Thermal therapy
Infrared Sauna
Infrared Sauna is a thermal-therapy practice studied for possible effects on physical recovery and broader wellbeing, alongside metabolic and chronic-health questions. This breadth reflects research across different outcomes rather than one clearly established purpose.
Infrared Sauna is a thermal therapy practice.
Overview
Infrared Sauna is a thermal-therapy practice studied for possible effects on physical recovery and broader wellbeing, alongside metabolic and chronic-health questions. This breadth reflects research across different outcomes rather than one clearly established purpose. Clinical investigations address several possible applications, but support is not uniform across them, and the overall picture remains unsettled. The findings are best understood as questions being examined, rather than proof that the practice reliably produces particular health benefits across all these areas.
Some research: 19 studies. Last checked Oct 9, 2026.
- 19
- human evidence
- 9
- eligible
- 7
- unclassified
- 10
- animal / null result
Best-evidenced uses
- Cardiovascular Health SupportMedium · RCT
- Fatigue ReductionMedium · Clinical
- Muscle Recovery AccelerationLow · Clinical
- 19
- Studies
Evidence checked Oct 9, 2026 · newest study 2026
- B
- 1
- C
- 18
319 community reports across 5 platforms
Coverage
- Effects
- 35
- Helps with
- 10
- Side effects
- 18
- Interactions
- 10
How to read the evidence
Evidence tier — overall strength of the evidence for the whole compound
- StrongWell established — backed by strong, consistent human research.
- ModerateSome genuine support, but mostly from small or lower-quality studies. Promising, not proven.
- PreliminaryEarly-stage evidence — a promising hypothesis, not an established effect yet.
- LimitedVery limited evidence — treat this as a hypothesis, not proof.
- InsufficientNot enough good evidence to draw conclusions yet.
Certainty — how sure we can be that the effect is real
- Very highVery sure — strong, consistent evidence
- HighFairly sure — consistent evidence from good studies
- MediumModerately sure — new studies could change this
- LowNot sure — little or mixed evidence
- Very lowVery unsure — almost no usable evidence
Source — where the data comes from
- Meta-analysisPooled analysis of many trials — the strongest evidence
- RCTRandomized controlled trial — a strong human study design
- ClinicalA human clinical study
- Reference knowledgeFrom general health-science or pharmacology references, not a study of this exact claim
- Animal researchStudied in animals, not humans
- Community reportsAggregated user reports — anecdotal signal, not evidence
- TheoreticalMechanism-based reasoning, not yet tested
Study grade — quality of each underlying study (A best, D weakest)
- AHigh-quality — strong, consistent human trials
- BGood — solid evidence with some limitations
- CModerate — limited, small, or mixed-quality studies
- DWeak — preliminary, indirect, or animal-only
Confidence — how strongly the sources back a finding
A 0–100 score from study quality and agreement
Most supplement evidence is graded C–D. Read it as preliminary signal, not proof.
These are research findings, not promises. A practice does not replace medical treatment.
What does research say?
What studies found for each claimed effect, best evidence first.
35 claims:2 some evidence18 not enough evidence7 not tested in people2 personal stories only6 no benefit found
Cardiovascular Health SupportSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 4 studies with a clear result found a benefit. Strongest study: a pooled analysis of several trials. A trial found it after a single session.
A 2018 pooled analysis associated FIRS therapy with improved left-ventricular ejection fraction. A 2009 review addressed blood-pressure normalization and congestive heart failure, so the findings concern specific cardiovascular measures and conditions.
Open the Cardiovascular Health Support pageFatigue ReductionSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 3 studies with a clear result found a benefit. Strongest study: a randomized controlled trial.
A 2025 randomized trial of 30 participants reported a mean difference of −13.57 points on Fatigue 4A. Separately, a 2009 review’s support for FIRS therapy in chronic fatigue syndrome came from a single study.
Open the Fatigue Reduction pageMuscle Recovery AccelerationNot enough evidence
Too few or too small studies to know if it works.
3 of 4 studies found a benefit; 1 found none. Strongest study: a randomized controlled trial.
Open the Muscle Recovery Acceleration pageSleep Quality ImprovementNot enough evidence
Too few or too small studies to know if it works.
1 of 2 studies found a benefit; 1 found none. Strongest study: a randomized controlled trial.
A 2025 randomized trial involving 30 people with major depressive disorder reported an 8.83-point decrease in the Sleep disturbance 4A score.
Open the Sleep Quality Improvement pageMuscle Soreness Reduction (DOMS)Not enough evidence
Too few or too small studies to know if it works.
2 of 3 studies found a benefit; 1 found none. Strongest study: a randomized controlled trial.
Findings in healthy participants disagree. A 2025 randomized trial involving 40 people observed increased soreness 36 hours after exercise only in the control group, and a 2023 trial involving 16 people found lower soreness scores after infrared sauna than after PAS; however, a 2015 trial involving 10 people found no differences in any variables during recovery between infrared sauna and no sauna bathing.
Open the Muscle Soreness Reduction (DOMS) pageAnalgesic EffectNot enough evidence
Too few or too small studies to know if it works.
3 of 5 studies found a benefit; 2 found none. Strongest study: a randomized controlled trial.
A 2009 review of randomized and non-randomized human studies described fair evidence from a single study for infrared sauna therapy in chronic pain. In a 2023 randomized trial involving 16 participants, muscle soreness scores were lower after infrared sauna than after PAS at the postREC- and post14h-measurements.
Open the Analgesic Effect pageAnxiety ReductionNot enough evidence
Too few or too small studies to know if it works.
All 2 studies with a clear result found a benefit. Strongest study: a randomized controlled trial.
A 2025 randomized trial involving 30 people with major depressive disorder reported a 7.24-point decrease in the Anxiety 4A score.
Open the Anxiety Reduction pageBlood Glucose Level SupportNot enough evidence
Too few or too small studies to know if it works.
1 of 2 studies found a benefit; 1 found none. Strongest study: a non-randomized trial.
In a 2025 quasi-experimental study involving 14 people with type 2 diabetes, plasma glucose iAUC was lower over the postprandial period following 8 weeks of PHT.
Open the Blood Glucose Level Support page
Only reported by users, not studied: Chronic Pain Reduction, Cellular Energy Support, Biorhythm Regulation, and Sleep Onset Improvement.
What to expect
Infrared Sauna has been studied both as a single-session experience and in repeated programmes. Some possible effects were observed after one session, while reported side effects occurred either immediately or during programmes lasting several weeks. These study findings do not establish a predictable timeline for an individual, and an immediate change should not be assumed.
Also studied in people with 10 health conditions
How strong the evidence is in each group. This is research, not a treatment recommendation.
Chronic Fatigue SyndromeNot enough evidence
Too few or too small studies to know if it works.
All 2 studies with a clear result found a benefit.
The cited review drew on randomized and non-randomized human studies; the finding does not describe a specific change in chronic fatigue syndrome symptoms.
Open the Chronic Fatigue Syndrome pageChronic PainNot enough evidence
Too few or too small studies to know if it works.
All 2 studies with a clear result found a benefit.
A 2009 review drawing on randomized and non-randomized human studies considered people with chronic pain alongside groups with coronary artery disease, heart failure, and obesity.
Open the Chronic Pain pageDiabetes Type 2Not enough evidence
Too few or too small studies to know if it works.
1 of 2 studies found a benefit; 1 found none.
A 2010 quasi-experimental study of people with type 2 diabetes reported quality-of-life outcomes.
Open the Diabetes Type 2 pageHypertension (High Blood Pressure)Not enough evidence
Too few or too small studies to know if it works.
All 2 studies with a clear result found a benefit.
A 2009 systematic review of randomized and non-randomized human studies reported possible blood-pressure normalization in populations that included people with chronic pain, coronary artery disease, heart failure, and obesity.
Open the Hypertension (High Blood Pressure) pageAnkylosing SpondylitisNot enough evidence
Too few or too small studies to know if it works.
The one study found a benefit.
A 2009 single-arm pilot study reported good tolerance and short-term improvements in pain and stiffness among 17 people with ankylosing spondylitis.
Open the Ankylosing Spondylitis pageChronic Kidney DiseaseNot enough evidence
Too few or too small studies to know if it works.
The one study found a benefit.
A 2026 randomized trial tested acute passive heat exposure in 10 people with chronic kidney disease; the findings were described as informing future trials of chronic heat therapy for cardiovascular health.
Open the Chronic Kidney Disease pageDepressionNot enough evidence
Too few or too small studies to know if it works.
The one study found a benefit.
A 2025 trial of 30 people with depression found reductions in BDI-II and high remission rates in both the WBH and sham-WBH groups. It was not designed to reliably compare the groups and did not include a CBT-only control.
Open the Depression pageObesityNot enough evidence
Too few or too small studies to know if it works.
The one study found a benefit.
A 2009 review considered obesity alongside chronic pain, coronary artery disease, and heart failure, drawing on randomized and non-randomized human studies.
Open the Obesity page
Before you try it
What studies and reports say about side effects and who it may not suit.
- Side effects
Possible: Heart Rate Increase and Fluid Loss (Diuretic Effect).
16 more with weak evidence.
- May not suit you if you have
- Acute Febrile Illness, Heart Arrhythmia, Orthostatic Hypotension, Pregnancy, Recent Heart Attack (MI), Acute Kidney Injury, and 4 more
- Reported by users
- Physical Fatigue (6 posts), Paresthesia (Tingling/Numbness), and Skin Rash / Irritation
General wellness information, not medical advice. Ask a doctor before you start, especially if you take medicines or have a health condition.
