Hot Tub vs. Sauna Health Benefits: Choose Wisely

Published on

June 3, 2025

Both hot tubs and saunas offer powerful health benefits, but hot tubs may be better for muscle relaxation and joint pain, while saunas excel in detoxification and cardiovascular health. The best choice depends on your individual health goals and preferences for wet or dry heat therapy.

Our search for relaxation, wellness, and rejuvenation has led many to embrace hot tubs and saunas as preferred methods of heat therapy. In the debate over the health benefits of hot tubs versus saunas, it's clear that both offer a soothing retreat, promoting a sense of calm and physical well-being. But when it comes to the health benefits, which one reigns supreme? 

In this article, we explore the world of self-care through hot tubs and saunas, comparing their distinct qualities and examining the various health benefits they provide. From stress relief and enhanced circulation to pain alleviation and improved mental well-being, join us on a journey to uncover the advantages of hot tubs and saunas, and discover which heat therapy option best meets your health needs. 

The Healing Heat: Similarities Between Hot Tubs and Saunas 

The Healing Heat: Similarities Between Hot Tubs and Saunas 

Hot tubs and saunas share a rich, interconnected therapeutic history that traverses time and geographies, firmly rooting them in many cultural traditions worldwide.

The use of heat for healing purposes dates back thousands of years, with historical records indicating that the practice was employed across diverse societies, from ancient Rome to traditional Native American cultures.

The origins of the sauna trace back to Northern Europe, particularly Finland, where its use was more than a hygienic routine:

  • It was a cherished social activity.
  • It was even a place for healing the sick.
  • The combination of heat, steam, and sometimes aromatic herbs was believed to purify the body and spirit, contributing to overall wellness.

Hot tubs, also known as spas, have historical roots in various cultures, most notably in:

  • Ancient Rome, where public bathhouses included hot baths and were viewed as essential social and communal spaces, promoting relaxation and well-being.
  • Japan, where the tradition of hot spring bathing, or onsen, is deeply ingrained. The naturally heated waters are believed to possess healing properties, contributing to relaxation and rejuvenation.

Despite the distinct cultural origins of saunas and hot tubs, they have converged in modern times as prominent elements of wellness regimens, championed for their shared therapeutic potential, using heat as a medium to promote physical and mental health.

The historical traditions underlying both these practices underscore their time-tested benefits, enriching our understanding of their value in contemporary wellness contexts.

What Are the Common Health Benefits of Hot Tubs and Saunas?

The common health benefits of hot tubs and saunas include stress relief, improved sleep, pain reduction, enhanced circulation, detoxification, improved skin health, and post-workout recovery. They also include mental health benefits, cardiovascular health, boosted immune system, enhanced mood, relief from respiratory issues, improved flexibility, headache alleviation, and potential weight management.

1. Stress Relief

Utilizing either a hot tub or a sauna can be a powerful tool for managing stress. The warm, soothing environments help to relax tight muscles, relieving physical tension.

They provide a quiet space for mental reprieve, away from daily distractions. This combined physical and mental relaxation can help in:

  • Reducing overall stress levels
  • Promoting a greater sense of calm
  • Supporting emotional well-being

2. Improved Sleep

A study published in the journal Sleep found that the relaxation promoted by these heat therapies can significantly improve sleep quality. The heat helps your body to relax and induces a state of calmness conducive to a good night's sleep. This can particularly benefit those suffering from insomnia or other sleep disorders.

3. Pain Reduction

Hot tubs and saunas can be potent allies in pain management, according to a 2021 research paper. The increased circulation and heat help alleviate various types of pain, including chronic pain, arthritis, muscle aches, and joint pain.

The warm environment helps relax muscles, reducing stiffness and discomfort.

4. Improved Circulation

According to a group of researchers that studied the effects of heat therapy on blood vessels, the heat from saunas and hot tubs induces vasodilation - the widening of blood vessels - which enhances blood flow throughout the body.

Improved circulation can boost overall health, influencing everything from cardiovascular health to skin condition.

5. Detoxification

Sweating is one of the body's primary methods of eliminating toxins, and both saunas and hot tubs promote good sweat. This detoxification process aids in removing impurities from the body, potentially leading to improved health and well-being.

