Historical issues of hydrotherapy in thermal–mineral springs of the Hellenic world

Many springs have been recorded in Greece; some of them are characterized as thermo-mineral springs and are associated with their position between Eurasia and Africa, the volcanic activity, and the presence of tectonic faults. The therapeutic use of water (hydrotherapy) has been recorded in ancient Greece since at least 1000 BC. Asclepius was the god of medicine in ancient Greek religion and priests operated his worship centers (Asclepieia) offering medical services in areas with proper climatic conditions. In historical times, Hippocrates from the Aegean island of Kos (460–375 BC) is considered the father of scientific medicine as well as hydrotherapy. During the Hellenistic period, the significance of water in health was widely recognized. In the Roman era, many doctors evolved hydrotherapy treatment and the use of hot baths continued in the early Byzantine period until the sixth century AD. Finally, during the Ottoman period, the kind of respiratory bath, named Hamam, was the dominant form in public baths. Their temperature ranges between 20.5 and 83 °C, and the dominant hydrochemical type is Na-Cl. This review describes the history of hydrotherapy in Greece through the centuries, the physicochemical characteristics of thermal springs, as well as contemporary and future trends and challenges are presented.