How people do it
A gentle start, then what the studies used.
- Start with
- 10 minutes (Gentle Evening Relaxation)A gentle start based on the easiest variation, not on a study.
- Build up to
- 28 minutes, 3 times a week, low intensity (what the studies used)
- What the studies ran
- 6 weeks
- Temperature
- about 49–60 °C
The expert view shows every study, dose protocol and source.
Effects
35 listedStart here
Most likely to help, from the evidence we have
- →Cardiovascular Health SupportCertaintyMediumSourceRCT3 cited studies · 2 other sources
A 2018 pooled analysis associated FIRS therapy with improved left-ventricular ejection fraction. A 2009 review addressed blood-pressure normalization and congestive heart failure, so the findings concern specific cardiovascular measures and conditions.
What the sources found
5 positive · 0 neutral · 0 negativeconfidence 40/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Chronic Kidney Disease
- Chronic Pain
- Coronary Artery Disease
- Heart Failure (CHF)
- Obesity
Where the evidence comes from
- Article3
- Expert opinion1
- Community reports1
What worked in trials2 trials and meta-analyses
Randomized trials and meta-analyses that found this benefit: the smallest and the typical amount. Not a target and not a limit.
Smallest Typical Session 15 min 20 min Timing
A trial found it after a single session
Open Cardiovascular Health SupportShow studies (5)
Meta-analysisBpositive40% confidence2018Effects of sauna bath on heart failure: A systematic review and meta-analysis.
was associated with ... an improvement in left-ventricular ejection fraction
Inactive controlSystematic reviewCpositive30% confidence2009Far-infrared saunas for treatment of cardiovascular risk factors: summary of published evidence.
There is limited moderate evidence supporting FIRS efficacy in normalizing blood pressure and treating congestive heart failure
Studies disagreeRCTCpositiven=1045% confidence2026FMD (3.84 ± 0.61 vs. 6.68 ± 0.76%, P P = 0.01) were greater following HT compared with CON.
MD 2.84Top journalMain outcomeOpen-labelSham comparisonExpert opinionpositive50% confidenceRegular sauna use is associated with reduced cardiovascular mortality, improved endothelial function, and lower blood pressure.
Expert knowledge synthesisCommunity reportsmoderate effectpositive35% confidenceThis effect was mentioned in 4 of 233 Reddit reports discussing it.
4 mentions - →Fatigue ReductionCertaintyMediumSourceClinical3 cited studies · 1 other source
A 2025 randomized trial of 30 participants reported a mean difference of −13.57 points on Fatigue 4A (−18.63 to −8.51). Separately, a 2009 review’s support for FIRS therapy in chronic fatigue syndrome came from a single study.
What the sources found
4 positive · 0 neutral · 0 negativeconfidence 33/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Chronic Pain
- Coronary Artery Disease
- Diabetes Type 2
- Heart Failure (CHF)
- Major Depressive Disorder
- Obesity
Where the evidence comes from
- Article3
- Community reports1
Protocol behind this outcome
2 protocolsEstimatedWhat the studies reporting this result did.
64 min
- Course
- 11 weeks
- Intensity
- Low
- Format
- Individual
- Supervision
- Instructor-led
Courses and single sessions · 1 repeated-course and 1 single-session protocols
Open Fatigue ReductionShow studies (4)
Systematic reviewCpositive15% confidence2009Far-infrared saunas for treatment of cardiovascular risk factors: summary of published evidence.
weak evidence, from a single study, supporting FIRS therapy in chronic fatigue syndrome
RCTCpositiven=3060% confidence2025Fatigue 4A: −13.57 (2.58)***
MD -13.57 [-18.63, -8.51]Sham-controlledSham comparisonCompleters onlyQuasi ExperimentalCpositive30% confidence2010Visual Analogue Scales for stress and fatigue improved.
Low-quality journalOpen-labelNo control groupCommunity reportssubtle effectpositive25% confidenceThis effect was mentioned in 2 of 233 Reddit reports discussing it.
2 mentions
Low probability(27)
- →Muscle Recovery AccelerationCertaintyLowSourceClinical3 cited studies · 2 other sources
In a 2023 randomized trial involving 16 healthy participants, infrared sauna attenuated the relative drop in CMJ performance from before to 14 hours after exercise compared with PAS. A 2015 randomized trial involving 10 people also found higher CMJ at 30 min after infrared sauna bathing than after sitting without sauna: 0.34 ± 0.09 m versus 0.32 ± 0.0 m.
What the sources found
4 positive · 1 neutral · 0 negativeconfidence 52/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Rating adjusted
Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.
Who was studied
- Healthy people
Where the evidence comes from
- Article3
- Expert opinion1
- Community reports1
Protocol behind this outcome
1 protocolMeasuredWhat the studies reporting this result did.
- Format
- Individual
- Supervision
- Instructor-led
Single sessions · 0 repeated-course and 1 single-session protocols
What worked in trials2 trials and meta-analyses
Randomized trials and meta-analyses that found this benefit: the smallest and the typical amount. Not a target and not a limit.
Smallest Typical Session 20 min 25 min Timing
A trial found it after a single session
Open Muscle Recovery AccelerationShow studies (5)
RCTCneutraln=4045% confidence2025Salivary cortisol response to post-exercise infrared sauna declines over time.
we observed that, overall, perceived recovery was higher in the IRS group.
Top journalOpen-labelCompleters onlyRCTCpositiven=1670% confidence2023IRS attenuated the relative reduction in CMJ performance from pre- to post14h (p = 0.009, ES = 0.76) compared to PAS.
-3.9%Trivial effectTop journalMain outcomeOpen-labelCompleters only31% dropped outRCTCpositiven=1045% confidence2015During recovery at 30 min, CMJ was significantly (p < 0.05) higher (0.34 ± 0.09 m) after FIRS bathing than after sitting with NO SAUNA (0.32 ± 0.0 m).
MD 0.02Low-quality journalOpen-labelNo control groupBorderline p-valueExpert opinionpositive50% confidenceInfrared sauna enhances post-exercise recovery by reducing delayed onset muscle soreness and accelerating clearance of lactate and inflammatory markers, especially when used after resistance or endurance training.
Expert knowledge synthesisCommunity reportsmoderate effectpositive50% confidenceThis effect was mentioned in 15 of 248 community reports discussing it (Reddit 13, Bluesky 2).
15 mentions - →Sleep Quality ImprovementCertaintyLowSourceClinical2 cited studies · 1 other source
A 2025 randomized trial involving 30 people with major depressive disorder reported an 8.83-point decrease in the Sleep disturbance 4A score.
What the sources found
2 positive · 1 neutral · 0 negativeconfidence 60/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Major Depressive Disorder
Where the evidence comes from
- Article2
- Community reports1
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open Sleep Quality ImprovementShow studies (3)
RCTCpositiven=3060% confidence2025Sleep disturbance 4A: −8.83 (2.26)**
MD -8.83 [-13.25, -4.4]Sham-controlledSham comparisonCompleters onlyBorderline p-valueRCTCneutraln=1670% confidence2023Sleep duration and quality did not differ between IRS and PAS (duration: p = 0.377; quality: p = 0.632).
Top journalOpen-labelCompleters only31% dropped outCommunity reportsmoderate effectpositive50% confidenceThis effect was mentioned in 30 of 269 community reports discussing it (Reddit 27, YouTube 3).
30 mentions - →Muscle Soreness Reduction (DOMS)CertaintyLowSourceClinical3 cited studies · 1 other source
Findings in healthy participants disagree. A 2025 randomized trial involving 40 people observed increased soreness 36 hours after exercise only in the control group, and a 2023 trial involving 16 people found lower soreness scores after infrared sauna than after PAS; however, a 2015 trial involving 10 people found no differences in any variables during recovery between infrared sauna and no sauna bathing.
What the sources found
3 positive · 1 neutral · 0 negativeconfidence 53/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Rating adjusted
Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.
Who was studied
- Healthy people
Where the evidence comes from
- Article3
- Community reports1
What worked in trials2 trials and meta-analyses
Randomized trials and meta-analyses that found this benefit: the smallest and the typical amount. Not a target and not a limit.
Smallest Typical Session 10 min 15 min Timing
A trial found it after a single session
Open Muscle Soreness Reduction (DOMS)Show studies (4)
RCTCpositiven=4050% confidence2025Salivary cortisol response to post-exercise infrared sauna declines over time.
Increased muscle soreness was observed at EX1 post36h only in the CON-group.
Top journalOpen-labelCompleters onlyRCTCpositiven=1670% confidence2023Absolute muscle soreness scores were lower after IRS compared to PAS at the postREC- (p = 0.003, ES = 0.53) and post14h-measurements (p = 0.005, ES = 0.50).
MD -2.3Top journalOpen-labelCompleters only31% dropped outRCTCneutraln=1040% confidence2015During recovery there were no differences in any variables between FIRS and no sauna bathing (NO SAUNA).
Low-quality journalOpen-labelNo control groupCommunity reportsmoderate effectpositive50% confidenceThis effect was mentioned in 8 of 233 Reddit reports discussing it.
