The efficacy of spa therapy in ankylosing spondylitis has not been investigated extensively.In a single-blind randomized controlled study, 28 patients suffering from ankylosing spondylitis were allocated into two groups of 14 patients each. The first group (the combined treatment group) received balneotherapy (mud packs and sulfur pool) and exposure to the unique climatic conditions of the Dead Sea. The second group (the climatotherapy group) used the fresh water pool and experienced the same climatic conditions. The duration of treatment was 2 weeks and the follow-up period 3 months.It was concluded that Climatotherapy at the Dead Sea area can improve the condition of patients suffering from long-standing ankylosing spondylitis.


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