Practical Information - Station Thermale d`Avène

Practical Information
A Make an appointment with one of the doctors in the Hydrotherapy Center
for your arrival medical consultation and prescription of your treatment
course
Please contact Avene center to obtain updated list of doctors by phone
at +33 (0)4 67 23 41 87 or Website www.avenecenter.com
- Provide medical information to the doctor before arrival
- Contact your local Social Health insurance for reimbursement possiblities
2 Book your accommodation
The hotel and residential complex is here to accommodate you on-site.
Phone number: +33 (0)4 67 23 44 45
E-mail: [email protected]
Other accommodations can be offered by the Avène Tourism Office
Phone number: +33 (0)4 67 23 43 38 or Website www.avene-orb-gavezon.com
On the Website www.avenecenter.com, “Book my cure”,
by post or by phone: +33 (0)4 67 23 41 87
You will receive confirmation of your booking.
4 Organize your transport to Avène
Shuttle bus, Taxi, Car rental, please contact Avene center for more information
Phone number +33 (0)4 67 23 41 87 or Website www.avenecenter.com
More detailled information or assistance by contacting Avène Center team.
AVENE CENTER
34260 Avène-les-Bains – France
Phone: +33 (0)4 67 23 41 87
Fax: +33 (0)4 67 23 44 71
www.avenecenter.com
www.eau-thermale-avene.com
Created by SYMBIOSE - D. Cabrol - J. David – All Rights Reserved
3 Confirm your treatment registration
Certified in dermatology
POST-CANCER HYDROTHERAPY TREATMENT GUIDE
A Hydrotherapy Center with a rich history
It all began around the age of enlightenment, in
about a century which enlightened the world by
means of its ideals as summarised by Condorcet:
Reason, Humanity, Tolerance, etc. and which is
still the motto of the Avène Hydrotherapy Center
today.
In 1736, the Marquis of Rocozels had a horse
with a skin condition which was persistent and
unpleasant. He followed his instinct which told him
to drink water from the nearby spring every day
and to bathe his entire body in it.
A few days later, the news of his complete cure
qualified as the “miracle of Avène water” spread
throughout the region.
The doctors of Montpellier and Paris, alerted, sent
their first patients.
They were not novices; the Faculty of Medicine
of Montpellier had been founded in 1220, which
makes it the oldest faculty of medicine in existence
in the world…
All of them confirmed the efficacy of Avène Thermal
Water and recommended its use to the point such
that in 1874, the National Academy of Medicine
declared it a “Source of Public Interest”.
In 1975, Pierre Fabre, a tireless pharmacist and
innovator was fascinated by this “sleeping beauty”.
He decided to begin in-depth scientific studies
in order to evaluate the potential properties and
to understand its mode of action. Because even
though the center is forgotten, its thermal spring
water has not lost any of its qualities.
The many studies that have been conducted and
the benefits observed by patients who have gone for hydrotherapy
treatment at Avène Center provide a resounding confirmation. Avène
Thermal Spring water is indeed a source of soothing water, the preferred spring for sensitive, damaged and fragile skin.
The Center, moreover, is the first Hydrotherapy Center specialised in
dermatology to receive the certification “HACCP Aquacert Thermalism” (in 2010 and renewed in 2013). The approach undertaken
by the Avène Hydrotherapy Center to improve the quality of care,
to ensure health safety and to provide satisfaction to their patients is
therefore rewarded.
First hydrotherapy center in 2015 to receive a distinction and recommendation by AFPRAL (French
Association for the Prevention of Allergies, member
of the European Foundation of Allergy). [Declared
of public utility by the government (illegible)]
POST-CANCER HYDROTHERAPY TREATMENT GUIDE
3
A beautifully preserved environment
Founded before the 12th century, the village of
Avène is nestled in the Orb valley, in the Haut-Languedoc Regional Nature Park.
Covered by woods and forests, this large park,
26,000 hectares, is carefully protected in an ideal
setting for rest and relaxation.
Its spectacular geographic location, the beautiful
countryside, the lush vegetation, gorgeous sunshine and the proximity of the Mediterranean all
help make it a rare and precious paradise.
The area is dotted with tiny old villages, full of historic charm and cultural heritage.
In these beautiful surroundings, we find the impluvium, the huge receptacle into which rainwater has
flown for centuries, trickling down to eventually become our water source.
This impluvium is the beginning of the Avène Spring
Water’s underground journey. It is thought to take
over 50 years to reach the source and to acquire
all of its qualities and unique composition.
WHAT HAS LONG BEEN KNOWN…
Avène Thermal Spring Water has a unique mineral content which is
constant and qualitatively balanced.