8 mentions - →Analgesic EffectCertaintyLowSourceClinical4 cited studies · 2 other sources
A 2009 review of randomized and non-randomized human studies described fair evidence from a single study for infrared sauna therapy in chronic pain. In a 2023 randomized trial involving 16 participants, muscle soreness scores were lower after infrared sauna than after PAS at the postREC- and post14h-measurements.
What the sources found
4 positive · 2 neutral · 0 negativeconfidence 43/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Ankylosing Spondylitis
- Chronic Pain
- Coronary Artery Disease
- Heart Failure (CHF)
- Major Depressive Disorder
- Obesity
- +1 more
Where the evidence comes from
- Article4
- Expert opinion1
- Community reports1
Protocol behind this outcome
1 protocolMeasuredWhat the studies reporting this result did.
20 min
- Format
- Individual
- Supervision
- Instructor-led
Single sessions · 0 repeated-course and 1 single-session protocols
Timing
A trial found it after a single session
Open Analgesic EffectShow studies (6)
Systematic reviewCpositive20% confidence2009Far-infrared saunas for treatment of cardiovascular risk factors: summary of published evidence.
fair evidence, from a single study, supporting FIRS therapy in chronic pain
RCTCneutraln=3060% confidence2025Pain interference 4A: −0.39 (2.09) (–4.48, 3.71)
MD -0.39 [-4.48, 3.71]Sham-controlledSham comparisonCompleters onlyRCTCpositiven=1670% confidence2023Absolute muscle soreness scores were lower after IRS compared to PAS at the postREC- (p = 0.003, ES = 0.53) and post14h-measurements (p = 0.005, ES = 0.50).
MD -2.3Top journalOpen-labelCompleters only31% dropped outPilot studyCneutraln=3430% confidence2009In the RA and AS patients, pain, stiffness, and fatigue also showed clinical improvements during the 4-week treatment period, but these did not reach statistical significance.
Open-labelNo control groupExpert opinionpositive50% confidenceHeat therapy is a non-pharmacological analgesic, reducing pain through increased blood flow and muscle relaxation.
Expert knowledge synthesisCommunity reportsmoderate effectpositive25% confidenceThis effect was mentioned in 2 of 233 Reddit reports discussing it.
2 mentions - →Anxiety ReductionCertaintyLowSourceClinical1 cited study · 2 other sources
A 2025 randomized trial involving 30 people with major depressive disorder reported a 7.24-point decrease in the Anxiety 4A score.
What the sources found
3 positive · 0 neutral · 0 negativeconfidence 52/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Major Depressive Disorder
Where the evidence comes from
- Article1
- Expert opinion1
- Community reports1
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open Anxiety ReductionShow studies (3)
RCTCpositiven=3060% confidence2025Anxiety 4A: −7.24 (1.63)***
MD -7.24 [-10.44, -4.04]Sham-controlledSham comparisonCompleters onlyExpert opinionpositive50% confidenceInfrared sauna induces parasympathetic activation and reduces cortisol, leading to reductions in perceived anxiety.
Expert knowledge synthesisCommunity reportsmoderate effectpositive45% confidenceThis effect was mentioned in 6 of 233 Reddit reports discussing it.
6 mentions - →Blood Glucose Level SupportCertaintyLowSourceClinical2 cited studies
In a 2025 quasi-experimental study involving 14 people with type 2 diabetes, plasma glucose iAUC was lower over the postprandial period following 8 weeks of PHT.
What the sources found
1 positive · 1 neutral · 0 negativeconfidence 58/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Diabetes Type 2
Where the evidence comes from
- Article2
Protocol behind this outcome
1 protocolMeasuredWhat the studies reporting this result did.
45 min · 3×/week
- Course
- 8 weeks
- Per week
- 135 min
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open Blood Glucose Level SupportShow studies (2)
RCTCneutraln=1260% confidence2024No differences were observed in plasma insulin concentrations (heated: 380±194 vs. thermoneutral: 376±210 pmol/L/120 min; P=0.93).
MD 4Open-labelCompleters onlyQuasi ExperimentalCpositiven=1455% confidence2025Plasma glucose iAUC was significantly lower over the postprandial period following 8 weeks of PHT (P = 0.024)
Top journalOpen-labelNo control groupCompleters only99% dropped out - →Improve Heart Rate Variability (HRV)CertaintyLowSourceClinical2 cited studies
A 2022 quasi-experimental study involving 16 people concluded that infrared sauna following maximal exercise supported some ANS recovery.
What the sources found
1 positive · 1 neutral · 0 negativeconfidence 53/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
Where the evidence comes from
- Article2
Open Improve Heart Rate Variability (HRV)Show studies (2)
RCTCneutraln=1670% confidence2023No differences in the changes from night before to night after values were observed between the recovery protocols. There was no significant time or treatment effect on nocturnal HR and HRV.
Top journalOpen-labelCompleters only31% dropped outQuasi ExperimentalCpositiven=1635% confidence2022Autonomic Nervous System Response to Far-Infrared Sauna Exposure in Firefighters.
Conclusions: These findings indicate that FIRS following maximal exercise did support some ANS recovery...
Main outcomeNo control group - →Blood Flow ImprovementCertaintyLowSourceClinical2 cited studies · 2 other sources
A 2026 randomized trial involving 10 people with chronic kidney disease found FMD was greater following HT than control (3.84 ± 0.61 vs. 6.68 ± 0.76%, P P = 0.01). A 2013 cross-sectional study described development of an endothelium-independent vasodilation mechanism by the end of the treatment period.
What the sources found
4 positive · 0 neutral · 0 negativeconfidence 38/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Chronic Kidney Disease
Where the evidence comes from
- Article2
- Expert opinion1
- Community reports1
Timing
A trial found it after a single session
Open Blood Flow ImprovementShow studies (4)
RCTCpositiven=1045% confidence2026FMD (3.84 ± 0.61 vs. 6.68 ± 0.76%, P P = 0.01) were greater following HT compared with CON.
MD 2.84Top journalMain outcomeOpen-labelSham comparisonCross SectionalCpositive20% confidence2013[The influence of general infrared sauna on the antioxidant systems in the blood of volunteers].
The molecular mechanism of endothelium-independent vasodilation develops by the end of the treatment period
Open-labelNo control groupExpert opinionpositive50% confidenceInfrared heat causes peripheral vasodilation, increasing blood flow to skin and muscles, which aids nutrient delivery and waste removal.
Expert knowledge synthesisCommunity reportsmoderate effectpositive36% confidenceThis effect was mentioned in 5 of 269 community reports discussing it (Reddit 3, YouTube 2).
5 mentions - →Physical Endurance IncreaseCertaintyLowSourceClinical1 cited study · 1 other source
A randomized trial in 10 people with Chronic Kidney Disease reported a 38 yards difference in 6-min walk distance between the comparison condition (632 ± 29 yards) and HT (670 ± 30 yards).
What the sources found
2 positive · 0 neutral · 0 negativeconfidence 45/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Chronic Kidney Disease
Where the evidence comes from
- Article1
- Community reports1
Timing
A trial found it after a single session
Open Physical Endurance IncreaseShow studies (2)
RCTCpositiven=1040% confidence2026There was a clinically meaningful difference in 6-min walk distance between CON (632 ± 29 yards) and HT (670 ± 30 yards, P
MD 38Top journalOpen-labelSham comparisonCommunity reportsmoderate effectpositive50% confidenceThis effect was mentioned in 10 of 233 Reddit reports discussing it.
10 mentions - →Antidepressant EffectCertaintyLowSourceClinical2 cited studies
A 2025 randomized trial involving 30 people with major depressive disorder reported an average 19.07-point decrease in Beck Depression Inventory-II scores in the WBH arm.
What the sources found
1 positive · 1 neutral · 0 negativeconfidence 38/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Major Depressive Disorder
Where the evidence comes from
- Article2
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open Antidepressant EffectShow studies (2)
RCTCpositiven=3060% confidence2025The average decreases in the Beck Depression Inventory-II (BDI-II) were −19.07 (SE = 2.69, P < 0.0001) in the WBH arm
MD -19.07 [-24.34, -13.79]Sham-controlledSham comparisonCompleters onlyPilot studyCneutraln=2515% confidence2021Feasibility and acceptability of a Whole-Body hyperthermia (WBH) protocol.
participants evidenced reductions (t [24] = 2.03, M diff = 1.00, p =.054, 95% CI [-2.02,0.02]) in self-reported depression symptoms from 1 week pre- to 1 week post-WBH
MD -1 [-2.02, 0.02]Open-labelNo control group - →Physical Energy IncreaseCertaintyLowSourceClinical1 cited study · 1 other source
A review of randomized and non-randomized human studies described weak support from a single study for Infrared Sauna therapy in Chronic Fatigue Syndrome.
What the sources found
2 positive · 0 neutral · 0 negativeconfidence 33/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Coronary Artery Disease
- Heart Failure (CHF)
- Obesity
Where the evidence comes from
- Article1
- Community reports1
Open Physical Energy IncreaseShow studies (2)
Systematic reviewCpositive15% confidence2009Far-infrared saunas for treatment of cardiovascular risk factors: summary of published evidence.
weak evidence, from a single study, supporting FIRS therapy in chronic fatigue syndrome
Community reportsmoderate effectpositive50% confidenceThis effect was mentioned in 12 of 233 Reddit reports discussing it.
