Thermalisme et médecine vasculaire

The therapeutic utilisation of mineral waters is very ancient. The physiological effects of immersion are now well known. Immersion results in a significant increase of diuresis, cardiac output and haemodilution. The subsequent improved tissue perfusion and decreased oedema are beneficial, in case of occlusive lower limb arteriopathy and in case of chronic venous insufficiency. Fourteen French spas are specialized in the management of arteriopathies, and 11 other centres in that of chronic venous insufficiency. Thermatology is a complementary therapy; it should be combined with a kinesitherapy and the management of risk factors. During the thermal procedure, health education should be undertaken. Main indications are ischemic lower limb arteriopathies, and chronic venous insufficiency whichever the posture.