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Hydrotherapy, formerly called hydropathy and also called water cure, is a part of medicine and alternative medicine, in particular of naturopathy, occupational therapy and physiotherapy, that involves the use of water for pain relief and treatment. The term encompasses a broad range of approaches and therapeutic methods that take advantage of the physical properties of water, such as temperature and pressure, for therapeutic purposes, to stimulate blood circulation and treat the symptoms of certain diseases.

Various therapies used in the present-day hydrotherapy employ water jets, underwater massage and mineral baths (e.g. balneotherapy, Iodine-Grine therapy, Kneipp treatments, Scotch hose, Swiss shower, thalassotherapy) and/or whirlpool bath, hot Roman bath, hot tub, Jacuzzi, cold plunge and mineral bath.

Water therapy may be restricted to use as aquatic therapy, a form of physical therapy, and as a cleansing agent. However, it is also used as a medium for delivery of heat and cold to the body, which has long been the basis for its application. Hydrotherapy involves a range of methods and techniques, many of which use water as a medium to facilitate thermoregulatory reactions for therapeutic benefit.

Hydrotherapy is used as an adjunct to therapy, including in nursing, where its use is now long established. It continues to be widely used for burn treatment, although shower-based hydrotherapy techniques have been increasingly used in preference to full-immersion methods, partly for the ease of cleaning the equipment and reducing infections due to contamination. When removal of tissue is necessary for the treatment of wounds, hydrotherapy which performs selective mechanical debridement can be used. Examples of this include directed wound irrigation and therapeutic irrigation with suction.

Practitioners of hydrotherapy may seek use it to produce vasodilation and vasoconstriction. These cause changes in blood flow and associated metabolic functions, via physiological mechanisms, including those of thermoregulation, that are these days fairly well understood, and which underpin the contemporary use of hydrotherapy.

One form of water therapy, advocated by some alternative medicine proponents, is the consumption of a gutful of water upon waking in order to “cleanse the bowel”. A litre to a litre-and-a-half is the common amount ingested. This water therapy, also known as Indian, Chinese, or Japanese Water Therapy, is claimed to have a wide range of health benefits, or at least no adverse effects. Advocates of water therapy claim that application of water therapy at first will cause multiple bowel movements until the body adjusts to the increased amount of fluid. While ingesting about a litre-and-a-half of water is generally considered harmless, excessive consumption of water can lead to water intoxication, an urgent and dangerous medical condition.
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