Spa
Encyclopedia
The term spa is associated with water treatment which is also known as balneotherapy
Balneotherapy
Balneotherapy is the treatment of disease by bathing, usually practiced at spas. While it is considered distinct from hydrotherapy, there are some overlaps in practice and in underlying principles. Balneotherapy may involve hot or cold water, massage through moving water, relaxation or stimulation...

. Spa town
Spa town
A spa town is a town situated around a mineral spa . Patrons resorted to spas to "take the waters" for their purported health benefits. The word comes from the Belgian town Spa. In continental Europe a spa was known as a ville d'eau...

s or spa resorts (including hot spring
Hot spring
A hot spring is a spring that is produced by the emergence of geothermally heated groundwater from the Earth's crust. There are geothermal hot springs in many locations all over the crust of the earth.-Definitions:...

s resorts) typically offer various health treatments. The belief in the curative powers of mineral waters goes back to prehistoric times. Such practices have been popular worldwide, but are especially widespread in Europe and Japan. Day spa
Day spa
A day spa is a business establishment which people visit for professionally administered personal care treatments such as massages and facials. It is similar to a beauty salon in that it is only visited for the duration of the treatment. Day spas sited in airport terminals are often called airport...

s are also quite popular, and offer various personal care treatments.

Origins of the term

The term is derived from the name of the town of Spa, Belgium
Spa, Belgium
Spa is a municipality of Belgium. It lies in the country's Walloon Region and Province of Liège. It is situated in a valley in the Ardennes mountain chain, some southeast of Liège, and southwest of Aachen. As of 1 January 2006, Spa had a total population of 10,543...

, whose name is known back to Roman times, when the location was called Aquae Spadanae, sometimes incorrectly connected to the Latin
Latin
Latin is an Italic language originally spoken in Latium and Ancient Rome. It, along with most European languages, is a descendant of the ancient Proto-Indo-European language. Although it is considered a dead language, a number of scholars and members of the Christian clergy speak it fluently, and...

 word "spargere" meaning to scatter, sprinkle or moisten.

Since medieval times, illnesses caused by iron deficiency were treated by drinking chalybeate
Chalybeate
Chalybeate waters, also known as ferruginous waters, are mineral spring waters containing salts of iron.-Name:The word "chalybeate" is derived from the Latin word for steel, "chalybs", which follows from the Greek word "khalups"...

 (iron-bearing) spring water (in 1326, the ironmaster Collin le Loup claimed a cure, when the spring was called Espa, a Walloon
Walloon language
Walloon is a Romance language which was spoken as a primary language in large portions of the Walloon Region of Belgium and some villages of Northern France until the middle of the 20th century. It belongs to the langue d'oïl language family, whose most prominent member is the French language...

 word for "fountain").

In 16th century England
England
England is a country that is part of the United Kingdom. It shares land borders with Scotland to the north and Wales to the west; the Irish Sea is to the north west, the Celtic Sea to the south west, with the North Sea to the east and the English Channel to the south separating it from continental...

, the old Roman
Ancient Rome
Ancient Rome was a thriving civilization that grew on the Italian Peninsula as early as the 8th century BC. Located along the Mediterranean Sea and centered on the city of Rome, it expanded to one of the largest empires in the ancient world....

 ideas of medicinal bathing were revived at towns like Bath, and in 1596 William Slingsby
William Slingsby
Sir William Slingsby , was an English soldier, who is noted as the discoverer of the first spa water well in Harrogate, North Yorkshire....

 who had been to the Belgian town (which he called Spaw) discovered a chalybeate spring in Yorkshire
Yorkshire
Yorkshire is a historic county of northern England and the largest in the United Kingdom. Because of its great size in comparison to other English counties, functions have been increasingly undertaken over time by its subdivisions, which have also been subject to periodic reform...

. He built an enclosed well at what became known as Harrogate
Harrogate
Harrogate is a spa town in North Yorkshire, England. The town is a tourist destination and its visitor attractions include its spa waters, RHS Harlow Carr gardens, and Betty's Tea Rooms. From the town one can explore the nearby Yorkshire Dales national park. Harrogate originated in the 17th...

, the first resort in England for drinking medicinal waters, then in 1596 Dr Timothy Bright
Timothy Bright
Timothy Bright, M.D. was an English physician and clergyman, the inventor of modern shorthand.-Early life:Bright was born in or about 1551, probably in the neighbourhood of Sheffield. He matriculated as a sizar at Trinity College, Cambridge, 'impubes, æt. 11,' on 21 May 1561, and graduated B.A. in...

 after discovering a second well called the resort The English Spaw, beginning the use of the word Spa as a generic description.

It is commonly claimed, in a commercial context, that the word is an acronym of various Latin phrases such as "Salus Per Aquam" or "Sanitas Per Aquam" meaning "health through water". This is very unlikely: the derivation doesn't appear before the early 21st century and is probably a "backronym
Backronym
A backronym or bacronym is a phrase constructed purposely, such that an acronym can be formed to a specific desired word. Backronyms may be invented with serious or humorous intent, or may be a type of false or folk etymology....

" as there is no evidence of acronyms passing into the language before the 20th century; nor does it match the known Roman name for the location.

History

The practice of traveling to hot or cold springs in hopes of effecting a cure of some ailment dates back to pre-historic times. Archaeological investigations near hot springs in France and Czech Republic revealed Bronze Age
Bronze Age
The Bronze Age is a period characterized by the use of copper and its alloy bronze as the chief hard materials in the manufacture of some implements and weapons. Chronologically, it stands between the Stone Age and Iron Age...

 weapons and offerings. In Great Britain, ancient legend credited early Celtic kings with the discovery of the hot springs at Bath, England.

Many people around the world believed that bathing in a particular spring, well, or river resulted in physical and spiritual purification. Forms of ritual purification existed among the native Americans, Persians, Babylonians, Egyptians, Greeks, and Romans. Today, ritual purification through water can be found in the religious ceremonies of Jews, Muslim
Muslim
A Muslim, also spelled Moslem, is an adherent of Islam, a monotheistic, Abrahamic religion based on the Quran, which Muslims consider the verbatim word of God as revealed to prophet Muhammad. "Muslim" is the Arabic term for "submitter" .Muslims believe that God is one and incomparable...

s, Christian
Christian
A Christian is a person who adheres to Christianity, an Abrahamic, monotheistic religion based on the life and teachings of Jesus of Nazareth as recorded in the Canonical gospels and the letters of the New Testament...

s, Buddhists, and Hindu
Hindu
Hindu refers to an identity associated with the philosophical, religious and cultural systems that are indigenous to the Indian subcontinent. As used in the Constitution of India, the word "Hindu" is also attributed to all persons professing any Indian religion...

s. These ceremonies reflect the ancient belief in the healing and purifying properties of water. Complex bathing rituals were also practiced in ancient Egypt, in pre-historic cities of the Indus Valley, and in Aegean civilization
Aegean civilization
Aegean civilization is a general term for the Bronze Age civilizations of Greece around the Aegean Sea. There are three distinct but communicating and interacting geographic regions covered by this term: Crete, the Cyclades and the Greek mainland. Crete is associated with the Minoan civilization...

s. Most often these ancient people did little building construction around the water, and what they did construct was very temporary in nature.

