Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Mineral water, especially from natural springs or spas, has a long history of traditional use in the management of rheumatic diseases, including rheumatoid arthritis (RA). This tradition is particularly strong in European countries, where "balneotherapy" (the use of bathing in mineral-rich waters) has been practiced for centuries. Historical records and observational studies suggest that patients with RA have sought relief from symptoms such as joint pain and stiffness by bathing in or drinking mineral-rich waters. The proposed mechanisms traditionally include the thermal effects of warm water, relaxation, and possible anti-inflammatory effects from absorbed minerals like sulfur or magnesium. Modern scientific evidence supporting the use of mineral water for RA is limited and of low quality. Some small clinical studies and reviews (e.g., Cochrane Reviews on balneotherapy) suggest that spa therapy and mineral baths may offer short-term symptomatic relief for pain and improve joint mobility, but these benefits are generally modest and may be confounded by other factors such as relaxation and the spa environment. Systematic reviews generally conclude that while there is some evidence of benefit, it is not robust, and mineral water therapy should not replace standard medical treatments for RA. Overall, mineral water is used for RA based on tradition, with limited scientific validation.

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