Internal and Emergency Medicine

, Volume 14, Issue 1, pp 187–190 | Cite as

Sulphurous mud-bath therapy for treatment of chronic low back pain caused by lumbar spine osteoarthritis

  • Maria CostantinoEmail author
  • Valeria Conti
  • Graziamaria Corbi
  • Francesco Marongiu
  • Mariagrazia Bathilde Marongiu
  • Amelia Filippelli
Research Letter to the Editor

Dear Editor,

Chronic low back pain (CLBP) is one of the most important causes of workplace absenteeism with deleterious social and economic consequences.

Several factors are involved in CLBP development, such as lumbar spine osteoarthritis that is a degenerative process characterized by functional limitations, and significant psychological distress with a negative effect on Quality of Life (QOL) [1].

There is the literature that reports that mood disorders, such as anxiety and depression, are often associated with CLBP caused by lumbar spine osteoarthritis [2], which, in turn, might cause insomnia [3].

Given the very high prevalence of CLBP, physicians are interested in testing feasible therapeutic interventions, including those representing complementary medicine, such as sulphurous mud-bath therapy, a salus per aquam (spa) treatment, commonly prescribed to contrast CLBP caused by lumbar spine osteoarthritis [4].

This technique includes mud made up by a combination of clay and...




Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Statement of human and animal rights

The study was conducted in according to the guidelines of the Declaration of Helsinki and its amendments.

Informed consent

All participants provided their informed consent.


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Copyright information

© Società Italiana di Medicina Interna 2018

Authors and Affiliations

  1. 1.Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”University of SalernoBaronissi, SalernoItaly
  2. 2.Association non-profit F.I.R.S.Thermae (Interdisciplinary Training, Researches and spa Sciences) in Italian National Register of Research of MIURNaplesItaly
  3. 3.Department of Medicine and Health SciencesUniversity of MoliseCampobassoItaly

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