Bathing in Greek and Roman times

Some of the earliest descriptions of western bathing practices came from Greece. The Greeks began bathing regimens that formed the foundation for modern spa procedures. These Aegean people utilized small bathtubs, wash basins, and foot baths for personal cleanliness. The earliest such findings are the baths in the palace complex at Knossos
Knossos
Knossos , also known as Labyrinth, or Knossos Palace, is the largest Bronze Age archaeological site on Crete and probably the ceremonial and political centre of the Minoan civilization and culture. The palace appears as a maze of workrooms, living spaces, and store rooms close to a central square...

, Crete
Crete
Crete is the largest and most populous of the Greek islands, the fifth largest island in the Mediterranean Sea, and one of the thirteen administrative regions of Greece. It forms a significant part of the economy and cultural heritage of Greece while retaining its own local cultural traits...

, and the luxurious alabaster
Alabaster
Alabaster is a name applied to varieties of two distinct minerals, when used as a material: gypsum and calcite . The former is the alabaster of the present day; generally, the latter is the alabaster of the ancients...

 bathtubs excavated in Akrotiri, Santorini
Santorini
Santorini , officially Thira , is an island located in the southern Aegean Sea, about southeast from Greece's mainland. It is the largest island of a small, circular archipelago which bears the same name and is the remnant of a volcanic caldera...

; both date from the mid-2nd millennium BC. They established public baths and showers within their gymnasium
Gymnasium (ancient Greece)
The gymnasium in ancient Greece functioned as a training facility for competitors in public games. It was also a place for socializing and engaging in intellectual pursuits. The name comes from the Ancient Greek term gymnós meaning "naked". Athletes competed in the nude, a practice said to...

 complexes for relaxation and personal hygiene. Greek mythology
Greek mythology
Greek mythology is the body of myths and legends belonging to the ancient Greeks, concerning their gods and heroes, the nature of the world, and the origins and significance of their own cult and ritual practices. They were a part of religion in ancient Greece...

 specified that certain natural springs or tidal pools were blessed by the gods to cure disease. Around these sacred pools, Greeks established bathing facilities for those desiring healing. Supplicants left offerings to the gods for healing at these sites and bathed themselves in hopes of a cure. The Sparta
Sparta
Sparta or Lacedaemon, was a prominent city-state in ancient Greece, situated on the banks of the River Eurotas in Laconia, in south-eastern Peloponnese. It emerged as a political entity around the 10th century BC, when the invading Dorians subjugated the local, non-Dorian population. From c...

ns developed a primitive vapor bath. At Serangeum, an early Greek balneum (bathhouse, loosely translated), bathing chambers were cut into the hillside from which the hot springs issued. A series of niches cut into the rock above the chambers held bathers' clothing. One of the bathing chambers had a decorative mosaic floor depicting a driver and chariot pulled by four horses, a woman followed by two dogs, and a dolphin below. Thus, the early Greeks used the natural features, but expanded them and added their own amenities, such as decorations and shelves. During later Greek civilization, bathhouses were often built in conjunction with athletic fields.
The Romans emulated many of the Greek bathing practices. Romans surpassed the Greeks in the size and complexity of their baths. This came about by many factors: the larger size and population of Roman cities, the availability of running water following the building of aqueduct
Aqueduct
An aqueduct is a water supply or navigable channel constructed to convey water. In modern engineering, the term is used for any system of pipes, ditches, canals, tunnels, and other structures used for this purpose....

s, and the invention of cement
Cement
In the most general sense of the word, a cement is a binder, a substance that sets and hardens independently, and can bind other materials together. The word "cement" traces to the Romans, who used the term opus caementicium to describe masonry resembling modern concrete that was made from crushed...

, which made building large edifices easier, safer, and cheaper. As in Greece, the Roman bath became a focal center for social and recreational activity. As the Roman Empire
Roman Empire
The Roman Empire was the post-Republican period of the ancient Roman civilization, characterised by an autocratic form of government and large territorial holdings in Europe and around the Mediterranean....

 expanded, the idea of the public bath spread to all parts of the Mediterranean and into regions of Europe and North Africa. With the construction of the aqueduct
Aqueduct
An aqueduct is a water supply or navigable channel constructed to convey water. In modern engineering, the term is used for any system of pipes, ditches, canals, tunnels, and other structures used for this purpose....

s, the Romans had enough water not only for domestic, agricultural, and industrial uses, but also for their leisurely pursuits. The aqueducts provided water that was later heated for use in the baths. Today, the extent of the Roman bath is revealed at ruins and in archaeological excavations in Europe, Africa, and the Middle East.

The Romans also developed baths in their colonies, taking advantage of the natural hot springs occurring in Europe to construct baths at Aix and Vichy in France, Bath and Buxton
Buxton
Buxton is a spa town in Derbyshire, England. It has the highest elevation of any market town in England. Located close to the county boundary with Cheshire to the west and Staffordshire to the south, Buxton is described as "the gateway to the Peak District National Park"...

 in England, Aachen and Wiesbaden
Wiesbaden
Wiesbaden is a city in southwest Germany and the capital of the federal state of Hesse. It has about 275,400 inhabitants, plus approximately 10,000 United States citizens...

 in Germany, Baden, Austria, and Aquincum
Aquincum
The ancient city of Aquincum was situated on the North-Eastern borders of the Pannonia province within the Roman Empire. The ruins of the city can be found today in Budapest, the capital city of Hungary...

 in Hungary, among other locations. These baths became centers for recreational and social activities in Roman communities. Libraries, lecture halls, gymnasiums, and formal gardens became part of some bath complexes. In addition, the Romans used the hot thermal waters to relieve their suffering from rheumatism
Rheumatism
Rheumatism or rheumatic disorder is a non-specific term for medical problems affecting the joints and connective tissue. The study of, and therapeutic interventions in, such disorders is called rheumatology.-Terminology:...

, arthritis
Arthritis
Arthritis is a form of joint disorder that involves inflammation of one or more joints....

, and overindulgence in food and drink. The decline of the Roman Empire in the west, beginning in AD 337 after the death of Emperor Constantine, resulted in Roman legions abandoning their outlying provinces and leaving the baths to be taken over by the local population or destroyed.
Thus, the Romans elevated bathing to a fine art, and their bathhouses physically reflected these advancements. The Roman bath, for instance, included a far more complex ritual than a simple immersion or sweating procedure. The various parts of the bathing ritual — undressing, bathing, sweating, receiving a massage, and resting — required separated rooms which the Romans built to accommodate those functions. The segregation of the sexes and the additions of diversions not directly related to bathing also had direct impacts on the shape and form of bathhouses. The elaborate Roman bathing ritual and its resultant architecture served as precedents for later European and American bathing facilities. Formal garden spaces and opulent architectural arrangement equal to those of the Romans reappeared in Europe by the end of the eighteenth century. Major American spas followed suit a century later.

