A similar effect has been found in chronic pelvic inflammatory disease .
The review also revealed that  balneotherapy has some beneficial effects on antioxidant status , and on metabolic and inflammatory parameters .
Based on the results , we conclude that balneotherapy with Hungarian thermal-mineral waters is an effective remedy for  lower back pain  , as well as for knee and h and osteoarthritis
Balneotherapy is appreciated as a traditional treatment modality in medicine .
Hungary is rich in thermal mineral waters .
Balneotherapy has been in extensive use for centuries and its effects have been studied in detail .
A pragmatic randomized controlled trial on the effectiveness of low concentrated saline spa water baths followed by ultraviolet B (UVB) compared to UVB only in moderate to severe psoriasis.
OBJECTIVE To evaluate whether low concentrated saline spa water baths followed by ultraviolet B ( LC-SSW-UVB ) are superior to UVB alone in moderate to severe psoriasis .  BACKGROUND There is a lack of sufficiently large r and omized controlled clinical trial evaluating the additional benefit of saltwater baths followed by UVB compared to UVB only in psoriasis . STUDY DESIGN Partly evaluator blind , multicentre , pragmatic , r and omized controlled trial . SETTING Five German spa centres . SUBJECTS One hundred and forty-three adults with stable psoriasis during the last month and a Psoriasis Area and Severity Index ( PASI ) of > 10 and /or an affected body surface area of > 15 % . INTERVENTIONS LC-SSW-UVB or UVB thrice a week until remission ( PASI < 5 ) or for a maximum of 6 weeks . Sodium chloride concentrations of natural springs varied between 4.5 % and 12 % . Conventional UVB ( broadb and UVB or selective UVB phototherapy ) was used as irradiation source . MAIN OUTCOME Reduction of PASI and /or affected body surface area of 50 % at the end of the intervention period ( PASI-50 ) . Only participants receiving at least one intervention were included in the primary analysis . RESULTS Patients allocated to LC-SSP-UVB attained a statistically significantly higher rate of PASI-50 at the end of the intervention period than patients allocated to UVB [ 58/79 ( 73 % ) vs. 32/64 ( 50 % ) ; P = 0.01 ; NNT , 4.3 , 95 % CI , 2.4 - 18.1 ] . Benefit persisted until 3 months only for one of two secondary outcomes considered . CONCLUSIONS In routine clinical practice balneophototherapy using conventional UVB is superior to conventional UVB only at the end of a 6-week treatment course
A similar effect has been found in chronic pelvic inflammatory disease .
The review also revealed that  balneotherapy has some beneficial effects on antioxidant status , and on metabolic and inflammatory parameters .
Based on the results , we conclude that balneotherapy with Hungarian thermal-mineral waters is an effective remedy for  lower back pain  , as well as for knee and h and osteoarthritis
Balneotherapy is appreciated as a traditional treatment modality in medicine .
Hungary is rich in thermal mineral waters .
Balneotherapy has been in extensive use for centuries and its effects have been studied in detail .