Thirty-six patients with active rheumatoid arthritis were treated for
12 days at the Ein Gedi Spa. The patients were allocated randomly to f
our study groups. Group 1 (n = 9) was treated with daily baths in the
Dead Sea, group 2 (n = 9) was treated with daily sulphur baths, group
3 (n = 10) was treated with a combination of daily Dead Sea bathing an
d sulphur baths, and group 4 (n = 8) served as a control group. All pa
tients were assessed by a rheumatologist who was blinded to the treatm
ent modalities and group allocation. Clinical parameters assessed incl
uded: duration of morning stiffness, 15 m walk time, grip strength, ac
tivities of daily living, patient's assessment of disease severity, nu
mber of active joints, and the Ritchie articular index. Statistically
significant improvement lasting up to 3 months was observed only in th
e three treatment groups.