Bathing in Medieval times

With the decline of the Roman Empire, the public baths often became places of licentious behavior, and such use was responsible for the spread rather than the cure of diseases. A general belief developed among the European populace was that frequent bathing promoted disease and sickness. Medieval church authorities encouraged this belief and made every effort to close down public baths. Ecclesiastical officials believed that public bathing created an environment open to immorality and disease. Roman Catholic Church
Roman Catholic Church
The Catholic Church, also known as the Roman Catholic Church, is the world's largest Christian church, with over a billion members. Led by the Pope, it defines its mission as spreading the gospel of Jesus Christ, administering the sacraments and exercising charity...

 officials even banned public bathing in an unsuccessful effort to halt syphilis
Syphilis
Syphilis is a sexually transmitted infection caused by the spirochete bacterium Treponema pallidum subspecies pallidum. The primary route of transmission is through sexual contact; however, it may also be transmitted from mother to fetus during pregnancy or at birth, resulting in congenital syphilis...

 epidemics from sweeping Europe. Overall, this period represented a time of decline for public bathing.

People continued to seek out a few select hot and cold springs, believed to be holy wells, to cure various ailments. In an age of religious fervor, the benefits of the water were attributed to God or one of the saints. In 1326, Collin le Loup, an ironmaster from Liège, Belgium, discovered the chalybeate
Chalybeate
Chalybeate waters, also known as ferruginous waters, are mineral spring waters containing salts of iron.-Name:The word "chalybeate" is derived from the Latin word for steel, "chalybs", which follows from the Greek word "khalups"...

 springs of Spa, Belgium
Spa, Belgium
Spa is a municipality of Belgium. It lies in the country's Walloon Region and Province of Liège. It is situated in a valley in the Ardennes mountain chain, some southeast of Liège, and southwest of Aachen. As of 1 January 2006, Spa had a total population of 10,543...

. Around these springs, a famous health resort eventually grew and the term "spa" came to refer to any health resort located near natural springs. During this period, individual springs became associated with the specific ailment that they could allegedly benefit.

Bathing procedures during this period varied greatly. By the 16th century, physicians at Karlsbad, Bohemia
Karlovy Vary
Karlovy Vary is a spa city situated in western Bohemia, Czech Republic, on the confluence of the rivers Ohře and Teplá, approximately west of Prague . It is named after King of Bohemia and Holy Roman Emperor Charles IV, who founded the city in 1370...

, prescribed that the mineral water be taken internally as well as externally. Patients periodically bathed in warm water for up to 10 or 11 hours while drinking glasses of mineral water. The first bath session occurred in the morning, the second in the afternoon. This treatment lasted several days until skin pustules formed and broke resulting in the draining of "poisons" considered to be the source of the disease. Then followed another series of shorter, hotter baths to wash the infection awayclose the eruptions.

In the English coastal town of Scarborough in 1626, a Mrs. Elizabeth Farrow discovered a stream of acidic water running from one of the cliffs to the south of the town. This was deemed to have beneficial health properties and gave birth to Scarborough Spa
The Spa, Scarborough
The Spa, Scarborough known officially as the Scarborough Spa Complex is located in Scarborough’s South Bay and is a venue for conferences, exhibitions, entertainment and events on the Yorkshire Coast...

. Dr Wittie's book about the spa waters published in 1660 attracted a flood of visitors to the town. Sea bathing was added to the cure, and Scarborough became Britain's first seaside resort. The first rolling bathing machines for bathers are recorded on the sands in 1735.

Bathing in the 18th century

In the 17th century, most upper-class Europeans washed their clothes with water often and washed only their faces (with linen), feeling that bathing the entire body was a lower-class activity; but the upper-class slowly began changing their attitudes toward bathing as a way to restore health later in that century. The wealthy flocked to health resorts to drink and bathe in the waters. In 1702, Queen Anne of England traveled to Bath, the former Roman development, to bathe. A short time later, Richard (Beau) Nash came to Bath. By the force of his personality, Nash became the arbiter of good taste and manners in England. He along with financier Ralph Allen
Ralph Allen
Ralph Allen was an entrepreneur and philanthropist, and was notable for his reforms to the British postal system. He was baptised at St Columb Major, Cornwall on 24 July 1693. As a teenager he worked at the Post Office. He moved in 1710 to Bath, where he became a post office clerk, and at the age...

 and architect John Wood
John Wood, the Elder
John Wood, the Elder, , was an English architect. Born in Twerton England, a village near Bath, now a suburb, he went to school in Bath. He came back to Bath after working in Yorkshire, and it is believed, in London, in his early 20s...

 transformed Bath from a country spa into the social capital of England. Bath set the tone for other spas in Europe to follow. Ostensibly, the wealthy and famous arrived there on a seasonal basis to bathe in and drink the water; however, they also came to display their opulence. Social activities at Bath included dances, concerts, playing cards, lectures, and promenading down the street.

A typical day at Bath might be an early morning communal bath followed by a private breakfast party. Afterwards, one either drank water at the Pump Room (a building constructed over the thermal water source) or attended a fashion show. Physicians encouraged health resort patrons to bathe in and drink the waters with equal vigor. The next several hours of the day could be spent in shopping, visiting the lending library, attending concerts, or stopping at one of the coffeehouses. At 4:00 pm, the rich and famous dressed up in their finery and promenaded down the streets. Next came dinner, more promenading, and an evening of dancing or gambling.

Similar activities occurred in health resorts throughout Europe. The spas became stages on which Europeans paraded with great pageantry. These resorts became infamous as places full of gossip and scandals. The various social and economic classes selected specific seasons during the year's course, staying from one to several months, to vacation at each resort. One season aristocrats occupied the resorts; at other times, prosperous farmers or retired military men took the baths. The wealthy and the criminals that preyed on them moved from one spa to the next as the fashionable season for that resort changed.

During the 18th century, a revival in the medical uses of spring water took place among some Italian, German, and English physicians. This revival changed the way of taking a spa treatment. For example, in Karlsbad the accepted method of drinking the mineral water required sending large barrels to individual boardinghouses where the patients drank physician-prescribed dosages in the solitude of their rooms. Dr. David Beecher in 1777 recommended that the patients come to the fountainhead for the water and that each patient should first do some prescribed exercises. This innovation increased the medicinal benefits obtained and gradually physical activity became part of the European bathing regimen. In 1797, in England, Dr. James Currier published The Effects of Water, Cold and Warm, as a Remedy in Fever and other Diseases. This book stimulated additional interest in water cures and advocated the external and internal use of water as part of the curing process.

Bathing in the 19th and 20th centuries

In the 19th century, bathing became a more accepted practice as physicians realized some of the benefits that cleanliness could provide. A cholera
Cholera
Cholera is an infection of the small intestine that is caused by the bacterium Vibrio cholerae. The main symptoms are profuse watery diarrhea and vomiting. Transmission occurs primarily by drinking or eating water or food that has been contaminated by the diarrhea of an infected person or the feces...

 epidemic in Liverpool, England in 1842 resulted in a sanitation renaissance, facilitated by the overlapping hydropathy and sanitation movements, and the implementation of a series of statutes known collectively as "The Baths and Wash-houses Acts 1846 to 1896". The result was increased facilities for bathing and washed clothes, and more people participating in these activities.

Also in 1842, a house in Cincinnati, Ohio
Cincinnati, Ohio
Cincinnati is a city in the U.S. state of Ohio. Cincinnati is the county seat of Hamilton County. Settled in 1788, the city is located to north of the Ohio River at the Ohio-Kentucky border, near Indiana. The population within city limits is 296,943 according to the 2010 census, making it Ohio's...

