Hydrotherapy for Spinal Arthritis in the Lower Back

To combat symptoms associated with spinal arthritis in the lower back, hydrotherapy, or treatment through submersion in water, is often recommended. It is a particularly useful alternative for patients whose pain, stiffness, and other symptoms make it difficult to cope with a land-based exercise regimen.

What Does Hydrotherapy Involve?

Hydrotherapy can take place in a pool, a whirlpool, a water spa, and even in a bathtub. It can include activities such as swimming, stretching, wading, “peddling” the legs under water, and more. Hydrotherapy also can be used in combination with low-impact land exercises, depending on the mobility of the patient.

The Benefits of Water TherapyAlthough no scientific study has confirmed that hydrotherapy can provide relief for patients suffering from spinal arthritis in the lower back, there are several undeniable benefits of exercising or rehabilitating in water. These include: • The natural soothing sensation of water set at a certain temperature

(warm or cold can be used, depending on the patient).• The ability of water in motion (as in a whirlpool) to help relax muscles and

reduce swelling.• The elimination of the potentially painful jarring motion inherent to

walking or jogging.• Aerobic exercise and hydrostatic pressure, which both aid in the

improvement of cardiovascular health.

Who Should Avoid Hydrotherapy?

While performing therapeutic exercises in water presents little danger to those who know how to swim, non-swimmers should inform their physical therapist or doctor before consenting to a program of hydrotherapy. In addition, patients suffering from a high fever, severe cardiovascular disease, incontinence, or an infection of some sort should not attempt hydrotherapy for spinal arthritis in the lower back. In fact, even the strongest swimmers should consult with their doctor or therapist before beginning any kind of exercise regimen designed to treat arthritis symptoms.

Additional Treatment OptionsAlong with hydrotherapy, patients with spinal arthritis in the lower back may also find symptomatic relief with other nonsurgical, conservative therapies. Some of the most common doctor-recommended methods include non-steroidal anti-inflammatory drugs (NSAIDs), pain medication, facet joint injections, hot or cold therapy, and lifestyle modifications, among others.