•
•
•
•
•
A low mineral content: dry residue 266 mg/litre.
Calcium bicarbonate and magnesium profile.
Calcium/magnesium ratio equal to 2.
Rich is silicates and trace elements.
A neutral pH: 7.5.
A Rare
Spring Water
with a dual
signature…
This specific mineral composition is an important factor for the properties of Avène Thermal Spring Water.
…AND THAT RECENT DISCOVERIES HAVE TAUGHT US.
Our researchers in corporation with the Oceanographic Observatory of Banyuls-sur-Mer have demonstrated the existence of other
active substances in the Thermal Spring Water which result from an
original microflora called the “aqua. dolomiae” and comprise the
biological signature of Avène Thermal Spring Water.
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Journal of the European Academy of Dermatology and Venereology
Volume 25 Supplement 1 February 2011
www.jeadv.com
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Evidence-based Efficacy
of Avène Thermal
Spring Water
FORM
ATION
EN DERM
2009 Impact Factor:
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2.787
47 3603
EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY (www.eadv.org)
ISSN 0926-9959/1468-3083 (Online)
N° 44
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11
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39
900
Triglycérides
Acides gras estérifiés
41
Acides gras libres
Cholestérol
43
800
700
***
300
200
***
Trixéra+
Marie Ange Martincic,
ACTIVITE
BASALE
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Concurrent L
L’enfant et la cure thermale
en dermatologie
Trixéra+
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600
500
400
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37
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27
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Directrice des Thermes d’Avène
acides
cides gras
as eestérifiés
stérifiés
*** p<0,001
Fig. 2. Autoradiographie des plaques de chromatographie.
Fig. 4. Quantification des acides gras estérifiés.
Résultats
L’application du baume Trixéra+ Sélectiose® sur
épiderme reconstruit a stimulé la néosynthèse
par les kératinocytes des différents lipides et
précurseurs de lipides étudiés. Cet effet était
supérieur à celui observé avec le témoin positif et
le produit concurrent (Fig. 2). La quantification de la
S
O N
I T I
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Lab ora
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s Der
E S
A L
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ne
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néosynthèse
B R lipidique a permis de démontrer que
F A
cette stimulation était significativement supérieure
à l’activité basale observée sur les épidermes
non-traités (Fig. 3). La synthèse des acides gras
estérifiés a été augmentée de manière particulièrement importante par une application préalable
de Trixéra+ Sélectiose® (Fig. 4). Pour toutes les
espèces lipidiques étudiés, Trixéra+ Sélectiose®
s’est montré supérieur au concurrent (Fig. 3 et 4).
250
***
Trixéra+
Trix
Concurrent
Co
o
L
200
**
150
*
****
***
ACTIVITE
BASALE
100
50
0
sphingo
sphingo-myéline
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phospholipides
phospholip
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choleestérol
cholestérol
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acides grass libres
* p<0,05, ** p<0,01, *** p<0,001
Fig. 3. Quantification des différents lipides et des acides gras libres.
38
Cette étude a permis de démontrer clairement l’efficacité de Trixéra+ Sélectiose®
dans le renforcement et le maintien de
la barrière lipidique cutanée. Il a été
montré que Trixéra+ Sélectiose® a un
effet stimulateur sur la néosynthèse lipidique qui est d’autant plus concluant qu’il
comprend la synthèse des précurseurs
lipidiques, des métabolites intermédiaires et des constituants du ciment
lipidique tel que le cholestérol. Cette
action globale de Trixéra+ Sélectiose®
sur le métabolisme lipidique des kératinocytes permet d’améliorer la cohésion
et la résistance de la couche cornée
ce qui souligne l’intérêt de l’utilisation
de Trixéra+ Sélectiose® sur des peau
atopiques.
DERMO
CUS N° 44 - 2012 - ATOPIE
(1) Mavon A, Duplan H. Symposium Avène, JDP,
Paris, 2007.
(2) Mavon A, Ceruti I, Castex-Rizzi N, Charveron M.
Bioavailability and pharmacological effect of
a new pentyl-rhamnoside on the inflamed skin.
Poster SID 2008.
(3) Uchida Y, Behne M, Quiec D, Elias PM,
Holleran WM. Vitamin C stimulates sphingolipid
production and markers of barrier formation in
submerged human keratinocyte cultures. J Invest
Dermatol. 2001;117(5):1307-13.
L
a saison 2011 vient de se terminer, c’est
donc un bon moment pour faire le point.
Au total près de 2 600 curistes sont venus
à la Station pour bénéficier de nos soins avec
une forte proportion d’enfants : plus de 30%
des curistes que nous recevons ont moins de
15 ans.
