Santenay

Researchers are evaluating an 18-day balneotherapy program using Mineral Water of Santenay for patients aged 50 to 80 with knee osteoarthritis. The study aims to assess how this spa therapy affects functional ability, pain, and joint stiffness associated with knee osteoarthritis, and whether it improves patients quality of life compared to standard care. The study uses an external control group from a previous randomized trial receiving standard pain management and exercise recommendations. Participants receive at least four balneotherapy sessions per day, six days a week for three weeks, which may include whirlpool baths, poultice applications, immersion baths, local jet showers, and penetrating showers using thermal water at specific temperatures. Alternative treatments may be used in some cases. Patients also receive the same exercise advice as the control group. Medical visits are scheduled before starting the program and six months after, with a remote visit at three months. During the study, patients will be monitored for body weight, physical ability, and self-evaluations of pain and function. The main outcome measured is Minimal Clinically Important Improvement at six months. Other assessments include changes in pain, stiffness, physical function, and quality of life at three and six months using the WOMAC scale and Acceptable Symptom State. Safety and overall management of knee osteoarthritis will also be evaluated. Participation lasts at least six months with follow-up visits and evaluations.