, received the first indoor bathtub in the United States. Bathing, however, was still not a universal custom. Only one year later — in 1843 — bathing between November 1 and March 15 was outlawed in Philadelphia, Pennsylvania
Philadelphia, Pennsylvania
Philadelphia is the largest city in the Commonwealth of Pennsylvania and the county seat of Philadelphia County, with which it is coterminous. The city is located in the Northeastern United States along the Delaware and Schuylkill rivers. It is the fifth-most-populous city in the United States,...

, as a health measure, and in 1845 bathing was banned in Boston, Massachusetts, unless under the direct orders of a physician. The situation improved, however, and by 1867 in Philadelphia most houses of the well-to-do had tubs and indoor plumbing. In England, hot showers were installed in barracks and schools by the 1880s. The taboos against bathing disappeared with advancements in medical science; the worldwide medical community was even promoting the benefits of bathing. In addition, the Victorian
Victorian era
The Victorian era of British history was the period of Queen Victoria's reign from 20 June 1837 until her death on 22 January 1901. It was a long period of peace, prosperity, refined sensibilities and national self-confidence...

 taste for the exotic lent itself perfectly to seeking out the curative powers of thermal water.

In most instances, the formal architectural development of European spas took place in the 18th and 19th centuries. The architecture of Bath, England, developed along Georgian
Georgian architecture
Georgian architecture is the name given in most English-speaking countries to the set of architectural styles current between 1720 and 1840. It is eponymous for the first four British monarchs of the House of Hanover—George I of Great Britain, George II of Great Britain, George III of the United...

 and Neoclassical
Neoclassical architecture
Neoclassical architecture was an architectural style produced by the neoclassical movement that began in the mid-18th century, manifested both in its details as a reaction against the Rococo style of naturalistic ornament, and in its architectural formulas as an outgrowth of some classicizing...

 lines, generally following Palladian structures. The most important architectural form that emerged was the "crescent" — a semi-elliptical street plan used in many areas of England. The architecture of Carlsbad
Karlovy Vary
Karlovy Vary is a spa city situated in western Bohemia, Czech Republic, on the confluence of the rivers Ohře and Teplá, approximately west of Prague . It is named after King of Bohemia and Holy Roman Emperor Charles IV, who founded the city in 1370...

, Marienbad, Franzensbad, and Baden-Baden
Baden-Baden
Baden-Baden is a spa town in Baden-Württemberg, Germany. It is located on the western foothills of the Black Forest, on the banks of the Oos River, in the region of Karlsruhe...

 was primarily Neoclassical, but the literature seems to indicate that large bathhouses were not constructed until well into the 19th century. The emphasis on drinking the waters rather than bathing in them led to the development of separate structures known as Trinkhallen (drinking halls) where those taking the cure spent hours drinking water from the springs.

By the mid-19th century, the situation had changed dramatically. Visitors to the European spas began to stress bathing in addition to drinking the waters. Besides fountains, pavilions, and Trinkhallen, bathhouses on the scale of the Roman baths were revived. Photographs of a 19th century spa complex taken in the 1930s, detailing the earlier architecture, show a heavy use of mosaic floors, marble walls, classical statuary, arched openings, domed ceilings, segmental arches, triangular pediments, Corinthian
Corinthian order
The Corinthian order is one of the three principal classical orders of ancient Greek and Roman architecture. The other two are the Doric and Ionic. When classical architecture was revived during the Renaissance, two more orders were added to the canon, the Tuscan order and the Composite order...

 columns, and all the other trappings of a Neoclassical revival. The buildings were usually separated by function — with the Trinkhalle, the bathhouse, the inhalatorium (for inhaling the vapors), and the Kurhaus or Conversationhaus that was the center of social activity. Baden-Baden featured golf courses and tennis courts, "superb roads to motor over, and drives along quaint lanes where wild deer are as common as cows to us, and almost as unafraid."

The European spa, then, started with structures to house the drinking function — from simple fountains to pavilions to elaborate Trinkhallen. The enormous bathhouses came later in the 19th century as a renewed preference for an elaborate bathing ritual to cure ills and improve health came into vogue. European architects looked back to Roman civilizations and carefully studied its fine architectural precedents. The Europeans copied the same formality, symmetry, division of rooms by function, and opulent interior design in their bathhouses. They emulated the fountains and formal garden spaces in their resorts, and they also added new diversions. The tour books always mentioned the roomy, woodsy offerings in the vicinity and the faster-paced evening diversions.

By the beginning of the 19th century, the European bathing regimen consisted of numerous accumulated traditions. The bathing routine included soaking in hot water, drinking the water, steaming in a vapor room, and relaxing in a cooling room. In addition doctors ordered that patients be douched with hot or cold water and given a select diet to promote a cure. Authors began writing guidebooks to the health resorts of Europe explaining the medical benefits and social amenities of each. Rich Europeans and Americans traveled to these resorts to take in cultural activities and the baths.

Each European spa began offering similar cures while maintaining a certain amount of individuality. The 19th century bathing regimen at Karlsbad can serve as a general portrayal of European bathing practices during this century. Visitors arose at 6:00 am to drink the water and be serenaded by a band. Next came a light breakfast, bath, and lunch. The doctors at Karlsbad usually limited patients to certain foods for each meal. In the afternoon, visitors went sight-seeing or attended concerts. Nightly theatrical performances followed the evening meal. This ended around 9:00 pm with the patients returning to their boardinghouses to sleep until six the next morning. This regimen continued for as long as a month and then the patients returned home until the next year. Other 19th century European spa regimens followed similar schedules.

At the beginning of the 20th century, European spas combined a strict diet and exercise regimen with a complex bathing procedure to achieve benefits for the patients. One example will suffice to illustrate the change in bathing procedures. Patients at Baden-Baden, which specialized in treating rheumatoid arthritis
Rheumatoid arthritis
Rheumatoid arthritis is a chronic, systemic inflammatory disorder that may affect many tissues and organs, but principally attacks synovial joints. The process produces an inflammatory response of the synovium secondary to hyperplasia of synovial cells, excess synovial fluid, and the development...

, were directed to see a doctor before taking the baths. Once this occurred, the bathers proceeded to the main bathhouse where they paid for their baths and stored their valuables before being assigned a booth for undressing. The bathhouse supplied bathers with towels, sheets, and slippers.

The Baden-Baden bathing procedure began with a warm shower. The bathers next entered a room of circulating, 140-degree hot air for 20 minutes, spent another ten minutes in a room with 150-degree temperature, partook of a 154-degree vapor bath, then showered and received a soap massage. After the massage, the bathers swam in a pool heated approximately to body temperature. After the swim, the bathers rested for 15 to 20 minutes in the warm "Sprudel" room pool. This shallow pool's bottom contained an 8 inches (203.2 mm) layer of sand through with naturally carbonated water bubbled up. This was followed by a series of gradually cooler showers and pools. After that, the attendants rubbed down the bathers with warm towels and then wrapped them in sheets and covered them with blankets to rest for 20 minutes. This ended the bathing portion of the treatment. The rest of the cure consisted of a prescribed diet, exercise, and water-drinking program.

