Dr. David Szmiga DPT, MTC, ATC, CSCS, BFR, PES, Pilates Certified

MDR Rehab


601 North Congress Avenue Suite 411
 Delray Beach, FL 33445


Hydrotherapy (aquatic therapy) is a form of physical rehabilitation that uses the properties of water to help promote healing of several different conditions. Because of its natural properties, water can provide relief from the pain associated with orthopedic disorders such as arthritis, chronic back pain and bone fractures; neuromuscular diseases such as muscular dystrophy; and muscular conditions such as fibromyalgia.

Being in the water also makes it easier for patients, especially those who are overweight, to exercise as part of rehabilitation. Patients typically must undergo water therapy 2 to 3 times a week for maximal results. Hydrotherapy is typically undergone in a setting with filtered water at or above 92 degrees Fahrenheit.

Benefits of Hydrotherapy

Hydrotherapy offers patients many advantages over traditional physical therapy. The natural properties of water provide several distinct benefits to patients, including:

  • Buoyancy for support and to limit joint stress
  • Natural resistance to help muscle strengthening without weights
  • Warmth to help relax muscles and increase blood flow

Beyond targeting injured or diseased areas of the body, hydrotherapy can assist in improving flexibility, balance, comfort, endurance and range of motion. Water therapy is also a known relaxer for most individuals, providing a respite from stress and anxiety and thereby facilitating healing.

Candidates for Hydrotherapy

Hydrotherapy, in spite of its many benefits for the majority of patients, is not appropriate in all cases. For sanitary reasons, hydrotherapy should not be undergone by patients who have bladder or bowel incontinence. Patients have to be carefully evaluated before engaging in hydrotherapy if they:

  • Have cardiac disease
  • Have an infection or fever
  • Are diabetic
  • Have Raynaud's disease
  • Are pregnant
  • Have unusually high or low blood pressure

While extremely effective for most patients, for individuals with these conditions, and for those who are elderly, very young or extremely debilitated, hydrotherapy may not only be ineffective, but dangerous.

For more information about Hydrotherapy, Call David Szmiga's office at 561-638-1078

Additional Resources