12 mentions - →Blood Pressure SupportCertaintyLowSourceClinicalconflicting findingsnot used for recommendations3 cited studies · 2 other sources
A randomized trial of 12 participants found diastolic blood pressure fell from 78±6 to 63±11 mmHg immediately after heat exposure, then measured 72±11 mmHg at t=120; a quasi-experimental study in 14 people with Diabetes Type 2 reported a 2% reduction in average systolic blood pressure following 8 weeks of PHT. Findings conflict with a pooled analysis of randomized and non-randomized human studies, which found no significant effect on systolic or diastolic blood pressure.
What the sources found
4 positive · 1 neutral · 0 negativeconfidence 42/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Diabetes Type 2
- Heart Failure (CHF)
Where the evidence comes from
- Article3
- Expert opinion1
- Community reports1
Protocol behind this outcome
2 protocolsMeasuredWhat the studies reporting this result did.
43 min · 3×/week
- Course
- 8 weeks
- Per week
- 135 min
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
Courses and single sessions · 1 repeated-course and 1 single-session protocols
Timing
A trial found it after a single session
Why it isn't used for recommendations
Best neutral/negative study outranks the best positive study
Open Blood Pressure SupportShow studies (5)
Meta-analysisBneutral20% confidence2018Effects of sauna bath on heart failure: A systematic review and meta-analysis.
There was no significant effect on ... systolic blood pressure, or diastolic blood pressure
Inactive controlRCTCpositiven=1260% confidence2024During HOT, DBP decreased from 78±6 to 63±11 mmHg between baseline and t=0 (P<0.001) and did not return to baseline at t=120 (72±11 mmHg; P=0.011), while no changes over time occurred during CON. DBP was lower in HOT compared to CON at t=0 min (63±11 vs. 77±12 mmHg; P=0.005) and t=120 min (72±11 vs.
MD -14Large effectOpen-labelCompleters onlyQuasi ExperimentalCpositiven=1455% confidence2025average systolic blood pressure was significantly reduced (by 2%; P = 0.019) following 8 weeks of PHT
-2%Trivial effectTop journalOpen-labelNo control groupCompleters only99% dropped outBorderline p-valueExpert opinionpositive50% confidenceRegular infrared sauna use is associated with clinically meaningful reductions in systolic and diastolic blood pressure, through improved endothelial function and vasodilation.
Expert knowledge synthesisCommunity reportsmoderate effectpositive25% confidenceThis effect was mentioned in 2 of 233 Reddit reports discussing it.
2 mentions - →Stress Resilience ImprovementCertaintyLowSourceClinical1 cited study · 1 other source
A quasi-experimental study in people with Diabetes Type 2 found that self-reported stress and fatigue improved on Visual Analogue Scales.
What the sources found
2 positive · 0 neutral · 0 negativeconfidence 35/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Diabetes Type 2
Where the evidence comes from
- Article1
- Community reports1
Open Stress Resilience ImprovementShow studies (2)
Quasi ExperimentalCpositive30% confidence2010Visual Analogue Scales for stress and fatigue improved.
Low-quality journalOpen-labelNo control groupCommunity reportssubtle effectpositive40% confidenceThis effect was mentioned in 5 of 233 Reddit reports discussing it.
5 mentions - →Increased Growth Hormone ReleaseCertaintyLowSourceClinical1 cited study
In a randomized trial of 10 healthy participants, serum growth hormone increased after both Infrared Sauna and traditional sauna, with the highest levels after sauna and at 30 min of recovery.
What the sources found
1 positive · 0 neutral · 0 negativeconfidence 40/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people
Where the evidence comes from
- Article1
Protocol behind this outcome
1 protocolMeasuredWhat the studies reporting this result did.
30 min
- Intensity
- Low
- Format
- Individual
- Supervision
- Instructor-led
Single sessions · 0 repeated-course and 1 single-session protocols
Timing
A trial found it after a single session
Open Increased Growth Hormone ReleaseShow studies (1)
RCTCpositiven=1040% confidence2015Serum growth hormone increased in both FIRS and in TRAD and was highest (p < 0.05) after sauna and at 30 min of recovery.
Low-quality journalOpen-labelNo control group - →Antioxidant Protection EnhancementCertaintyLowSourceClinical1 cited study · 1 other source
A cross-sectional study reported activation of antioxidant protection by the end of the treatment period.
What the sources found
2 positive · 0 neutral · 0 negativeconfidence 38/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Where the evidence comes from
- Article1
- Expert opinion1
Open Antioxidant Protection EnhancementShow studies (2)
Cross SectionalCpositive25% confidence2013[The influence of general infrared sauna on the antioxidant systems in the blood of volunteers].
activation of antioxidant protection ... by the end of the treatment period
Main outcomeOpen-labelNo control groupExpert opinionpositive50% confidenceRegular infrared sauna use may upregulate endogenous antioxidant defenses, including glutathione and superoxide dismutase, through mild heat stress adaptation.
Expert knowledge synthesis - →Mood ImprovementCertaintyLowSourceClinical1 cited study · 1 other source
A pilot study of 25 healthy participants found a pre-to-post-session reduction in self-reported negative affect (MD -1.72 points [-2.93, -0.51]).
What the sources found
2 positive · 0 neutral · 0 negativeconfidence 43/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people
Where the evidence comes from
- Article1
- Community reports1
Open Mood ImprovementShow studies (2)
Pilot studyCpositiven=2535% confidence2021Feasibility and acceptability of a Whole-Body hyperthermia (WBH) protocol.
participants evidenced ... reductions (t [24]= -2.93, M diff= -1.72, p =.007, 95% CI [-2.93, -0.51]) in self-reported negative affect pre-post-WBH session
MD -1.72 [-2.93, -0.51]Open-labelNo control groupCommunity reportsmoderate effectpositive50% confidenceThis effect was mentioned in 40 of 284 community reports discussing it (Reddit 29, Bluesky 6, YouTube 5).
40 mentions - →Weight Management SupportCertaintyLowSourceClinical1 cited study · 1 other source
A 2009 review described support for FIRS therapy in people with obesity, but noted that it came from a single study.
What the sources found
2 positive · 0 neutral · 0 negativeconfidence 20/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Chronic Pain
- Coronary Artery Disease
- Heart Failure (CHF)
- Obesity
Where the evidence comes from
- Article1
- Community reports1
Open Weight Management SupportShow studies (2)
Systematic reviewCpositive15% confidence2009Far-infrared saunas for treatment of cardiovascular risk factors: summary of published evidence.
weak evidence, from a single study, supporting FIRS therapy for obesity
Community reportsmoderate effectpositive25% confidenceThis effect was mentioned in 2 of 233 Reddit reports discussing it.
2 mentions - →Skin Health ImprovementCertaintyLowSourceAnecdotalnot used for recommendations2 other sources
Sweating may open pores, while increased blood flow in the skin may support skin cleansing and nutrient delivery. This effect was mentioned in 8 of 233 community reports.
What the sources found
2 positive · 0 neutral · 0 negativeconfidence 50/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Where the evidence comes from
- Expert opinion1
- Community reports1
Why it isn't used for recommendations
No supporting study on file
Open Skin Health ImprovementShow studies (2)
Expert opinionpositive50% confidenceSweating opens pores and increases cutaneous blood flow, which can improve skin cleansing and nutrient delivery, contributing to healthier skin appearance.
Expert knowledge synthesisCommunity reportsmoderate effectpositive50% confidenceThis effect was mentioned in 8 of 233 Reddit reports discussing it.
8 mentions - →Heat ToleranceCertaintyLowSourceAnecdotalnot used for recommendations2 other sources
Repeated controlled heat exposure can produce heat acclimation and improve tolerance of later heat exposure; how much Infrared Sauna does so depends on the heat dose. This effect was mentioned in 2 of 233 community reports.
What the sources found
2 positive · 0 neutral · 0 negativeconfidence 38/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Where the evidence comes from
- Expert opinion1
- Community reports1
Why it isn't used for recommendations
No supporting study on file
Open Heat ToleranceShow studies (2)
Expert opinionpositive50% confidenceRepeated controlled heat exposure can induce heat acclimation and improve tolerance of subsequent heat exposure; the extent of this effect with infrared sauna depends on the heat dose.
Expert knowledge synthesisCommunity reportsmoderate effectpositive25% confidenceThis effect was mentioned in 2 of 233 Reddit reports discussing it.
2 mentions - →Parasympathetic ActivationCertaintyLowSourceTheoreticallong-termnot used for recommendations1 other source
A proposed explanation is that Infrared Sauna may promote vagal tone and shift autonomic balance toward parasympathetic dominance, measurable through increased HRV and a reduced LF/HF ratio.
What the sources found
1 positive · 0 neutral · 0 negativeconfidence 50/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Where the evidence comes from
- Expert opinion1
Why it isn't used for recommendations
No supporting study on file
Open Parasympathetic ActivationShow studies (1)
Expert opinionpositive50% confidenceInfrared sauna promotes vagal tone and shifts autonomic balance toward parasympathetic dominance, measurable via increased HRV and reduced LF/HF ratio.
Expert knowledge synthesis - →Nitric Oxide Production IncreaseCertaintyLowSourceTheoreticalnot used for recommendations1 other source
A proposed mechanism is that heat exposure stimulates endothelial nitric oxide synthase (eNOS), increasing NO bioavailability and contributing to vasodilation and blood pressure reduction.