The European spas provided various other diversions for guests after the bath, including gambling, horse racing, fishing, hunting, tennis, skating, dancing, golf, and horseback riding. Sight-seeing and theatrical performances served as further incentives for people to go to the spa. Some European governments even recognized the medical benefits of spa therapy and paid a portion of the patient's expenses. A number of these spas catered to those suffering from obesity and overindulgence in addition to various other medical complaints. In recent years, elegance and style of earlier centuries may have diminished, but people still come to the natural hot springs for relaxation and health. In Germany, the tradition survives to the present day. 'Taking a cure' (http://de.wikipedia.org/wiki/Kur) at a spa is covered by both public and private health care insurance, as mandated by federal legislation. Typically, a doctor prescribes a few weeks stay at a mineral spring or other natural setting where a patient's condition will be treated with healing spring waters and natural therapies.

Spas in colonial America

Some European colonists brought with them knowledge of the hot water therapy for medicinal purposes, and others learned the benefits of hot springs from the Native Americans. Europeans gradually obtained many of the hot and cold springs from the various Indian tribes. They then developed the spring to suit European tastes. By the 1760s, British colonists were traveling to hot and cold springs in Connecticut, Pennsylvania, New York, and Virginia in search of water cures. Among the more frequently visited of these springs were Bath
Bath, Pennsylvania
Bath is a borough in Northampton County, Pennsylvania, United States. It is named for Bath, Somerset, England. It is located in the Lehigh Valley region of the state.The population of Bath was 2,693 at the 2010 census.-History:...

, Yellow
Chester Springs, Pennsylvania
Chester Springs is an unincorporated community in Chester County, Pennsylvania, United States. It is centered on West Pikeland Township, and extends into Upper Uwchlan Township, East Nantmeal Township, Wallace Township and West Vincent Township. The Chester Springs postal zone is considerably...

, and Bristol Springs
Bristol Township, Pennsylvania
Bristol Township is a township in Bucks County, Pennsylvania, United States. The population was 54,582 at the 2010 census, making it the 13th largest municipality in the state. Bristol Township, along with Bristol Borough, is a cultural hub for Lower Bucks County, hosting celebrations of African...

 in Pennsylvania; and Warm Springs
Warm Springs, Virginia
Warm Springs is a census-designated place in and the county seat of Bath County, Virginia, United States. The population as of the 2010 Census was 123. It lies along U.S. Route 220 near the center of the county.-History and geography:...

, Hot Springs
Hot Springs, Virginia
Hot Springs is a census-designated place in Bath County, Virginia, United States. The population as of the 2010 Census was 738. It is located about 5 miles southwest of Warm Springs on U.S. Route 220. Hot Springs is the site of a number of resorts that make use of the springs.The area is...

, and White Sulphur Springs, West Virginia
White Sulphur Springs, West Virginia
White Sulphur Springs is a city in Greenbrier County, West Virginia, United States. The population was 2,444 at the 2010 census.-Geography:White Sulphur Springs is located at ....

 (now in West Virginia) in Virginia. In the last decade of the 1700s, New York spas were beginning to be frequented by intrepid travelers, most notably Ballston Spa
Ballston Spa, New York
Ballston Spa is a village in Saratoga County, New York, United States. The population was 5,556 at the 2000 census. It is the county seat of Saratoga County. The village is named after Rev. Eliphalet Ball, a Congregationalist clergyman and an early settler. The village lies on the border of two...

. Nearby Saratoga Springs and Kinderhook were yet to be discovered.

Colonial doctors gradually began to recommend hot springs for ailments. Dr. Benjamin Rush
Benjamin Rush
Benjamin Rush was a Founding Father of the United States. Rush lived in the state of Pennsylvania and was a physician, writer, educator, humanitarian and a Christian Universalist, as well as the founder of Dickinson College in Carlisle, Pennsylvania....

, American patriot and physician, praised the springs of Bristol, Pennsylvania, in 1773. Dr. Samuel Tenney
Samuel Tenney
Samuel Tenney was a United States Representative from New Hampshire. Born in Byfield, Massachusetts, he attended Dummer Academy there and graduated from Harvard College in 1772. He taught school at Andover and studied medicine, beginning practice in Exeter, New Hampshire. He was a surgeon in the...

 in 1783 and Dr. Valentine Seaman in 1792 examined the water of Ballston Spa in New York and wrote of possible medicinal uses of the springs. Hotels were constructed to accommodate visitors to the various springs. Entrepreneurs operated establishments where the travelers could lodge, eat, and drink. Thus began the health resort industry in the United States.

Bathing in 19th and 20th century America

After the American Revolution
American Revolution
The American Revolution was the political upheaval during the last half of the 18th century in which thirteen colonies in North America joined together to break free from the British Empire, combining to become the United States of America...

, the spa industry continued to gain popularity. The first truly popular spa was Saratoga Springs, which, by 1815, had two large, four-story, Greek revival hotels. It grew rapidly, and by 1821 it had at least five hundred rooms for accommodation. Its relative proximity to New York city and access to the country's most developed steamboat lines meant that by the mid-1820s the spa became the country's most popular tourist destination, serving both the country's elite and a more middle-class audience. Although spa activity had been central to Saratoga in the 1810s, by the 1820s the resort had hotels with great ballrooms, opera houses, stores, and clubhouses. The Union Hotel (first built in 1803 but steadily expanded over the coming decades) had its own esplanade, and by the 1820s had its own fountain and formal landscaping, but with only two small bathhouses. As the resort developed as a tourist destination mineral bathhouses became auxiliary structures and not the central features of the resort, although the drinking of mineral water was at least followed as a pro-forma activity by most in attendance, despite nightly dinners that were elaborate and extensive. Although Saratoga and other spas in New York centered their developments around the healthful mineral waters, their real drawing card was a complex social life and a cultural cachet. However, the wider audience it garnered by the late 1820s began to take some of the bloom off the resort, and in the mid-1830s, as a successful bid to revive itself, it turned to horse racing.

By the mid 1850s hot and cold spring resorts existed in 20 states. Many of these resorts contained similar architectural features. Most health resorts had a large, two-story central building near or at the springs, with smaller structures surrounding it. The main building provided the guests with facilities for dining, and possibly, dancing on the first floor, and the second story consisted of sleeping rooms. The outlying structures were individual guest cabins, and other auxiliary buildings formed a semicircle or U-shape around the large building.

These resorts offered swimming, fishing, hunting, and horseback riding as well as facilities for bathing. The Virginia resorts, particularly White Sulphur Springs, proved popular before and after the Civil War. After the Civil War, spa vacations became very popular as returning soldiers bathed to heal wounds and the American economy allowed more leisure time. Saratoga Springs in New York became one of the main centers for this type of activity. Bathing in and drinking the warm, carbonated spring water only served as a prelude to the more interesting social activities of gambling, promenading, horse racing, and dancing.

During the last half of the 19th century, western entrepreneurs developed natural hot and cold springs into resorts — from the Mississippi River
Mississippi River
The Mississippi River is the largest river system in North America. Flowing entirely in the United States, this river rises in western Minnesota and meanders slowly southwards for to the Mississippi River Delta at the Gulf of Mexico. With its many tributaries, the Mississippi's watershed drains...

 to the West Coast. Many of these spas offered individual tub baths, vapor baths, douche sprays, needle showers, and pool bathing to their guests. The various railroads that spanned the country promoted these resorts to encourage train travel. Hot Springs, Arkansas, became a major resort for people from the large metropolitan areas of St. Louis and Chicago
Chicago
Chicago is the largest city in the US state of Illinois. With nearly 2.7 million residents, it is the most populous city in the Midwestern United States and the third most populous in the US, after New York City and Los Angeles...