6. Skin Health

The sweating and heat induced by these heat therapies can open up the pores and cleanse the skin, eliminating dirt and toxins. This deep-cleansing process can improve skin health, potentially leading to clearer and more vibrant-looking skin.

7. Post-Workout Recovery

Many athletes turn to saunas and hot tubs to aid in post-workout recovery. The heat can help alleviate muscle tension, reduce soreness, and speed up recovery time, allowing for a quicker return to training.

A study published in Biology of Sport found that a single infrared sauna session after resistance training improved neuromuscular performance and reduced muscle soreness in male basketball players.

Also, research in Medicine & Science in Sports & Exercise indicates that hot water immersion (41°C) mitigated the decline in force development following exercise-induced muscle damage, suggesting benefits for explosive strength recovery.

Read more here: 7 Remarkable Benefits of Hot Tub After Workout: The Ultimate Guide

8. Mental Health Benefits 

The benefits of hot tub and sauna use extend beyond physical wellness, contributing to overall mental health. Regular heat therapy usage can help alleviate symptoms of anxiety and depression, boosting mood and promoting a sense of overall mental well-being.

9. Cardiovascular Health Benefits

When you're in a hot environment, your heart works a bit harder to help cool down the body, thereby acting as a form of cardiovascular exercise.

This cardiovascular workout can potentially strengthen the heart over time, contributing to improvements in cardiovascular health. You can incorporate this with hot tub games and fun spa exercise routines.

10. Boosted Immune System Function

Saunas and hot tubs may contribute to a healthier immune system by promoting better blood circulation and reduced stress levels.

Improved circulation allows for more efficient transport of immune cells throughout the body, while stress reduction contributes to a healthier immune response.

11. Enhanced Mood 

Hot tubs and saunas can stimulate the body's production of endorphins, the 'feel-good' chemicals. These endorphins can enhance mood and promote a general sense of well-being, contributing to overall mental health.

12. Relief from Respiratory Issues

The steam generated in saunas and hot tubs can alleviate certain respiratory issues.

The warm, moist air can help clear the airways and reduce congestion, offering relief to those suffering from conditions such as asthma or allergies.

13. Improved Flexibility 

The heat from both saunas and hot tubs can help you relax your muscles, potentially leading to improved flexibility and mobility.

This can be especially beneficial for individuals working on their flexibility or recovering from injuries.

14. Alleviation of Headaches

Certain types of headaches, particularly those related to tension or poor circulation, can be relieved by the heat and improved circulation provided by saunas and hot tubs.

15. Potential Weight Management

Saunas and hot tubs can provide a mild form of cardiovascular exercise due to the body working harder in a hot environment, which could potentially assist in weight management as part of a balanced lifestyle.

It's important to note that any weight loss primarily comes from water loss due to sweating and is quickly regained once you rehydrate. While they can support a weight management program, they should not be relied upon as a primary method for weight loss.

Read more here: Hot Tub Benefits Weight Loss: Unpacking the Facts

Shared Potential Risks and Precautions 

While hot tubs and saunas provide numerous health benefits, they also come with potential risks that users should be aware of to ensure a safe and enjoyable experience. Here are some common potential risks and precautions associated with both:

Risk / Precaution Description
Overheating and Dehydration Prolonged exposure to heat can cause overheating, leading to heat exhaustion or heat stroke. Symptoms include dizziness, nausea, and possible loss of consciousness. Also causes water loss. Stay hydrated and limit session time.
Vulnerable Groups Pregnant women, individuals with cardiovascular conditions, or those with low blood pressure should consult a doctor before using heat therapies. These groups are more sensitive to temperature-induced stress on the body.
Cleanliness and Maintenance Regular cleaning of hot tubs and saunas is essential to prevent bacteria and mold growth. Ensure hot tub filters and equipment are properly maintained before use.
Alcohol Use Avoid alcohol before or during use, as it increases the risk of dehydration, overheating, and impaired judgment, making it harder to recognize danger.
Medication Interactions Some medications may negatively interact with high heat, causing unwanted effects. Always check with a healthcare provider if you're on medication and plan to use a sauna or hot tub.
Need for Supervision Never use a hot tub or sauna alone. Having someone present ensures help is available in case of fainting, overheating, or other medical emergencies.