What the sources found
1 positive · 0 neutral · 0 negativeconfidence 50/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Where the evidence comes from
- Expert opinion1
Why it isn't used for recommendations
No supporting study on file
Open Nitric Oxide Production IncreaseShow studies (1)
Expert opinionpositive50% confidenceHeat exposure from infrared sauna stimulates endothelial nitric oxide synthase (eNOS), increasing NO bioavailability, which mediates vasodilation and blood pressure reduction.
Expert knowledge synthesis - →Longevity and Anti-Aging SupportCertaintyLowSourceTheoreticallong-termnot used for recommendations1 other source
Frequent sauna use has been associated with reduced risk of all-cause mortality and cardiovascular death, independent of other lifestyle factors.
What the sources found
1 positive · 0 neutral · 0 negativeconfidence 50/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Where the evidence comes from
- Expert opinion1
Why it isn't used for recommendations
No supporting study on file
Open Longevity and Anti-Aging SupportShow studies (1)
Expert opinionpositive50% confidenceFrequent sauna use is associated with a reduced risk of all-cause mortality and cardiovascular death, independent of other lifestyle factors.
Expert knowledge synthesis - →Physical FunctionCertaintyLowSourceTheoreticalnot used for recommendations1 cited study · 1 other source
Studies did not support improved physical function in people with major depressive disorder: a 2025 randomized trial involving 30 people reported a 3.55-point increase in Physical function 4A, with an interval of [-0.83, 7.92].
What the sources found
1 positive · 1 neutral · 0 negativeconfidence 55/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Major Depressive Disorder
Where the evidence comes from
- Article1
- Community reports1
Why it isn't used for recommendations
Studied, with no positive result
Open Physical FunctionShow studies (2)
RCTCneutraln=3060% confidence2025Physical function 4A: 3.55 (2.23) (–0.83, 7.92)
MD 3.55 [-0.83, 7.92]Sham-controlledSham comparisonCompleters onlyCommunity reportsmoderate effectpositive50% confidenceThis effect was mentioned in 10 of 233 Reddit reports discussing it.
10 mentions - →Detoxification SupportCertaintyLowSourceTheoreticalLarge effectnot used for recommendations1 cited study · 1 other source
Studies did not support detoxification: a 2020 cohort study involving 255 people reported a non-significant reduction in total mean PAH-OHs of −43.5% (95%CI −68.8%, 2.2%).
What the sources found
1 positive · 1 neutral · 0 negativeconfidence 45/100
How big is the effect
Large effectA big difference on average. Check how strong the evidence is.
Who was studied
- Healthy people
Where the evidence comes from
- Article1
- Community reports1
Why it isn't used for recommendations
Studied, with no positive result
Open Detoxification SupportShow studies (2)
Cohort studyCneutraln=25540% confidence2020Evaluation of Interventions to Reduce Firefighter Exposures.
Sauna treatment non-significantly reduced total mean PAH-OHs by −43.5% (95%CI −68.8%, 2.2%).
-43.5%Large effectMain outcomeOpen-labelInactive controlCommunity reportsmoderate effectpositive50% confidenceThis effect was mentioned in 10 of 269 community reports discussing it (Reddit 6, YouTube 4).
10 mentions - →Immune System SupportCertaintyLowSourceTheoreticalnot used for recommendations1 cited study · 2 other sources
Immune system support remains theoretical; human evidence has not established this effect.
What the sources found
2 positive · 1 neutral · 0 negativeconfidence 45/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people
Where the evidence comes from
- Article1
- Expert opinion1
- Community reports1
Why it isn't used for recommendations
Studied, with no positive result
Open Immune System SupportShow studies (3)
RCTCneutraln=2040% confidence2025HWI was the only heating modality to elicit inflammatory and immune responses as evidenced by increased interleukin-6 (IL-6) concentration postheating
Open-labelExpert opinionpositive50% confidenceRegular sauna bathing is associated with a reduced incidence of common colds and respiratory infections, possibly via mild hyperthermia and improved immune surveillance.
Expert knowledge synthesisCommunity reportsmoderate effectpositive45% confidenceThis effect was mentioned in 6 of 233 Reddit reports discussing it.
6 mentions - →Inflammation ReductionCertaintyLowSourceTheoreticalnot used for recommendations1 cited study · 2 other sources
Inflammation reduction remains theoretical; human evidence has not established this effect.
What the sources found
2 positive · 1 neutral · 0 negativeconfidence 40/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people
Where the evidence comes from
- Article1
- Expert opinion1
- Community reports1
Why it isn't used for recommendations
Studied, with no positive result
Open Inflammation ReductionShow studies (3)
RCTCneutraln=2040% confidence2025HWI was the only heating modality to elicit inflammatory and immune responses as evidenced by increased interleukin-6 (IL-6) concentration postheating
Open-labelExpert opinionpositive50% confidenceInfrared sauna use reduces systemic inflammation, as evidenced by decreased C-reactive protein and other inflammatory cytokines.
Expert knowledge synthesisCommunity reportsmoderate effectpositive30% confidenceThis effect was mentioned in 3 of 233 Reddit reports discussing it.
3 mentions
Very low probability(6)
- →Physical Strength IncreaseCertaintyVery lowSourceClinicalnot used for recommendations3 cited studies
Studies did not support an increase in physical strength: a 2025 quasi-experimental study involving 14 people reported 1RM leg strength of 46 ± 12 vs. 47 ± 12 kg (P = 0.087).
What the sources found
0 positive · 3 neutral · 0 negativeconfidence 52/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people
Where the evidence comes from
- Article3
Why it isn't used for recommendations
Studied, with no positive result
Open Physical Strength IncreaseShow studies (3)
RCTCneutraln=4050% confidence2025Salivary cortisol response to post-exercise infrared sauna declines over time.
We did not find any differences in CMJ between the groups, indicating that the exercise session induced similar levels fatigue in both groups and post-exercise IRS did not improve the immediate recovery of neuromuscular performance.
Top journalOpen-labelCompleters onlyQuasi ExperimentalCneutraln=4050% confidence2025There were no time, group, or interaction effects for 20 m sprint, MVC, height of SJ, CMJ, CMJ25%, and CMJ50%, and peak power during CMJ50%
Weak journalOpen-labelCompleters onlyQuasi ExperimentalCneutraln=1455% confidence20251RM leg strength (46 ± 12 vs. 47 ± 12 kg; P = 0.087)
Top journalMain outcomeOpen-labelNo control groupCompleters only99% dropped out - →Muscle Mass IncreaseCertaintyVery lowSourceClinicalnot used for recommendations2 cited studies
Studies did not support an increase in muscle mass: a 2025 quasi-experimental study involving 14 people found no change in vastus lateralis muscle CSA (15.3 ± 4.6 vs. 15.2 ± 4.6 cm^2; P = 0.768).
What the sources found
0 positive · 2 neutral · 0 negativeconfidence 53/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people
Where the evidence comes from
- Article2
Why it isn't used for recommendations
Studied, with no positive result
Open Muscle Mass IncreaseShow studies (2)
Quasi ExperimentalCneutraln=4050% confidence2025There was no interaction effect for lean mass, but a time effect (B = 0.43, p = 0.003) was found when lean mass increased in CON [PRE: 44.8 (5.8) kg, POST: 45.5 (6.0) kg, p = 0.050]
Weak journalOpen-labelCompleters onlyQuasi ExperimentalCneutraln=1455% confidence2025no changes in vastus lateralis muscle CSA (15.3 ± 4.6 vs. 15.2 ± 4.6 cm^2; P = 0.768)
Top journalMain outcomeOpen-labelNo control groupCompleters only99% dropped out - →Kidney Health SupportCertaintyVery lowSourceClinicalnot used for recommendations1 cited study
The studies did not support improved kidney health. A randomized trial of 10 people with Chronic Kidney Disease found no effect on kidney function or markers of kidney injury.
What the sources found
0 positive · 1 neutral · 0 negativeconfidence 35/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Chronic Kidney Disease
Where the evidence comes from
- Article1
Why it isn't used for recommendations
Studied, with no positive result
Open Kidney Health SupportShow studies (1)
RCTCneutraln=1035% confidence2026without any effect on kidney function or markers of kidney injury
Top journalOpen-labelSham comparison - →Cholesterol Level ReductionCertaintyVery lowSourceClinicalnot used for recommendations1 cited study
Studies did not support cholesterol reduction: a 2009 review of randomized and non-randomized human studies reported consistent fair evidence against claims that infrared sauna reduces cholesterol.
What the sources found
0 positive · 1 neutral · 0 negativeconfidence 25/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Chronic Pain
- Coronary Artery Disease
- Heart Failure (CHF)
- Obesity
Where the evidence comes from
- Article1
Why it isn't used for recommendations
Studied, with no positive result
Open Cholesterol Level ReductionShow studies (1)
Systematic reviewCneutral25% confidence2009Far-infrared saunas for treatment of cardiovascular risk factors: summary of published evidence.
consistent fair evidence to refute claims regarding the role of FIRSs in cholesterol reduction
- →Insulin Sensitivity ImprovementCertaintyVery lowSourceTheoreticalnot used for recommendations1 cited study · 1 other source
An improvement in insulin sensitivity remains theoretical; human evidence has not established this effect in people with type 2 diabetes.
What the sources found
1 positive · 1 neutral · 0 negativeconfidence 55/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Diabetes Type 2
Where the evidence comes from
- Article1
- Expert opinion1
Why it isn't used for recommendations
Studied, with no positive result
Open Insulin Sensitivity ImprovementShow studies (2)
RCTCneutraln=1260% confidence2024No differences were observed between HOT and CON for ISI_composite (P=0.67).