.

The popularity of the spas continued into the 20th century. Some medical critics, however, charged that the thermal waters in such renowned resorts as Hot Springs, Virginia, and Saratoga Springs, New York, were no more beneficial to health than ordinary heated water. The various spa owners countered these arguments by developing better hydrotherapy for their patients. At the Saratoga spa, treatments for heart and circulatory disorders, rheumatic conditions, nervous disorders, metabolic diseases, and skin diseases were developed. In 1910, the New York state government began purchasing the principal springs to protect them from exploitation. When Franklin Delano Roosevelt was governor of New York, he pushed for a European type of spa development at Saratoga. The architects for the new complex spent two years studying the technical aspects of bathing in Europe. Completed in 1933, the development had three bathhouses — Lincoln, Washington, and Roosevelt — a drinking hall, the Hall of Springs, and a building housing the Simon Baruch Research Institute. Four additional buildings composed the recreation area and housed arcades and a swimming pool decorated with blue faience terra-cotta tile. Saratoga Spa State Park
Saratoga Spa State Park
Saratoga Spa State Park is a state park located in Saratoga County, New York in the USA. The park is in the City of Saratoga Springs, near US 9 and NY 50.-History:...

's Neoclassical buildings were laid out in a grand manner, with formal perpendicular axes, solid brick construction, and stone and concrete Roman-revival detailing. The spa was surrounded by a 1200 acres (4.9 km²) natural park that had 18 miles (29 km) of bridle paths, "with measured walks at scientifically calculated gradients through its groves and vales, with spouting springs adding unexpected touches to its vistas, with the tumbling waters of Geyser Brook flowing beneath bridges of the fine roads. Full advantage has been taken of the natural beauty of the park, but no formal landscaping". Promotional literature again advertised the attractions directly outside the spa: shopping, horse races, and historic sites associated with revolutionary war history. New York Governor Herbert Lehman opened the new facilities to the public in July 1935.

Other leading spas in the country during this period were French Lick, Indiana
French Lick, Indiana
French Lick is a town in French Lick Township, Orange County, Indiana, United States. The population was 1,807 at the 2010 census. In early 2006 the French Lick Resort Casino, the state's tenth casino in the modern legalized era, opened drawing national attention to the small town.- History :French...

; Hot Springs and White Sulphur Springs, West Virginia; Hot Springs, Arkansas; and Warm Springs, Georgia
Warm Springs, Georgia
Warm Springs is a city in Meriwether County, Georgia, United States. The population was 478 at the 2010 census.-History:Warm Springs first came to prominence in the 19th century as a spa town, due to its mineral springs which flow constantly at nearly 32 °C...

. French Lick specialized in treating obesity and constipation through a combination of bathing and drinking the water and exercising. Hot Springs, Virginia, specialized in digestive ailments and heart diseases, and White Sulphur Springs, Virginia, treated these ailments and skin diseases. Both resorts offered baths where the water would wash continuously over the patients as they lay in a shallow pool. Warm Springs, Georgia, gained a reputation for treating infantile paralysis by a procedure of baths and exercise. President Franklin D. Roosevelt, who earlier supported Saratoga, became a frequent visitor and promoter of this spa.

Spa treatment

A body treatment, spa treatment, or cosmetic treatment is non-medical procedure to help the health of the body. It is often performed at a resort
Resort
A resort is a place used for relaxation or recreation, attracting visitors for holidays or vacations. Resorts are places, towns or sometimes commercial establishment operated by a single company....

, destination spa
Destination spa
A destination spa is a short term residential/lodging facility with the primary purpose of providing individual services for spa-goers to develop healthy habits. Historically many such spas were developed at the location of natural hot springs or sources of mineral waters...

, day spa
Day spa
A day spa is a business establishment which people visit for professionally administered personal care treatments such as massages and facials. It is similar to a beauty salon in that it is only visited for the duration of the treatment. Day spas sited in airport terminals are often called airport...

, beauty salon
Beauty salon
A beauty salon or beauty parlor is an establishment dealing with cosmetic treatments for men and women...

 or school.

Typical treatments include:
  • Aromatherapy
    Aromatherapy
    Aromatherapy is a form of alternative medicine that uses volatile plant materials, known as essential oils, and other aromatic compounds for the purpose of altering a person's mind, mood, cognitive function or health....

  • Bathing
    Bathing
    Bathing is the washing or cleansing of the body in a fluid, usually water or an aqueous solution. It may be practised for personal hygiene, religious ritual or therapeutic purposes or as a recreational activity....

     or soaking in any of the following:
    • Hot spring
      Hot spring
      A hot spring is a spring that is produced by the emergence of geothermally heated groundwater from the Earth's crust. There are geothermal hot springs in many locations all over the crust of the earth.-Definitions:...

      • Onsen
        Onsen
        An is a term for hot springs in the Japanese language, though the term is often used to describe the bathing facilities and inns around the hot springs. As a volcanically active country, Japan has thousands of onsen scattered along its length and breadth...

         (Japanese Hot Springs)
      • Thermae
        Thermae
        In ancient Rome, thermae and balnea were facilities for bathing...

         (Roman Hot Springs)
    • Hot tub
      Hot tub
      A hot tub is a large tub or small pool full of heated water and used for soaking, relaxation, massage, or hydrotherapy. In most cases, they have jets for massage purposes. Hot tubs are usually located outdoors, and are often sheltered for protection from the elements, as well as for privacy....

    • Mud bath
      Mud bath
      A mud bath is a bath of mud, commonly from areas where hot spring water can combine with volcanic ash. Mud baths have existed for thousands of years, and can be found now in high-end spas in many countries of the world....

    • Peat pulp bath
      Peat pulp bath
      A peat pulp bath is a bath prepared of peat pulp from wetlands. Balneotherapy in form of peat pulp baths is offered in many health resorts.- History :...

    • Sauna
      Sauna
      A sauna is a small room or house designed as a place to experience dry or wet heat sessions, or an establishment with one or more of these and auxiliary facilities....

    • Steam bath
  • Body wraps, wrapping the body in hot linens, plastic sheets and blankets, or mud wrap
    Mud wrap
    Mud wraps are spa treatments designed to slim and tone the body, hydrate or firm the skin, or relax and soothe the muscles. Some mud wraps are also thought to relieve tired and aching joints, ease inflammation, and help to flush out toxins through sweating....

    s, often in combination with herbal compounds.
  • Facial
    Facial
    A facial is a procedure involving a variety of skin treatments, including: steam, exfoliation, extraction, creams, lotions, facial masks, peels, and massage...

    s, facial cleansing with a variety of products
  • Massage
    Massage
    Massage is the manipulation of superficial and deeper layers of muscle and connective tissue to enhance function, aid in the healing process, and promote relaxation and well-being. The word comes from the French massage "friction of kneading", or from Arabic massa meaning "to touch, feel or handle"...

