Slovak Health Spa Piešťany

Slovak
Health Spa
Piešťany
- over 200 years of spa
tradition
Rastislav Gašpar, M.D.
Medical Director
History of the Health Spa
Piešťany
 1113: first written notice about Piešťany (Koloman I.)
 1549: Juraj Werner – first written publication about healing mineral water
„De admirandis Hungariae aquis hypomnemation“
 2nd. half of the 17. century: first spa houses builded by nobility
 1822: first spa hose builded for retired soldiers (current Napoleon Spa)
 19th. century: treatments development by spa doctor František Scherer (balneology,
rheumatology, surgery)
 1889 – 1940: Winter family, “golden era of spas“, Thermia Palace and Irma (1912), Pro
Patria (1916), Jalta (1930)
 1894: crutchbreaker – symbol of the Piešťany Spa
 1960: „Balneoterapia“ spa complex
 2002: DHG entered into Spa Piešťany
Kúpeľný ostrov v Piešťanoch
Spa island
Spa Balnea
Hotel Esplanade
Hotel Splendid
Balneotherapy I
(Napolenon +
ProPatria)
Hotel ProPatria
Hotel Thermia
+ Irma Spa
THERAPEUTIC INDICATIONS
Who can find help in Spa Piešťany?
A. Diseases of the spine, back pain
- scoliosis, spine deformations, diseases of
intervertebral disc
B. Degenerative non-inflammatory rheumatic disorders
- osteoarthrosis
- metabolic arthropathies – gouty arthritis
- premature aging of the musculoskeletal system
C. Rheumatic inflammatory disorders
- rheumatic arthritis, Mb. Bechterew
- rheumatism of soft tissues - fibrositis, fibromyalgy
D.
Neurological diseases
- after stroke, CB and lumbal syndrome, paralysis of
nerves, cerebral palsy
- Sclerosis multiplex, other degenerative diseases
E. Post surgery
- joint replacement surgery, trauma, CNS surgery
Recommended length of therapeutic stay:
3 weeks
Patients in Spa Piestany by country of origin
Country
Slovak Republic
Guests 2015
8362
Germany
4693
Israel
5237
Czech Republic
1601
Russia
996
Kuwait
Saudi
Middle East
Austria
USA
Cyprus
Poland
Australia
Egypt
Emirates
Canada
UK
Ukraine
France
Scandinavia
Netherland
Rest - Europe
1158
509
537
394
424
191
173
128
129
185
113
97
217
68
58
55
260
Rest Source:
- outside ofHealthcare
Europe
189
documentation of SLKP
Austria
2%
Middle East
2%
Saudi
Kuwait2%
Russia4%
USA
2%
Rest - outside
of Europe
1%
Slovak Republic
32%
4%
Czech Republic
6%
Israel
20%
Germany
18%
Diagnoses of spa guests in
Piešťany
2013
2014
2015
Group of diagnoses
abs
%
abs
%
abs
%
Back pain (incl. disc
disorders, scolioses)
25135
86,5
21767
81,75
20592
79,89
Arthritis
1623
5,6
1994
7,5
1931
7,5
Post surgery/injury
1483
5,1
1944
7,3
2304
8,9
Inflammatory rheumatic
diseases
386
1,3
407
1,5
398
1,5
Neurologic diseases
364
1,25
383
1,45
419
1,6
Kids/Other diseases
73
0,25
130
0,5
130
0,61
29064
100
26625
100
25774
100
TOTAL
QUALIFICATION OF MEDICAL STAFF
IN SPA
Medical staff in Spa Piešťany
Our medical staff in specific medical areas:
 23 doctors, 22 nurses
 Doctors specialty: fyziatry, balneology and
rehabilitation
rheumatology
orthopedy
internal medicine
neurology
dermatology
 4 balneotherapies – Balnea, Irma, Napoleon,
Pro Patria
 200 other healthcare personnel
MEDICAL CARE
Complex spa stay – patient management
 After arrival for a spa stay the client undergoes an
individual initial examination and consultation
 If needed, the physician reccommend additional
examinations – laboratory tests, X-rays,
densitometry, MRI,
 An individual treatment plan is prepared, can be
adjusted during the stay
 Based on program 3-4 treatments per day are
provided
 One control check-up during week is planned
 After the spa stay the physician prepare a final
report with recommendation for clients everyday
life at home
Treatments in Health Spa Piešťany
BT1
BHS
Irma
TOTAL
Peloids
25 169
60 700
13 110
98 979
Mineral thermal baths
27 929
53 798
13 590
95 317
Hydrotherapy
57 271
130 106
23 021
210 398
Massages
28 263
84 132
17 555
129 950
Rehabilitation treatments
53 395
133 048
25 558
212 001
Electro/device therapy
44 617
128 620
30 413
203 650
Inhalations
1 923
17 965
3 494
23 382
Other natural resources
14 569
32 001
5 349
51 919
Other
7 330
36 738
8 164
52 232
TOTAL
260 466
677 108
140 254
1 077 828
Source: Healthcare documentation of SLKP
Inhalations
2%
Other natural
resources
5%
Other
5%
Peloids
9%
Mineral thermal
baths
9%
Electro/device
therapy
19%
Hydrotherapy
19%
Rehabilitation
treatments
20%
Massages
12%
NATURAL HEALING SOURCES
Natural healing resources
The unique healing sources are the reason why people come to Piešťany already for
centuries.