MD 0Open-labelCompleters onlyExpert opinionpositive50% confidenceHeat exposure increases insulin sensitivity via heat shock proteins and improved glucose uptake.
Expert knowledge synthesis - →Mitochondrial Function SupportCertaintyVery lowSourceTheoreticallong-termnot used for recommendations1 cited study · 1 other source
Studies did not support improved mitochondrial function: a 2025 quasi-experimental study involving 14 people observed no changes in muscle mitochondrial content and function after the PHT intervention.
What the sources found
1 positive · 1 neutral · 0 negativeconfidence 50/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people
Where the evidence comes from
- Article1
- Expert opinion1
Why it isn't used for recommendations
Studied, with no positive result
Open Mitochondrial Function SupportShow studies (2)
Quasi ExperimentalCneutraln=1450% confidence2025no changes were observed in muscle mitochondrial content and function after the PHT intervention
Top journalOpen-labelNo control groupCompleters only99% dropped outExpert opinionpositive50% confidenceInfrared sauna induces heat shock proteins (HSP70, HSP90), which support mitochondrial repair and biogenesis, improving cellular energy metabolism.
Expert knowledge synthesis
4 more mentioned only by users
What to expect
Infrared Sauna has been studied both as a single-session experience and in repeated programmes. Some possible effects were observed after one session, while reported side effects occurred either immediately or during programmes lasting several weeks. These study findings do not establish a predictable timeline for an individual, and an immediate change should not be assumed.
Conditions it's used for
Complaints and diagnoses people take it for10 listedThe best we have, but the evidence is still weak
- →Chronic Fatigue SyndromeCertaintyLowSourceClinical1 cited study · 1 other source
The cited review drew on randomized and non-randomized human studies; the finding does not describe a specific change in chronic fatigue syndrome symptoms.
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Chronic Pain
- Coronary Artery Disease
- Heart Failure (CHF)
- Obesity
Where the evidence comes from
- Expert opinion
Open Chronic Fatigue SyndromeShow studies (2)
Systematic reviewC15% confidence2009Far-infrared saunas for treatment of cardiovascular risk factors: summary of published evidence.
Weak evidence from a single study (review abstract)
Expert opinion50% confidenceSome evidence suggests infrared sauna may alleviate fatigue and improve well-being in chronic fatigue syndrome, possibly through detoxification and improved sleep.
- →Chronic PainCertaintyLowSourceClinical1 cited study · 1 other source
A 2009 review drawing on randomized and non-randomized human studies considered people with chronic pain alongside groups with coronary artery disease, heart failure, and obesity.
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Chronic Pain
- Coronary Artery Disease
- Heart Failure (CHF)
- Obesity
Where the evidence comes from
- Expert opinion
Open Chronic PainShow studies (2)
Systematic reviewC20% confidence2009Far-infrared saunas for treatment of cardiovascular risk factors: summary of published evidence.
Fair evidence from a single study (review abstract)
Expert opinion50% confidenceInfrared sauna is clinically used to manage chronic low back pain, fibromyalgia, and arthritis-related pain through analgesic and muscle-relaxing effects.
- →Diabetes Type 2CertaintyLowSourceClinical2 cited studies
A 2010 quasi-experimental study of people with type 2 diabetes reported quality-of-life outcomes.
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Diabetes Type 2
Protocol behind this outcome
1 protocolMeasuredWhat the studies reporting this result did.
20 min · 3×/week
- Course
- 13 weeks
- Per week
- 60 min
A repeated course
Open Diabetes Type 2Show studies (2)
RCTCno effectn=1260% confidence2024Single infrared sauna session did not improve postprandial glucose handling; glucose iAUC was higher after sauna compared to control, with no differences in insulin or insulin sensitivity indices.
Open-labelCompleters onlyQuasi ExperimentalC30% confidence2010Study population selected for type II diabetes; quality of life outcomes reported in this group.
Low-quality journalOpen-labelNo control group - →Hypertension (High Blood Pressure)CertaintyLowSourceClinical1 cited study · 1 other source
A 2009 systematic review of randomized and non-randomized human studies reported possible blood-pressure normalization in populations that included people with chronic pain, coronary artery disease, heart failure, and obesity.
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Chronic Pain
- Coronary Artery Disease
- Heart Failure (CHF)
- Obesity
Where the evidence comes from
- Expert opinion
Open Hypertension (High Blood Pressure)Show studies (2)
Systematic reviewC30% confidence2009Far-infrared saunas for treatment of cardiovascular risk factors: summary of published evidence.
Limited moderate evidence for normalizing blood pressure (review abstract)
Expert opinion50% confidenceRegular infrared sauna use is an effective adjunct therapy for lowering blood pressure in hypertensive individuals, due to improved vascular function.
- →Ankylosing SpondylitisCertaintyLowSourceClinical1 cited study
A 2009 single-arm pilot study reported good tolerance and short-term improvements in pain and stiffness among 17 people with ankylosing spondylitis.
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Ankylosing Spondylitis
- Rheumatoid Arthritis
Protocol behind this outcome
1 protocolMeasuredWhat the studies reporting this result did.
- Course
- 4 weeks
A repeated course
Open Ankylosing SpondylitisShow studies (1)
Pilot studyCn=3435% confidence2009Pilot single-arm study in 17 AS patients showing good tolerance and short-term pain and stiffness improvement
Open-labelNo control group - →Chronic Kidney DiseaseCertaintyLowSourceClinical1 cited study
A 2026 randomized trial tested acute passive heat exposure in 10 people with chronic kidney disease; the findings were described as informing future trials of chronic heat therapy for cardiovascular health.
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Chronic Kidney Disease
Protocol behind this outcome
1 protocolMeasuredWhat the studies reporting this result did.
25 min
- Format
- Individual
- Supervision
- Instructor-led
Single sessions · 0 repeated-course and 1 single-session protocols
Open Chronic Kidney DiseaseShow studies (1)
RCTCn=1035% confidence2026Study population of CKD patients in whom acute passive heat exposure was tested; authors describe the findings as informing future chronic heat-therapy trials for CKD cardiovascular health.
Top journalOpen-labelSham comparison - →DepressionCertaintyLowSourceClinical1 cited study
A 2025 trial of 30 people with depression found reductions in BDI-II and high remission rates in both the WBH and sham-WBH groups. It was not designed to reliably compare the groups and did not include a CBT-only control.
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Depression
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open DepressionShow studies (1)
RCTCn=3060% confidence2025Both WBH and sham WBH arms showed significant reductions in BDI-II and high rates of remission, but the study was not powered for between-arm comparisons and lacked a CBT-only control.
Sham-controlledSham comparisonCompleters only
Low probability(3)
- →ObesityCertaintyLowSourceClinical1 cited study
A 2009 review considered obesity alongside chronic pain, coronary artery disease, and heart failure, drawing on randomized and non-randomized human studies.
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people and patients
- Chronic Pain
- Coronary Artery Disease
- Heart Failure (CHF)
- Obesity
Open ObesityShow studies (1)
Systematic reviewC15% confidence2009Far-infrared saunas for treatment of cardiovascular risk factors: summary of published evidence.
Weak evidence from a single study (review abstract)
- →Rheumatoid ArthritisCertaintyLowSourceClinical1 cited study
A 2009 single-arm pilot study reported good tolerance and short-term improvements in pain and stiffness among 17 people with rheumatoid arthritis.
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Ankylosing Spondylitis
- Rheumatoid Arthritis
Protocol behind this outcome
1 protocolMeasuredWhat the studies reporting this result did.
- Course
- 4 weeks
A repeated course
Open Rheumatoid ArthritisShow studies (1)
Pilot studyCn=3435% confidence2009Pilot single-arm study in 17 RA patients showing good tolerance and short-term pain and stiffness improvement
Open-labelNo control group - →FibromyalgiaCertaintyLowSourceTheoreticalnot used for recommendations1 other source
Infrared Sauna may reduce pain, stiffness, and fatigue in people with fibromyalgia.
How big is the effect
No study gave a number we could compare, so the size is not known.
Where the evidence comes from
- Expert opinion
Why it isn't used for recommendations
No supporting study on file
Open FibromyalgiaShow studies (1)
Expert opinion50% confidenceInfrared sauna reduces pain, stiffness, and fatigue in fibromyalgia patients.
Side effects
18 listedHighest probability
- →Heart Rate IncreaseCertaintyMediumSourceClinical2 cited studies
In a trial involving 40 healthy people, post-session heart rate was 61 ± 8 bpm in the IRS group versus 55 ± 6 bpm in the comparison group. A cohort of 255 also recorded elevated heart rate.
What the sources found
0 not observed · 0 unclear · 2 reportedconfidence 50/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Rating adjusted
Lowered from High to Medium after checking study quality: journal, risk of bias, trial size and design.
Who was studied
- Healthy people
Where the evidence comes from
- Article2
Protocol behind this outcome
2 protocolsEstimatedWhat the studies reporting this result did.
15 min · 2.5×/week
- Course
- 6 weeks
- Intensity
- Low
- Format
- Individual
- Supervision
- Instructor-led
Courses and single sessions · 1 repeated-course and 1 single-session protocols
Open Heart Rate IncreaseShow studies (2)
RCTCnegativen=4055% confidence2025Salivary cortisol response to post-exercise infrared sauna declines over time.