  • Nail care such as manicure
    Manicure
    A manicure is a cosmetic beauty treatment for the fingernails and hands performed at home or in a nail salon. A manicure treatment is not only a treatment for the natural nails but also for the hands. A manicure consists of filing, shaping of the free edge, treatments, massage of the hand and the...

    s and pedicure
    Pedicure
    A pedicure is a way to improve the appearance of the feet and the nails. It provides a similar service to a manicure. The word pedicure refers to superficial cosmetic treatment of the feet and toenails...

    s
  • Nutrition
    Nutrition
    Nutrition is the provision, to cells and organisms, of the materials necessary to support life. Many common health problems can be prevented or alleviated with a healthy diet....

     and weight guidance
  • Personal training
  • Skin exfoliation
    Exfoliation (cosmetology)
    Exfoliation involves the removal of the oldest dead skin cells on the skin's outermost surface, and has been used for many years to help maintain skin. Exfoliation is involved in the process of all facials, during microdermabrasion or chemical peels at medical spas...

    , including chemical peel
    Chemical peel
    A chemical peel is a body treatment technique used to improve and smooth the texture of the facial skin using a chemical solution that causes the dead skin to slough off and eventually peel off. The regenerated skin is usually smoother and less wrinkled than the old skin. Thus the term chemical...

    s and microdermabrasion
  • Yoga
    Yoga
    Yoga is a physical, mental, and spiritual discipline, originating in ancient India. The goal of yoga, or of the person practicing yoga, is the attainment of a state of perfect spiritual insight and tranquility while meditating on Supersoul...

     and meditation
    Meditation
    Meditation is any form of a family of practices in which practitioners train their minds or self-induce a mode of consciousness to realize some benefit....

  • Waxing
    Waxing
    Waxing is a method of semi-permanent hair removal which removes the hair from the root. New hair will not grow back in the previously waxed area for two to eight weeks, although some people will start to see regrowth in only a week. Almost any area of the body can be waxed, including eyebrows,...

    , the removal of body hair with hot wax

Recent trends

By the late 1930s more than 2,000 hot- or cold-springs health resorts were operating in the United States. This number had diminished greatly by the 1950s and continued to decline in the following two decades. In recent past, spas in the U.S. emphasized dietary, exercise, or recreational programs more than traditional bathing activities.

Up until recently, the public bathing industry in the U.S. remained stagnant. Nevertheless, in Europe, therapeutic baths have always been very popular, and remain so today. The same is true in Japan
Japan
Japan is an island nation in East Asia. Located in the Pacific Ocean, it lies to the east of the Sea of Japan, China, North Korea, South Korea and Russia, stretching from the Sea of Okhotsk in the north to the East China Sea and Taiwan in the south...

, where the traditional hot springs baths, known as onsen
Onsen
An is a term for hot springs in the Japanese language, though the term is often used to describe the bathing facilities and inns around the hot springs. As a volcanically active country, Japan has thousands of onsen scattered along its length and breadth...

, always attracted plenty of visitors.

But also in the U.S., with the increasing focus on health and wellness, such treatments are again becoming popular.

Resort or Place of Treatment

  • Day spa
    Day spa
    A day spa is a business establishment which people visit for professionally administered personal care treatments such as massages and facials. It is similar to a beauty salon in that it is only visited for the duration of the treatment. Day spas sited in airport terminals are often called airport...

    , a form of beauty salon.
  • Destination spa
    Destination spa
    A destination spa is a short term residential/lodging facility with the primary purpose of providing individual services for spa-goers to develop healthy habits. Historically many such spas were developed at the location of natural hot springs or sources of mineral waters...

    , a resort for personal care treatments.
  • Spa town
    Spa town
    A spa town is a town situated around a mineral spa . Patrons resorted to spas to "take the waters" for their purported health benefits. The word comes from the Belgian town Spa. In continental Europe a spa was known as a ville d'eau...

    , a town visited for the supposed healing properties of the water.

Medication or Equipment

  • Foot spa
  • Hot tub
    Hot tub
    A hot tub is a large tub or small pool full of heated water and used for soaking, relaxation, massage, or hydrotherapy. In most cases, they have jets for massage purposes. Hot tubs are usually located outdoors, and are often sheltered for protection from the elements, as well as for privacy....

    , in United States usage.
  • Soda fountain
    Soda fountain
    A soda fountain is a device that dispenses carbonated drinks. They can be found in restaurants, concession stands and other locations such as convenience stores...

    , in United States usage.
  • Spa (mineral water)
    Spa (mineral water)
    Spa is a brand of mineral water from Spa, Belgium, and is owned by the Spadel Group. Spa mineral water has been bottled since the end of the 16th century and is very common in Western Europe and especially in the Benelux countries and Germany but is also exported to other parts of the world. Spa...

    , from the sources in Spa.
  • Spas usually offer mud baths for general health, or to address a variety of medical conditions. This is also known as 'fangotherapy'. A variety of medicinal clay
    Medicinal clay
    The use of medicinal clay in folk medicine goes back to prehistoric times. The indigenous peoples around the world still use clay widely, which is related to geophagy. The first recorded use of medicinal clay goes back to ancient Mesopotamia...

    s and peats
    Peat pulp bath
    A peat pulp bath is a bath prepared of peat pulp from wetlands. Balneotherapy in form of peat pulp baths is offered in many health resorts.- History :...

     is used.

International Spa Association definitions

Spa - places devoted to overall well-being through a variety of professional services that encourage the renewal of mind, body and spirit.

Types of spa

  • Ayurvedic spa, a spa in which all treatments and products are natural and it's often used as alternative medicine.
  • Club spa, a facility whose primary purpose is fitness and which offers a variety of professionally administered spa services on a day-use basis.
  • Cruise ship
    Cruise ship
    A cruise ship or cruise liner is a passenger ship used for pleasure voyages, where the voyage itself and the ship's amenities are part of the experience, as well as the different destinations along the way...

     spa, a spa aboard a cruise ship providing professionally administered spa services, fitness and wellness components and spa cuisine menu choices.
  • Day spa
    Day spa
    A day spa is a business establishment which people visit for professionally administered personal care treatments such as massages and facials. It is similar to a beauty salon in that it is only visited for the duration of the treatment. Day spas sited in airport terminals are often called airport...

    , a spa offering a variety of professionally administered spa services to clients on a day-use basis.
  • Dental spa
    Dental spa
    A Dental Spa is a dental facility supervised by a licensed dentist in which dental services are provided alongside spa treatments.In 2003, Lynn Watanabe, DDS of the Dental Spa in Pacific Palisades, California and the Day Spa Association defined a dental spa as "a facility whose dental program is...

    , a facility under the supervision of a licensed dentist
    Dentistry
    Dentistry is the branch of medicine that is involved in the study, diagnosis, prevention, and treatment of diseases, disorders and conditions of the oral cavity, maxillofacial area and the adjacent and associated structures and their impact on the human body. Dentistry is widely considered...

     that combines traditional dental treatment with the services of a spa.
  • Destination spa, a facility with the primary purpose of guiding individual spa-goers to develop healthy habits. Historically a seven-day stay, this lifestyle transformation can be accomplished by providing a comprehensive program that includes spa services, physical fitness activities, wellness education, healthful cuisine and special interest programming.
  • Garden spa
    Garden spa
    A garden spa is a type of spa that is located outdoors.Outdoor bathing has a longer history than indoor bathing, and private outdoor open space is known to have been used for bathing since ancient times. Stepwells were used for this purpose in Ancient India. Gymnasiums in Ancient Greece contained...

