Relief from arthritis using a hot tub

Painful or inflamed joints cause muscles to tense in an effort to protect them. Warm water and hydrotherapy help relax the muscles and allow greater range of motion in the joints. Many people find the comfort lasts for a while after leaving the spa. If you have arthritis, talk to your GP or physiotherapist about what suits you.

According to a publication from The Arthritis Foundation, Spas, Pools, and Arthritis, “Regular sessions in your hot tub help keep joints moving. It restores and preserves strength and flexibility, and also protects your joints from further damage. Exercise can also improve a person’s coordination, endurance, and the ability to perform daily tasks, and can lead to an enhanced sense of self-esteem and accomplishment.”

“A hot tub fulfills the need perfectly . . . providing the warmth, massage, and buoyancy that is so necessary to the well-being of arthritis sufferers. The buoyancy of the water supports and lessens stress on the joints and encourages freer movement. Water exercises may even act as a resistance to help build muscle strength.”

Canadian Spa have a range of hot tubs including portable spas, swim spas, sport pools and hot tubs that can seat from 2-7 people.

What warm water and jets can and can't do

The NHS says regular exercise suited to your condition is important for people with arthritis, and that physiotherapy can help. See the NHS pages on physiotherapy and the physical activity guidelines. Speak to your GP or physiotherapist about whether warm-water exercise suits you.

A gentle routine

1. Set the water to 36 to 37°C. Some people with arthritis prefer it slightly cooler for movement.
2. Get in slowly using the handrail and step.
3. Sit for two minutes with the jets off.
4. Do slow movements: shoulder rolls, ankle circles, gentle knee lifts and finger stretches. Stay within a comfortable range.
5. Turn the jets on low and let them work on stiff areas, not directly on a swollen joint.
6. Keep the total session to about 15 to 20 minutes.
7. Get out slowly, sit for a moment, and keep warm afterwards.

Safety

• Speak to your GP before starting, especially if you have a heart condition, blood pressure problems or diabetes.
• If a joint is hot, red and swollen during a flare, heat may not be comfortable. Ask your GP what to do during flares.
• Take care getting in and out. Steps with a handrail and a non-slip mat help.
• Don't use the hot tub after alcohol.
• You shouldn't use a hot tub while pregnant.

Features worth looking for

• Easy access: a lower cabinet or surround steps. See our spa steps and surrounds.
• Adjustable jets: jets you can turn down or off easily.
• Varied seat depths: so you can change position.
• A cover lifter: heavy covers are hard on painful hands and shoulders. A top mount cover lifter helps.
• Room to move: a swim spa gives space for walking and water exercise.

Frequently asked questions

How often should I use it?

Many people prefer short, regular sessions. Agree a routine with your GP or physiotherapist.

Is morning or evening better?

Some people find a morning soak eases morning stiffness; others prefer the evening. Try both and see what suits you.

Can I use it alongside physiotherapy?

Ask your physiotherapist. They can suggest movements that suit your joints.