The IRS-group showed a higher post-session HR in EX1 compared to the CON-group (61 ± 8 bpm vs. 55 ± 6 bpm; p = 0.019).
MD 6Top journalOpen-labelCompleters onlyBorderline p-valueCohort studyCnegativen=25545% confidence2020Evaluation of Interventions to Reduce Firefighter Exposures.
Elevated heart rate
Open-labelInactive control - →Fluid Loss (Diuretic Effect)CertaintyMediumSourceClinical1 cited study · 2 other sources
A cohort study in 12 healthy people recorded dehydration with >2% body mass loss.
What the sources found
0 not observed · 0 unclear · 3 reportedconfidence 49/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people
Where the evidence comes from
- Article1
- Community reports1
- Reference knowledge1
Open Fluid Loss (Diuretic Effect)Show studies (3)
Cohort studyCnegativen=1245% confidence2026Far-infrared sauna exposure at 65°C elevates core temperature.
Dehydration >2% body mass loss
Open-labelNo control groupReference knowledgenegative78% confidenceSweating during a session causes fluid loss; longer or hotter sessions increase the risk of dehydration.
Community reportsnegative25% confidenceThis effect was mentioned in 2 of 233 Reddit reports discussing it.
Low probability(16)
- →Blood Sugar IncreaseCertaintyLowSourceClinical1 cited study
In a trial involving 12 people with Diabetes Type 2, plasma glucose response during an oral glucose tolerance test was higher after the heated condition than after the thermoneutral condition: 17.7±3.1 versus 14.8±2.8 mmol/L/120 min.
What the sources found
0 not observed · 0 unclear · 1 reportedconfidence 60/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Diabetes Type 2
Where the evidence comes from
- Article1
Protocol behind this outcome
1 protocolMeasuredWhat the studies reporting this result did.
40 min
- Format
- Individual
- Supervision
- Instructor-led
Single sessions · 0 repeated-course and 1 single-session protocols
Open Blood Sugar IncreaseShow studies (1)
RCTCnegativen=1260% confidence2024The incremental area under the curve (iAUC) of plasma glucose concentrations during the OGTT was higher after the heated condition compared to the thermoneutral condition (17.7±3.1 vs. 14.8±2.8 mmol/L/120 min; P<0.001).
MD 2.9Main outcomeOpen-labelCompleters only - →Weight GainCertaintyLowSourceClinical1 cited study
A quasi-experimental study in 40 healthy people found body mass increased by 0.9 kg in the IRS group, from 64.8 (7.1) kg before to 65.7 (7.2) kg after the sessions.
What the sources found
0 not observed · 0 unclear · 1 reportedconfidence 50/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- Healthy people
Where the evidence comes from
- Article1
Protocol behind this outcome
1 protocolMeasuredWhat the studies reporting this result did.
10 min · 3×/week
- Course
- 6 weeks
- Per week
- 30 min
- Intensity
- Low
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open Weight GainShow studies (1)
Quasi ExperimentalCnegativen=4050% confidence2025a time effect (B = 0.69, p = 0.003) was observed for body mass which, based on the paired t-tests, increased only in IRS [PRE: 64.8 (7.1) kg, POST: 65.7 (7.2) kg, p = 0.028]
MD 0.9Weak journalOpen-labelCompleters onlyBorderline p-value - →Bruising (Ecchymosis)CertaintyLowSourceClinical1 cited study
A 2025 randomized trial involving 30 people with Major Depressive Disorder recorded bruising.
What the sources found
0 not observed · 0 unclear · 1 reportedconfidence 45/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Major Depressive Disorder
Where the evidence comes from
- Article1
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open Bruising (Ecchymosis)Show studies (1)
RCTCnegativen=3045% confidence2025Bruising
Sham-controlledSham comparisonCompleters only - →Dry MouthCertaintyLowSourceClinical1 cited study
A 2025 randomized trial involving 30 people with Major Depressive Disorder recorded dry mouth.
What the sources found
0 not observed · 0 unclear · 1 reportedconfidence 45/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Major Depressive Disorder
Where the evidence comes from
- Article1
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open Dry MouthShow studies (1)
RCTCnegativen=3045% confidence2025Dry mouth
Sham-controlledSham comparisonCompleters only - →Mental FatigueCertaintyLowSourceClinical1 cited study
A 2025 randomized trial involving 30 people with Major Depressive Disorder recorded fatigue.
What the sources found
0 not observed · 0 unclear · 1 reportedconfidence 45/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Major Depressive Disorder
Where the evidence comes from
- Article1
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open Mental FatigueShow studies (1)
RCTCnegativen=3045% confidence2025Fatigue
Sham-controlledSham comparisonCompleters only - →FeverCertaintyLowSourceClinical1 cited study
A trial involving 30 people with Depression listed flu among the reported effects.
What the sources found
0 not observed · 0 unclear · 1 reportedconfidence 45/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Depression
Where the evidence comes from
- Article1
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open FeverShow studies (1)
RCTCnegativen=3045% confidence2025Flu
Sham-controlledSham comparisonCompleters only - →InsomniaCertaintyLowSourceClinical1 cited study
A trial involving 30 people with Depression listed bad sleep among the reported effects.
What the sources found
0 not observed · 0 unclear · 1 reportedconfidence 45/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Depression
Where the evidence comes from
- Article1
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open InsomniaShow studies (1)
RCTCnegativen=3045% confidence2025Bad sleep
Sham-controlledSham comparisonCompleters only - →NauseaCertaintyLowSourceClinical1 cited study
A 2025 randomized trial involving 30 people with Major Depressive Disorder recorded nausea.
What the sources found
0 not observed · 0 unclear · 1 reportedconfidence 45/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Major Depressive Disorder
Where the evidence comes from
- Article1
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open NauseaShow studies (1)
RCTCnegativen=3045% confidence2025Nausea
Sham-controlledSham comparisonCompleters only - →Temperature SensitivityCertaintyLowSourceClinical1 cited study
A trial involving 30 people with Depression listed chills among the reported effects.
What the sources found
0 not observed · 0 unclear · 1 reportedconfidence 45/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Depression
Where the evidence comes from
- Article1
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open Temperature SensitivityShow studies (1)
RCTCnegativen=3045% confidence2025Chills
Sham-controlledSham comparisonCompleters only - →VomitingCertaintyLowSourceClinical1 cited study
A 2025 randomized trial involving 30 people with Major Depressive Disorder recorded vomiting.
What the sources found
0 not observed · 0 unclear · 1 reportedconfidence 45/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Major Depressive Disorder
Where the evidence comes from
- Article1
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open VomitingShow studies (1)
RCTCnegativen=3045% confidence2025Vomiting
Sham-controlledSham comparisonCompleters only - →HeadacheCertaintyLowSourceClinical1 cited study · 1 other source
A 2025 randomized trial involving 30 people with Major Depressive Disorder recorded headache.
What the sources found
0 not observed · 0 unclear · 2 reportedconfidence 38/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Major Depressive Disorder
Where the evidence comes from
- Article1
- Community reports1
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open HeadacheShow studies (2)
RCTCnegativen=3045% confidence2025Headache
Sham-controlledSham comparisonCompleters onlyCommunity reportsnegative30% confidenceThis effect was mentioned in 3 of 233 Reddit reports discussing it.
- →DizzinessCertaintyLowSourceClinical1 cited study · 1 other source
A 2025 randomized trial involving 30 people with Major Depressive Disorder recorded lightheadedness.
What the sources found
0 not observed · 0 unclear · 2 reportedconfidence 33/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Major Depressive Disorder
Where the evidence comes from
- Article1
- Community reports1
Protocol behind this outcome
1 protocolEstimatedWhat the studies reporting this result did.
99 min
- Course
- 11 weeks
- Intensity
- High
- Format
- Individual
- Supervision
- Instructor-led
A repeated course
Open DizzinessShow studies (2)
RCTCnegativen=3040% confidence2025Lightheadedness
Sham-controlledSham comparisonCompleters onlyCommunity reportsnegative25% confidenceThis effect was mentioned in 2 of 233 Reddit reports discussing it.
- →PainCertaintyLowSourceClinical1 cited study · 1 other source
A 2025 randomized trial involving 30 people with Major Depressive Disorder recorded stomach pain.
What the sources found
0 not observed · 0 unclear · 2 reportedconfidence 33/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Who was studied
- People with a condition
- Major Depressive Disorder
Where the evidence comes from
- Article1
- Community reports1
Open PainShow studies (2)
RCTCnegativen=3040% confidence2025Stomach pain
Sham-controlledSham comparisonCompleters onlyCommunity reportsnegative25% confidenceThis effect was mentioned in 2 of 233 Reddit reports discussing it.
- →Blood Pressure DecreaseCertaintyLowSourceReference knowledge1 other source
Heat-induced widening of blood vessels can lower blood pressure during or after a session, especially when standing; this is described in pharmacology references.
What the sources found
0 not observed · 0 unclear · 1 reportedconfidence 75/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Where the evidence comes from
- Reference knowledge1
Open Blood Pressure DecreaseShow studies (1)
Reference knowledgenegative75% confidenceHeat-induced vasodilation can lower blood pressure during or after a session, especially when standing.
- →Fainting (Syncope)CertaintyLowSourceReference knowledge1 other source
Heat-related widening of blood vessels and fluid loss can contribute to fainting, particularly when leaving the sauna or standing quickly.