    , an outdoor spa used for bathing and self cleansing
  • Medical spa, a facility that operates under the full-time, on-site supervision of a licensed health care professional whose primary purpose is to provide comprehensive medical and wellness care in an environment that integrates spa services, as well as traditional, complimentary and/or alternative therapies and treatments. The facility operates within the scope of practice of its staff, which can include both aesthetic/cosmetic and prevention/wellness procedures and services. These spas typically use balneotherapy
    Balneotherapy
    Balneotherapy is the treatment of disease by bathing, usually practiced at spas. While it is considered distinct from hydrotherapy, there are some overlaps in practice and in underlying principles. Balneotherapy may involve hot or cold water, massage through moving water, relaxation or stimulation...

    , employing a variety of peloid
    Peloid
    thumb|Family of African Bush Elephants taking a mud bath in Tsavo East National Park, Kenya.Peloid is mud, or clay used therapeutically, as part of balneotherapy, or therapeutic bathing...

    s.
    "Balneotherapy treatments can have different purposes. In a spa setting, they can be used to treat conditions such as arthritis and backache, build up muscles after injury or illness or to stimulate the immune system, and they can be enjoyed as a relief from day-to-day stress."

  • Mineral springs spa
    Mineral spa
    Mineral spas are resorts developed around naturally occurring mineral spring locales.- Origins :Spas grew in reputation in the nineteenth century on into the late middle-twentieth century for their purported healing or healthful benefits to those wealthy enough to partake of their waters...

    , a spa offering an on-site source of natural mineral, thermal or seawater used in hydrotherapy treatments.
  • Resort/hotel spa, a spa owned by and located within a resort or hotel providing professionally administered spa services, fitness and wellness components and spa cuisine menu choices.
  • Mobile spa, a spa which provides services at home, hotels, or wherever you are.

Gallery


File:Spa-center-in-Andorra.jpg|Modern Spa Center in Andorra la Vella
Andorra la Vella
Andorra la Vella is the capital of the Co-principality of Andorra, and is located high in the east Pyrenees between France and Spain. It is also the name of the parish that surrounds the capital....

, Andorra
Andorra
Andorra , officially the Principality of Andorra , also called the Principality of the Valleys of Andorra, , is a small landlocked country in southwestern Europe, located in the eastern Pyrenees mountains and bordered by Spain and France. It is the sixth smallest nation in Europe having an area of...

.
File:VarshetsRenovatedSpaCenter.jpg|Spa center in Varshets
Varshets
Varshets is a spa town in Montana Province, northwestern Bulgaria. It is the administrative centre of the homonymous Varshets Municipality. As of December 2009, its population is 6,538. The town is located on the northern slopes of the western part of the Balkan mountains in the small valley of...

, Bulgaria
Bulgaria
Bulgaria , officially the Republic of Bulgaria , is a parliamentary democracy within a unitary constitutional republic in Southeast Europe. The country borders Romania to the north, Serbia and Macedonia to the west, Greece and Turkey to the south, as well as the Black Sea to the east...

.
File:Ognyanovo-Delta-Hotel-Mineral-water-swimming--pools.jpg|Mineral water
Mineral water
Mineral water is water containing minerals or other dissolved substances that alter its taste or give it therapeutic value, generally obtained from a naturally occurring mineral spring or source. Dissolved substances in the water may include various salts and sulfur compounds...

 swimming pool
Swimming pool
A swimming pool, swimming bath, wading pool, or simply a pool, is a container filled with water intended for swimming or water-based recreation. There are many standard sizes; the largest is the Olympic-size swimming pool...

s in Blagoevgrad
Blagoevgrad
Blagoevgrad is а city in southwestern Bulgaria, the administrative centre of Blagoevgrad Province, with a population of about 74,302 . It lies on the banks of the Blagoevgradska Bistritsa River....

 district, Bulgaria
Bulgaria
Bulgaria , officially the Republic of Bulgaria , is a parliamentary democracy within a unitary constitutional republic in Southeast Europe. The country borders Romania to the north, Serbia and Macedonia to the west, Greece and Turkey to the south, as well as the Black Sea to the east...

.
File:BalnearioAlange.jpg|Balneo area in Alange
Alange
Alange is a municipality located in the province of Badajoz, Extremadura, Spain. the municipality has a population of 2013 inhabitants.It is home to Roman baths a medieval castle , located on a hill commanding the Matachel river. It was hold by the Order of Santiago from the 1240s, and was...


File:Spa JPG05.jpg|The casino
Casino
In modern English, a casino is a facility which houses and accommodates certain types of gambling activities. Casinos are most commonly built near or combined with hotels, restaurants, retail shopping, cruise ships or other tourist attractions...

 garden in Spa
Spa, Belgium
Spa is a municipality of Belgium. It lies in the country's Walloon Region and Province of Liège. It is situated in a valley in the Ardennes mountain chain, some southeast of Liège, and southwest of Aachen. As of 1 January 2006, Spa had a total population of 10,543...

, Belgium
Belgium
Belgium , officially the Kingdom of Belgium, is a federal state in Western Europe. It is a founding member of the European Union and hosts the EU's headquarters, and those of several other major international organisations such as NATO.Belgium is also a member of, or affiliated to, many...


File:COLLECTIE TROPENMUSEUM Zwemmen in de vijver bj de waterval TMnr 60050142.jpg|Bathing in Bogor
Bogor
Bogor is a city on the island of Java in the West Java province of Indonesia. The city is located in the center of the Bogor Regency , 60 kilometers south of the Indonesian capital Jakarta...

, West Java
West Java
West Java , with a population of over 43 million, is the most populous and most densely populated province of Indonesia. Located on the island of Java, it is slightly smaller in area than densely populated Taiwan, but with nearly double the population...


File:Brooklyn Museum - Bathers - Louis Michel Eilshemius - overall.jpg|Bathers, Louis Michel Eilshemius, ca. 1920 (Brooklyn Museum
Brooklyn Museum
The Brooklyn Museum is an encyclopedia art museum located in the New York City borough of Brooklyn. At 560,000 square feet, the museum holds New York City's second largest art collection with roughly 1.5 million works....

)


See also

  • Water cure (therapy)
    Water cure (therapy)
    A water cure in the therapeutic sense is a course of medical treatment by hydrotherapy.-Overview:In the mid-19th century there was a popular revival of the water cure in Europe, the United Kingdom, and the United States...

  • List of spa towns
  • Massage
    Massage
    Massage is the manipulation of superficial and deeper layers of muscle and connective tissue to enhance function, aid in the healing process, and promote relaxation and well-being. The word comes from the French massage "friction of kneading", or from Arabic massa meaning "to touch, feel or handle"...

  • Peloid
    Peloid
    thumb|Family of African Bush Elephants taking a mud bath in Tsavo East National Park, Kenya.Peloid is mud, or clay used therapeutically, as part of balneotherapy, or therapeutic bathing...

    s
  • Spa, Belgium
    Spa, Belgium
    Spa is a municipality of Belgium. It lies in the country's Walloon Region and Province of Liège. It is situated in a valley in the Ardennes mountain chain, some southeast of Liège, and southwest of Aachen. As of 1 January 2006, Spa had a total population of 10,543...

    , a municipality of Belgium
The source of this article is wikipedia, the free encyclopedia.  The text of this article is licensed under the GFDL.
 
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