L’importance du nombre d’enfants atopiques
traités à la Station thermale est liée sans conteste
à la prévalence croissante de cette affection.
Et dans ce contexte, la notoriété de la Station
thermale d’Avène fait le reste. Car aujourd’hui
on sait comment et on sait pourquoi la cure
thermale à la Station est tellement bénéfique...
En outre, et cette tendance se confirme, nous
accueillons de plus en plus de très petits enfants.
C’est d’ailleurs pourquoi nous nous sommes
équipés pour accueillir sans aucune difficulté
des curistes de ... 3 mois !
le médecin traitant de l’enfant et à
adresser à la Caisse d’Assurance
Maladie.
- Les frais d’hébergement de l’enfant
et des adultes qui l’accompagnent
ne sont pas pris en charge ou
très partiellement sous certaines
conditions de ressources.
- L’accompagnement de l’enfant est
requis aussi bien dans les soins jusqu’à l’âge de 12 ans - que tout au long du
séjour de 3 semaines.
L’an passé, comme les années précédentes, nous
avons pu constater à quel point la présence active
des parents (ou des grands-parents) ajoutait un
vrai «plus» à la cure thermale des petits... En
famille, les petites appréhensions du début sont
vite effacées et les bons résultats de la cure font
l’objet d’un bonheur immédiatement partagé !
Petit guide pour jeune curiste...
Les soins des tous-petits
Une question nous est souvent posée : «comment, en pratique, préparer le séjour de mon
enfant ?». Les procédures, avouons-le, sont
très simplifiées.
- La durée du séjour est de 3 semaines consécutives et les soins sont administrés tous les
jours: du lundi au samedi.
- Les frais de cure et les honoraires médicaux
sont remboursés respectivement sur les bases
de 65 et 70%.
- La prise en charge administrative s’engage à
partir d’un simple questionnaire à remplir avec
Le nombre de soins quotidiens est toujours adapté
à l’âge de l’enfant.
Le nourrisson jusqu’à 18 mois bénéficie de 2 bains
simples par jour, parfois complétés d’applications
de compresses imprégnées d’Eau thermale d’Avène.
Au delà de 18 mois, le programme de soins
thermaux est plus diversifié.
Les bains, choisis pour leur rôle émollient, sont
agrémentés de bulles d’air ou d’hydromassages,
et suivis de douches en fines pulvérisations générales ou locales.
Lors de séquelles de brûlures ou d’eczéma
DERMO
N° 44 - 2012 - ATOPIE
Ph. : J. David
ANS DE
% synthèse lipidique
DE 10
% synthèse lipidique
ATOLO
O
DERM
PLUS
39
The total sum of this knowledge
explains the soothing and antiirritant properties of Avène Thermal
Spring Water. They have been
reported in several international
scientific publications.
POST-CANCER HYDROTHERAPY TREATMENT GUIDE
5
Effective but demanding treatments
Today the diagnosis of cancer is synonymous
with increasingly effective treatments (traditional
surgery, radiological surgery, endoscopic surgery,
radiotherapy, conventional chemotherapy, targeted
therapy, immunotherapy, etc.).
In addition to the surgery itself, or even breast reconstruction which
can leave unsightly or painful scars, cancer treatments often leave
their “mark”.
Three types of treatment can be differentiated:
These effective treatments enable increasingly long
remissions under good conditions, but they also
generate side effects, in particular, involving the skin,
hair and nails.
M RADIOTHERAPY
Better understanding and controlling these side
effects is essential to diminish their impact and to be
able to continue to take advantage of the full efficacy
of cancer treatments with upmost serenity.
M TRADITIONAL CHEMOTHERAPIES
You will no longer feel the same and you will
experience the need to reconcile your body image
and yourself.
M NEW TARGETED THERAPIES
Even when focused on the tumour, it can damage the skin. Radiation
due to powerful x-rays can cause radio-dermatitis (skin burns) that
are bothersome even though they are little intense and do not last.
Designed to inhibit the growth of tumour cells, they can also produce
their effects on other cells, such as cells of the skin and hair, etc. So
many bothersome side effects, but always temporary.
In order to produce an effect on all of the cells globally as traditional
chemotherapies do, targeted therapies specifically target a problem
or a discomfort presenting a precise anomaly and specific to the
disease which affects it. Even targeted therapies can cause side
effects.
POST-CANCER HYDROTHERAPY TREATMENT GUIDE
7
Benefits of avène hydrotherapy aftercancer treatment confirmed
“What is happiness?