Unique Therapies: Differences Between Hot Tubs and Saunas 

Unique Therapies: Differences Between Hot Tubs and Saunas 

While hot tubs and saunas have a wide variety of common benefits, some differentiate them, so if you have specific needs from heat therapy, you might decide to use one over the other.

Operational Differences: How Hot Tubs and Saunas Work

Features Hot Tubs Saunas
Heating Method Heated water Traditional: Heated air; infrared; direct body heating
Typical Temperature 100-104°F (38-40°C) Traditional: 150-195°F (65-90°C); Infrared: 120-140°F (49-60°C)
Environment Warm and buoyant, often with massaging water jets Dry or humid heat, depending on type
Primary Therapeutic Factor Hydrotherapy (heat + water movement) Intense heat exposure
Impact of Gravity Reduced due to water's buoyancy Normal
Humidity High due to heated water Varies (low in infrared saunas; high in traditional saunas with water added to rocks)
Typical Session Length Typically 15-30 minutes, but can vary based on individual tolerance and preference Traditional: 5-20 minutes; Infrared: 10-30 minutes; varies by individual tolerance
Unique Health Considerations Can offer relief from joint/muscle pain due to water's buoyancy and pressure; possible lower blood sugar benefits Can promote better lung function due to warmed airways; potential enhanced insulin sensitivity
Maintenance Regular cleaning and water chemical balance necessary Minimal, mostly cleaning; traditional saunas may need new rocks periodically
Cost (initial and ongoing) Can be expensive to buy and install; ongoing costs include water, electricity, and maintenance Varies widely, but generally cheaper than hot tubs; ongoing costs include electricity (lower for infrared saunas) and maintenance
Space Requirement Significant outdoor or indoor space needed Can be compact, especially infrared models; suitable for indoor use

5 Unique Hot Tub Benefits for Health

Regardless of the hot tub model you are using, you can benefit from the unique advantages hot tubs come with compared to saunas:

1. Hydrotherapy

One of the primary unique benefits of hot tubs is hydrotherapy. By combining the therapeutic properties of heated water, buoyancy, and water movement or pressure, hydrotherapy can offer a range of health benefits.

The benifits of hydrotherapy include:

  • Relief for joint pain and arthritis
  • Riding in muscle recovery
  • Easing stiffness in the body

The massaging effect of the jets can target specific areas of the body, promoting relaxation and improving flexibility.

2. Lower Blood Sugar

Emerging studies suggest that regular hot tub use can contribute to lower blood sugar levels, potentially beneficial for individuals managing type 2 diabetes. The heat exposure is believed to increase blood flow and mimic some effects of physical exercise, which plays a role in regulating blood sugar levels.

These findings are preliminary, and individuals with diabetes should consult with their healthcare providers before starting hot tub therapy.

3. Alleviation of Fibromyalgia Symptoms

People suffering from fibromyalgia, a condition characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues—may find significant relief from regular hot tub use.

The hot water can help reduce pain and stiffness, while the buoyancy allows for gentle exercises to increase mobility and strength.

Also, the relaxation and improved sleep quality associated with hot tub use can help manage fibromyalgia symptoms.

4. Enhanced Bone Health

The buoyancy provided by the water in a hot tub can create an excellent low-impact environment for gentle exercises. This can particularly benefit those with osteoporosis or other bone and joint issues.

Under the water's buoyant effect, muscles and joints can be strengthened and conditioned with a reduced risk of injury, offering a safe way to enhance bone health.

5. Improved Digestion

Regular hot tub use can potentially improve digestion. The mechanism behind this benefit is two-fold:

  • The stress reduction associated with hot tub use can contribute to better gut health, as prolonged stress has been linked with various digestive problems.
  • The heat from the tub promotes increased circulation, including blood flow to the digestive system, which may improve overall digestion efficiency.

Overuse or misuse can lead to potential health risks, such as overheating or skin infections. We recommended adhering to proper maintenance protocols and consulting with a healthcare provider before starting a new regimen with hot tub use.

