Carbonated mineral water in chronic obliterative arteriopathy - Baths with mineral waters carbonated sodas are a treatment method used in several seaside resorts in our country for chronic obliterative arteriopathy of the lower limbs.
Chronic Peripheral Obliterative Arteriopathy is manifested by:
Balneotherapy with carbonated mineral water has been clinically applied for a long time in European countries, as well as in spas in our country, to relieve the symptoms of this condition.
Although CO2 mineral springs contain many types of mineral substances, depending on the geographical location, the effects of carbonated baths appear to be attributable to high CO2 concentrations.
A bath containing high concentrations of CO2 causes effects on physiological functions such as vasodilation and increased cutaneous blood flow. Bathing with carbonated mineral water increases arteriolar blood flow in the skin, as demonstrated with the fluvograph, the vasodilator effect being directly proportional to the concentration of carbon dioxide in the mineral bath.
In a complete bath, between 10 and over 80 ml/min/m² of carbon dioxide is absorbed through the skin surface, on average 30 ml/min/m² of carbon dioxide (equivalent to 1.8-4.5 l/h), depending on the concentration, method of measurement and temperature. This corresponds to 10% -12% of the amount of carbon dioxide to which the body is exposed during this period. Carbon dioxide is therefore absorbed by the body 100 times more strongly than water.
There are numerous indications of carbonated mineral water baths, mainly for chronic circulatory disorders based on atherosclerotic diseases such as occlusive peripheral arterial disease, trophic ulcerations, microangiopathies of various origins, and mild hypertension.
The temperatures used in carbonated baths are below 34°C, below the thermoindifference temperature of the water, being hypothermal baths.
Successive applications of carbon dioxide may be clinically effective in patients with arterial obstruction in the lower extremities. And they may also interrupt the generation of free radicals, according to recent studies.
However, the desired, long-term sustained effects of carbonated mineral water baths can only be achieved through serial applications that determine the ultimate effectiveness of the carbon dioxide bath.
According to a study conducted in Băile Tusnad, the treatment spa The rehabilitation with natural therapeutic factors has influenced the clinical and functional picture, significantly leading to pain relief in the lower limbs. But also an improvement in the quality of gait in patients with chronic obliterative arteriopathy, an increase in the perimeter of walking. Also in this center,,Therapeutic education and medical rehabilitation program for patients with chronic peripheral obliterative artery disease."
References:
Gabriela Dogaru, Ioana Stănescu, Daniela Pop, Marieta Motricală, Molnár Ákos. Effects of carbonated mineral water treatment in Băile Tușnad on chronic arterial occlusive disease - a case report . Balneo Research Journal. 2017;8(3):121-124 Full Text DOI 10.12680/balneo.2017.146
Dogliotti G, Galliera E, Iorio E, De Bernardi Di Valserra M, Solimene U, MM courses. Effect of immersion in CO2-enriched water on free radical release and total antioxidant status in peripheral arterial occlusive disease.Int Angiol. 2011 Feb;30(1):12-7.
Dr. Gabriela Dogaru
Primary Doctor Recovery, physical medicine and balneology - Clinical Hospital for Recovery Cluj Napoca
First Vice-President of the Romanian Association of Balneology
Vice-President Romanian Society of Physical Medicine, Recovery and Balneoclimatology
Primary Doctor Recovery, physical medicine and balneology - Clinical Hospital of Recovery Cluj Napoca, First Vice President Romanian Association of Balneology
