection, detoxification, relaxation, and inflammation reduction. It can also improve blood circulation, oxygen delivery, mood, and sleep quality.
Is thermal water good for your skin?
Thermal water is water from natural hot springs that has minerals and trace elements for the skin. It can hydrate, heal, protect, detoxify, and relax the skin, reduce inflammation and improve blood circulation. However, there is not much scientific evidence for thermal water, and the results may vary. Thermal water is not a cure, and it should be used with other therapies.
Is hydrotherapy safe?
Hydrotherapy is usually safe, but it can cause problems if done wrong or too much. Some are skin irritation, infection, dehydration, allergy, or sensitivity. Ask your doctor before starting hydrotherapy, especially if you have health issues or allergies.
What type of condition is hydrotherapy used for?
Hydrotherapy can help treat various conditions and symptoms, such as:
- Joint pain, stiffness, sprains, and arthritis.
- Muscle pain, soreness, and spasms.
- Skin conditions, such as eczema, psoriasis, and acne.
- Stress, anxiety, depression, and insomnia.
- Respiratory problems, such as asthma, bronchitis, and sinusitis.
- Digestive disorders, such as constipation, irritable bowel syndrome, and ulcers.
Summary
Hydrotherapy is a natural and holistic treatment that can help improve eczema and other skin conditions. It can help hydrate, heal, and protect your skin, as well as reduce inflammation, pain, and itching. Hydrotherapy can also enhance your overall well-being, as it can relax your body and mind. However, hydrotherapy is not a cure for eczema, and it should be used as a complementary treatment along with other therapies. If you want to try hydrotherapy for eczema and skin conditions, consult your doctor first and follow the proper guidelines.
References
- Nagaich U. Hydrotherapy: Tool for preventing illness. J Adv Pharm Technol Res [Internet]. 2016 [cited 2024 Jan 26]; 7(3):69. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4932807/.
- Figueiredo AC, Rodrigues M, Mourelle ML, Araujo ARTS. Thermal Spring Waters as an Active Ingredient in Cosmetic Formulations. Cosmetics [Internet]. 2023 [cited 2024 Jan 26]; 10(1):27. Available from: https://www.mdpi.com/2079-9284/10/1/27.
- Liang J, Kang D, Wang Y, Yu Y, Fan J, Takashi E. Carbonate Ion-Enriched Hot Spring Water Promotes Skin Wound Healing in Nude Rats. PLoS One [Internet]. 2015 [cited 2024 Jan 26]; 10(2):e0117106. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4324962/.
- Wang T, Wang J, Chen Y, Ruan Y, Dai S. Efficacy of aquatic exercise in chronic musculoskeletal disorders: a systematic review and meta-analysis of randomized controlled trials. J Orthop Surg Res [Internet]. 2023 [cited 2024 Jan 26]; 18:942. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10704680/.
- Moini Jazani A, Ayati MH, Nadiri AA, Nasimi Doost Azgomi R. Efficacy of hydrotherapy, spa therapy, and balneotherapy for psoriasis and atopic dermatitis: a systematic review. Int J Dermatol. 2023; 62(2):177–89.
- Guerrero D, Garrigue E. Eau thermale d’Avène et dermatite atopique: Avène’s thermal water and atopic dermatitis. Annales de Dermatologie et de Vénéréologie [Internet]. 2017 [cited 2024 Jan 26]; 144:S27–34. Available from: https://www.sciencedirect.com/science/article/pii/S0151963817310402.
- Gebretsadik A. Effect of Balneotherapy on Skin Lesion at Hot Springs in Southern Ethiopia: A Single-Arm Prospective Cohort Study. Clin Cosmet Investig Dermatol [Internet]. 2023 [cited 2024 Jan 26]; 16:1259–68. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10200103/.
- Cacciapuoti S, Luciano MA, Megna M, Annunziata MC, Napolitano M, Patruno C, et al. The Role of Thermal Water in Chronic Skin Diseases Management: A Review of the Literature. Journal of Clinical Medicine [Internet]. 2020 [cited 2024 Jan 26]; 9(9):3047. Available from: https://www.mdpi.com/2077-0383/9/9/3047.