Read more here: 13 Amazing Hot Tub Benefits: Best Advice from Experts

5 Unique Health Benefits of Saunas

Whether you are using an indoor sauna or an outdoor sauna, their unique benefits don't differ much, but they do compare to hot tubs:

1. Improved Lung Function

Sauna use has demonstrated potential benefits for those with asthma and other chronic lung diseases. The dry, warm air in a sauna can help to warm the airways, reduce congestion, and promote improved overall lung function.

Individuals with respiratory conditions may experience fewer symptoms and improved breathing. It's worth noting that anyone with a chronic lung condition should consult with a healthcare provider before beginning a sauna regimen.

2. Enhanced Insulin Sensitivity

Regular sauna use may improve insulin sensitivity, which is crucial in managing or preventing type 2 diabetes. The heat stress experienced in a sauna can promote a healthier body composition by reducing visceral fat, which is linked to insulin resistance.

Improved insulin sensitivity means your body can better regulate blood sugar levels, reducing the risk of diabetes-related complications.

3. Longevity

Some observational studies have suggested a correlation between frequent sauna use and a reduced risk of premature death. While more research is needed to establish a causal link, these findings suggest potential benefits for longevity.

Sauna use is believed to enhance cardiovascular function, reduce inflammation, and improve overall well-being, all of which contribute to a longer, healthier life.

4. Relief from Chronic Fatigue and Pain Syndrome

For individuals suffering from chronic fatigue syndrome and chronic pain conditions, sauna therapy may provide significant relief. The heat stress induced by sauna use can lead to various physiological responses, including the release of endorphins, the body's natural painkillers.

This can help reduce the perception of pain and induce feelings of relaxation and well-being, which can be particularly beneficial for those managing chronic conditions.

5. Improved Endurance

Athletes and fitness enthusiasts may find that regular sauna use enhances athletic performance by improving heat acclimation.

Increased heat tolerance can improve endurance, as it helps the body maintain optimal function even under high temperatures, a common challenge during long-distance races or prolonged workouts.

Sauna use should be accompanied by proper hydration and rest periods, and individuals with certain health conditions should consult their healthcare providers before adding sauna sessions to their wellness routine.

Unique Drawbacks and Risks Associated with Each

While hot tubs and saunas offer a range of health benefits, it's essential to be aware of the unique drawbacks and risks associated with each. Understanding these potential risks can help ensure a safe and enjoyable experience.

Hot Tubs: Potential for Bacterial Infections

If not adequately sanitized and treated with appropriate chemicals, hot tubs can become breeding grounds for harmful bacteria, such as Legionella or Pseudomonas.

These bacteria can cause infections, including hot tub folliculitis (a skin infection) or even more severe respiratory infections. 

To mitigate these risks, it's crucial to maintain proper water chemistry, regularly clean the tub, and follow recommended maintenance guidelines.

Read more: Bromine vs. Chlorine for Hot Tubs: Discover The Best Choice

Saunas: Risk of Heat Exhaustion

Saunas expose the body to high temperatures, which can increase the risk of heat-related illnesses, such as heat exhaustion.

Prolonged exposure to intense heat without adequate hydration and rest can overwhelm the body's cooling mechanisms, leading to symptoms like dizziness, nausea, weakness, and even fainting. 

To prevent heat exhaustion in saunas, it's important to limit session durations, stay hydrated, and take breaks to cool down if necessary.

It's especially critical for individuals with underlying health conditions or those who are more sensitive to heat to exercise caution and consult their healthcare provider before using a sauna.

How O-Care Enhances Your Hot Bathing Experience

How O-Care Enhances Your Hot Bathing Experience

If you compare bathing in a hot tub with using a sauna, some inconveniences include unpleasant chlorine smell, chemical allergies, and skin issues. O-Care can help you enjoy a hot tub bath without these issues:

  • Reduce The Amount Of Chemicals Needed: With O-Care, you can reduce reliance on harsh chemicals, optimize the effectiveness of sanitizers, and save time and money. It's a healthier and more sustainable approach to water treatment.
  • Enjoy Soft And Odorless Water: Our formula combats hard water issues, like dry skin and unpleasant odors. Transform your water into a gentle, soothing experience. Say goodbye to discomfort and enjoy luxuriously soft water that refreshes your skin.
  • Improves Your Skin: Our product goes beyond water treatment to enhance your natural beauty. With our unique formula, your water chemistry is balanced, resulting in softer, supple skin. 