The healing effects of the local thermal mineral water and sulphuric mud
were first described by physicians in the 14th century.
NATURAL HEALING SOURCES
Thermal mineral water
 Thermal mineral water – these are natural springs of thermal mineral water with a high content of
minerals (1500 mg per liter).
 The water also contains hydrogen sulfide and other free gases
 It springs from tectonics faults at a depth about 2000 meters
 The water temperature of the springs is 67 to 69°C
 Output is around 3 millions liters daily
NATURAL HEALING SOURCES
Chemical composition of the thermal mineral water
(1000 ml), importance of hydrogen sulphide
 H2S – fast absorbtion through skin sebaceous
and sweat glands
 H reacts with oxygen, produce water and
biologically active sulphur ion
 Inhibition of degradation of elastin, collagen
 Increase of quality connective tissues through
binding on chondroitisulphate and hyaluronic
acid
 decrease of sensitivity on pain and skin
inflammation, skin erythema
 resorption of skin infiltrates (e.g. in scarf)
 antimicrobial effect (binding of oxygen in
microorganism)
Ions
NH4
Li
Na
K
Mg
Ca
Sr
Mn
Fe
Al
Total of cations
Fe
Cl
Br, J
Hs
No3
SO4
H2PO4
HPO4
HCO3
Total of anions
HCO2
H2SiO3
Total amount of minerals
Total evaporation in 180 °C
Free gases
CO2
H2S
ISM mg / kg n / 1000
0,800
0,044
0,380
0,054
92,950
4,041
15,100
0,386
45,830
3,769
225,500
11,253
4,000
0,091
traces
0,557
0,019
0,978
0,108
386,095
19,765
2,500
0,131
120,930
3,410
traces
3,720
0,011
3,450
0,055
578,610
12,046
2,620
0,026
2,590
0,054
239,900
3,932
954,320
19,766
2,940
68,800
1412,150
39,53
1295,800
63,480
4,7mg / l
NATURAL HEALING SOURCES
Sulphuric thermal mud
 Is the high quality peloid
 Consist from sediments of the river Váh
combined with erupting thermal water
springs
 After extraction, the mud matures for at
least one year in specially designed pools of
mineral water
 Excellent physical and biological
characteristics
 The peloid has a buttery consistency and a
steel-grey or black colour with the ability
for high thermal absorption
NATURAL HEALING SOURCES
Composition of the sulphuric thermal mud
 the live component – special anaerobic
non-pathogenic thermofilic microbial flora,
lives in temperature 45-60°C (Desulfovibrio
desulfuricens, Thiobacterium, Thiospirillum
Pistyen...)
 The organic component – particles of
plants, bacteria
 Anorganic component – bentonit and river
sediment
NATURAL HEALING SOURCES
Impact of the sulphuric thermal mud
 mud pack reduces local swelling around joints
 reduction of muscle tension
 better nutrition of cartilage, connective tissues
and intervertebral disc
 enhance anti inflammatory activity
 preventing degradation of elastin, collagen,
hyaluronic acid
 Excellent thermal properties - cools down 4
times slower than water
COMPLEX BALNEOTHERAPY
Treatment plan in Spa Piešťany
Baths
Rehabilitation
Devices
massage, physical exercise therapy
mineral bath H2S,
chemical and
immunological effects
Mud pack
hot, sulphuric
electrotherapy
ultrasound
magnetic therapy
Mirror pool – seating bath in healing mineral water
DHSB po rekonštrukcii - masáže
Massages – from classical medical massage to relaxation
massages
Ergotherapy, rehabilitation treatments
DHSB po rekonštrukcii - vodoliečba
Underwater tractions – combination of tracion and
bath in healing mineral water
Thank you for your attention
Welcome in Health Spa Piešťany!