Come here and this is will be
the first impression
that one has…”
Evelyne, patient at Avène
Everything here is designed to erase and to cushion
trying times which follow surgery, chemotherapy or
radiotherapy. Thermal spring water hydrotherapy is
carefully planned so that your treatment is perfectly
appropriate for your own case. Thermal water
baths, hydro-massage showers, filiform showers
and sprays, emollient cream wraps or soothing
compresses with Avène Thermal Spring Water
enable your skin to regain its comfort and feeling
of well-being.
Oral mucus membrane conditions receive specific
care with Avène Thermal Spring Water.
So many privileged moments which enable
Avène Thermal Spring Water to gently circulate its
soothing anti-irritant and softening properties.
Always on a “custom-made” basis and depending
on your concerns or your plans, you will also have
many workshops available for you:
A workshop on how to
apply make-up, to teach
the techniques of applying
make-up to hide scars, but
also to regain a luminous
colour, beautiful eyebrows
and a “revitalised” face.
- Dermo-cosmetic advice, knowing the proper ways for appropriate
skin care to help it regain its suppleness and comfort.
- Appropriate exercises under the supervision of a physiotherapist
to re-invigorate one’s body and improve mobility of the arms.
- Areas to meet people, moderated by a clinical psychologist, this
is a place where people meet, listen and where each one can
freely express, share his/her own experience.
- Dietary advice, by a pharmacist with a degree in medical
dietetics, in order to help you follow an appropriate diet after
treatment.
A significant improvement in beneficial effects on
the skin thanks to hydrotherapy.
A clinical study conducted at the Center demonstrates
the significant benefit of Avène thermal water
therapy (patients who used thermal spring water
therapy versus those who did not).
This study made it possible to demonstrate a
significant improvement in Quality of Life, but also
in the principal signs of skin discomfort such as dry
skin, itching and indurated skin.
In addition in improvement in skin quality, an
improvement in residual oedema is also observed
and a significant impact on bodily image.
Dry skin
Pruritus
Skin induration
-10
-30
-50
-70
Spring Water Patients (35)
Non-Spring Water Patients (33)
-90
NCI CTCAE specific scale (Criteria evolution)
• A randomised controlled
trial involving 6 hospital
centres at the Avène
Hydrotherapy Center on 68
female patients in complete
remission.
• Inclusion 1 to 5 weeks after
treatment of breast cancer
by Surgery/Chemotherapy/
Radiotherapy or by
Chemotherapy/Surgery/
Radio-therapy
“At Avène, there is a certain fragrance
of humanity. We all have our own body
envelope and Avène offers us a human
envelope. We wish to thank all of these
persons with smiling faces, and who provide
soothing types of care.”
Sophie, a patient at Avène Hydrotherapy Center
POST-CANCER HYDROTHERAPY TREATMENT GUIDE
9
At the margin of the treatment: Discovering, Learning, Enjoying oneself
While following a hydrotherapy treatment is engaging, it nevertheless
allows you a certain amount of free time. And it would be a shame to
go to Avène Center and be limited to the village, as charming as it may
be. Because in fact it is full of precious charm, that of a bygone era. It
exudes calm, soothing, like the Spring, its neighbour. But the soothing
effect thus adds to the pleasure of discovery.
Between two massages or two baths, everything is designed to entertain
you, to delight you, to fascinate you and to help you to relax. Choose
your favourite pass time. You can improve your backhand or your forehand stroke, the tennis court is within reach of your tennis racket.
Your new friends invite you to join them and to play? The bowling alley
and the mini-golf are within walking distance in the park. “It’s more fun
to compete”… If you want to walk, all alone, as a couple or in a group
? Over 300 km of well indicated random trails await you. The best
guides will be there for you…what scenery you will see!
And why not try your hand at trout
fishing, this old dream that wells up in
you…The clear water of the Orb River
is at your feet and we have fishing
rods for you!
Golfer? In Lamalou, take advantage of
a 9 hole golf course which is there for
you with a true spectacle of greenery.
Climber? You can attack the Mount
Espinouse and the Escandorgue,
whose name so well illustrates the
south.
And if you are surprised by a small
gastronomical curiosity, think of the
Roquefort caves, which no longer
need any explanation and the wines
of the nearby Hérault region.
If you have a passion for exploring
historical treasures, you can visit the
Abbey of Sylvanès or the Cathar
castles. Moving vestiges of the past,
concentrated between Carcassone,
Perpignan and Narbonne…
Finally, if you want to admire a pure masterpiece of
modern civil engineering, then cross the Millau road
bridge. As everyone who visits it says, the spectacular
view will take your breath away.
11
POST-CANCER HYDROTHERAPY TREATMENT GUIDE