Hot Tub vs. Sauna: What’s Best for Your Wellness Needs?

Hot Tub vs. Sauna: What’s Best for Your Wellness Needs?

Take this quick quiz to discover which heat therapy suits you best — or whether both might be ideal!

1. What’s your primary wellness goal?
A. Relieve sore muscles and joint pain
B. Detoxify and support heart health
C. Relax mentally and reduce anxiety

2. What kind of heat environment do you prefer?
A. Warm, bubbly water that surrounds my body
B. Dry, intense heat that makes me sweat
C. Gentle warmth with minimal humidity

3. What health concerns apply to you most?
A. Muscle tension, stiffness, or arthritis
B. High blood pressure or circulation issues
C. Skin sensitivity or frequent headaches

4. What’s your ideal self-care experience?
A. Soaking in water, maybe chatting with others
B. Steaming alone in silence or meditating
C. Combining heat with gentle stretching or breathwork

5. What practical considerations matter most to you?
A. Massage jets, buoyancy, and water-based relaxation
B. Compact space, fast setup, and dry heat
C. Low maintenance and ease of use indoors

Results:

Mostly A’s: Hot Tub Hero
You thrive with water-based relaxation and muscle relief. A hot tub suits your need for comfort, hydrotherapy, and recovery.

Mostly B’s: Sauna Sage
You prefer dry heat and detox benefits. A sauna aligns with your goals for cardiovascular health, mental clarity, and minimal upkeep.

Mostly C’s: The Best of Both Worlds
You value balance, versatility, and flexibility. Alternating between hot tubs and saunas might give you the ultimate wellness routine.

Conclusion 

Conclusion 

In conclusion, the comparative study of hot tubs and saunas reveals the remarkable health benefits of both heat therapy options. Whether you choose to indulge in the warm, buoyant environment of a hot tub or immerse yourself in the intense heat of a sauna, you can experience stress relief, improved sleep, pain reduction, enhanced circulation, detoxification, and numerous other advantages. 

While they share many similarities in terms of health benefits, it's important to consider the unique therapeutic properties and potential risks associated with each.

By making an informed decision based on personal preferences, health considerations, and available resources, you can select the option that aligns best with your well-being goals. 

Here is some extra help for enhancing your hot tub bathing experience:

  1. Download the O-Care app for weekly maintenance and step-by-step problem-solving.
  2. Use our online water assistant to diagnose your water quality issues.
  3. This article covers more situations if the app didn't help solve your problem.
  4. Use our store locator to fins O-Care dealers near you.
  5. I need to solve an underlying contamination issue in my hot tub; maybe it's biofilm?
  6. How to avoid future problems and keep your hot tub clean?
  7. What kind of sanitizers can I choose from?
  8. What is the best way to maintain my hot tub water?
  9. How to test the water in my hot tub?

Frequently Asked Questions

Frequently Asked Questions

Are there any age restrictions for using hot tubs or saunas?

Yes, age restrictions can vary by facility and local regulations. Children are especially sensitive to heat, so adult supervision is typically required. Always follow posted guidelines and manufacturer instructions to ensure safe use, particularly for younger users or those with health conditions.

Are there any skin issues that dislike hot tubs or saunas?

Yes, conditions like eczema, psoriasis, or sensitive skin may worsen with heat and humidity. Excessive sweating can irritate skin or lead to dehydration. Avoid hot tubs and saunas with open wounds or infections. Consult a dermatologist if you have pre-existing skin concerns before use.

What should I do if I feel lightheaded or unwell while using a hot tub or sauna?

If you feel dizzy or unwell, exit immediately and rest in a cool, well-ventilated area. Drink water to rehydrate. If symptoms persist or worsen, seek medical attention. Always listen to your body and prioritize safety when exposed to heat in saunas or hot tubs.