What the sources found
0 not observed · 0 unclear · 1 reportedconfidence 72/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Where the evidence comes from
- Reference knowledge1
Open Fainting (Syncope)Show studies (1)
Reference knowledgenegative72% confidenceHeat-related vasodilation and fluid loss can cause fainting, particularly when leaving the sauna or standing quickly.
- →Heat IllnessCertaintyLowSourceReference knowledge2 other sources
Excessive heat exposure or prolonged sessions can cause heat illness. People also reported this effect in community reports.
What the sources found
0 not observed · 0 unclear · 2 reportedconfidence 49/100
How big is the effect
No study gave a number we could compare, so the size is not known.
Where the evidence comes from
- Community reports1
- Reference knowledge1
Open Heat IllnessShow studies (2)
Reference knowledgenegative72% confidenceExcessive heat exposure or prolonged sessions can cause heat illness.
Community reportsnegative25% confidenceThis effect was mentioned in 2 of 233 Reddit reports discussing it.
Don't do it if
When to skip it or get medical advice first10 listedHighest probability
- →Acute Febrile IllnessCertaintyLowSourceReference knowledgeTheoretical
Adding external heat during an active fever can overwhelm the body’s temperature regulation and lead to dangerous overheating or cardiovascular collapse.
Where the evidence comes from
- Reference knowledge
Confidence
confidence 80/100
Open Acute Febrile IllnessRationale
Adding external heat during an active fever can overwhelm thermoregulation, leading to dangerous hyperthermia and cardiovascular collapse.
- →Heart ArrhythmiaCertaintyLowSourceReference knowledgeTheoretical
The rise in heart rate and sympathetic activity during sauna use may trigger or worsen symptomatic or uncontrolled arrhythmias, including atrial fibrillation with rapid ventricular response.
Where the evidence comes from
- Reference knowledge
Confidence
confidence 83/100
Open Heart ArrhythmiaRationale
Infrared sauna increases heart rate and sympathetic tone, which can trigger or exacerbate symptomatic or uncontrolled arrhythmias such as atrial fibrillation with rapid ventricular response.
- →Orthostatic HypotensionCertaintyLowSourceReference knowledgeTheoretical
Sauna-related widening of blood vessels and fluid shifts can worsen blood pressure drops on standing, increasing the risk of falls or fainting.
Where the evidence comes from
- Reference knowledge
Confidence
confidence 80/100
Open Orthostatic HypotensionRationale
Infrared sauna induces peripheral vasodilation and fluid shift, which can worsen orthostatic hypotension and increase fall and syncope risk upon standing.
- →PregnancyCertaintyLowSourceReference knowledgeTheoretical
Maternal overheating, especially in the first trimester, is associated with increased risk of neural tube defects and other adverse fetal outcomes.
In the trials
1 trial of this practice also left out people with this condition. That does not show harm.
PubMed links (1)
Where the evidence comes from
- Reference knowledge
Confidence
confidence 85/100
Open PregnancyRationale
Maternal hyperthermia, especially in the first trimester, is associated with an increased risk of neural tube defects and other adverse fetal outcomes.
- →Recent Heart Attack (MI)CertaintyLowSourceReference knowledgeTheoretical
During early recovery from a heart attack, heat-related increases in heart rate and cardiac output can raise the risk of arrhythmia or ischemia.
Where the evidence comes from
- Reference knowledge
Confidence
confidence 85/100
Open Recent Heart Attack (MI)Rationale
Acute myocardial infarction creates vulnerability to thermal stress; heat-induced tachycardia and increased cardiac output can precipitate arrhythmias or ischemia in early recovery.
- →Acute Kidney InjuryCertaintyLowSourceReference knowledgeTheoretical
Sweating can reduce blood flow to the kidneys; with acute kidney injury, the resulting fluid depletion and increased metabolic demand may worsen low urine output and delay recovery.
Where the evidence comes from
- Reference knowledge
Confidence
confidence 78/100
Open Acute Kidney InjuryRationale
Sweating reduces renal perfusion; in acute kidney injury, this can worsen oliguria and delay recovery due to volume depletion and increased metabolic demand.
- →AnginaCertaintyLowSourceReference knowledgeTheoretical
Unstable angina signals active reduced blood flow to the heart, and the added cardiovascular demand from heat may worsen ischemia.
Where the evidence comes from
- Reference knowledge
Confidence
confidence 78/100
Open AnginaRationale
Unstable angina indicates active myocardial ischemia; heat-related cardiovascular demand can worsen ischemia.
Low probability(3)
- →Heart Failure (CHF)CertaintyLowSourceReference knowledgeTheoretical
With decompensated heart failure or current fluid overload, the heat-related increase in cardiac workload and fluid loss may be unsafe; sauna use is best avoided until the condition is clinically stable.
Where the evidence comes from
- Reference knowledge
Confidence
confidence 78/100
Open Heart Failure (CHF)Rationale
Decompensated heart failure or current volume overload can make the heat-related rise in cardiac workload and fluid loss unsafe; avoid sauna until clinically stable.
- →Multiple SclerosisCertaintyLowSourceReference knowledgeTheoretical
Heat exposure can temporarily worsen neurological symptoms in many people with multiple sclerosis, a response known as Uhthoff’s phenomenon, and may be disabling.
Where the evidence comes from
- Reference knowledge
Confidence
confidence 75/100
Open Multiple SclerosisRationale
Many MS patients experience Uhthoff's phenomenon—a temporary worsening of neurological symptoms with heat exposure—making sauna use potentially disabling.
- →Hypotension (Low Blood Pressure)CertaintyLowSourceReference knowledgeTheoretical
Sauna-related widening of blood vessels can further lower blood pressure in people with pre-existing low blood pressure, potentially causing fainting and injury.
Where the evidence comes from
- Reference knowledge
Confidence
confidence 70/100
Open Hypotension (Low Blood Pressure)Rationale
Infrared sauna causes significant vasodilation; in individuals with pre-existing low blood pressure, this can lead to severe hypotension, syncope, and injury.
Who the trials left out
Some trials of this practice did not take people with these conditions, so the studies say less about them. This is not a warning and does not show harm. Ask a clinician first.3 listedLeft out by one trial each (3)
- Heart Disease (General)left out by 1 trial
PubMed links (1)
- Kidney Disease (General)left out by 1 trial
PubMed links (1)
PubMed links (1)
Interactions
Combine with caution
Highest severity first
- →CaffeineTheoreticalCaution
Caffeine increases core body temperature and heart rate; with Infrared Sauna, this may add to hyperthermia, dehydration, and cardiovascular strain, especially for heat-sensitive people.
- →Thiazide DiureticsTheoreticalCaution
Thiazide Diuretics can impair fluid retention and electrolyte balance. Combined with sweating during Infrared Sauna, this can increase the risk of hypovolemia, hypotension, and arrhythmias.
- →SupplementsArginineTheoreticalCaution
Arginine promotes blood-vessel widening; combined with the widening caused by heat, it may lead to excessive hypotension, dizziness, or fainting.
- →SupplementsBeta-AlanineTheoreticalCaution
Beta-Alanine can cause tingling that may be intensified during Infrared Sauna exposure and mistaken for heat intolerance or neurological distress.
Okay to combine with
Highest probability of useful synergy
- →SupplementsMagnesiumCertaintyMediumSourceReference knowledgeComplementary
A pharmacology reference describes Magnesium as helping offset losses through sweat and supporting muscle relaxation, cramp prevention, and cardiovascular stability during repeated sauna use.
- →PracticesStatic StretchingCertaintyMediumSourceReference knowledgePotentiating
A pharmacology reference describes Static Stretching after a sauna as taking advantage of increased tissue elasticity and blood flow, which may improve flexibility and reduce injury risk.
- →PracticesIce Bath / Cold PlungeCertaintyMediumSourceReference knowledgeComplementary
A pharmacology reference describes alternating an infrared sauna with cold immersion as enhancing circulatory pump effects and helping reduce muscle soreness and improve recovery.
Where the evidence comes from
- Reference knowledge
Open Ice Bath / Cold PlungeConfidence
confidence 65/100
- →PracticesMeditationCertaintyMediumSourceReference knowledgeAdditive
A pharmacology reference describes Meditation during or after an infrared sauna as supporting parasympathetic activation, deeper relaxation, and stress resilience.
Weakens or is weakened by
Highest probability
- →SupplementsEthanol (Alcohol)CertaintyMediumSourceReference knowledgeDepleting
Alcohol can impair temperature regulation, increase dehydration, and depress central nervous system function, potentially counteracting sauna’s cardiovascular and cognitive benefits while increasing fainting risk.
- →PracticesCardioCertaintyMediumSourceReference knowledgeCompetitive
High-intensity cardio immediately before or after an infrared sauna can add cardiovascular strain and increase the risk of low blood pressure or an arrhythmia; separating the timing is important.
How it works
The mechanisms this practice works through17 listed · 0 established- Blood antioxidant protectionAntioxidant defenceproposed
Heat exposure induces oxidative stress followed by activation of antioxidant protection.
- Body core and skin temperatureThermoregulatory responseproposed
Infrared sauna bathing increased tympanic and skin temperature, and heart rate, indicating a thermoregulatory response.
- Core body temperatureThermoregulatoryproposed
WBH raises core body temperature to 38.5°C, potentially stimulating thermoregulatory cooling responses and afferent neural signaling that may improve mood.
- Cortisol responseHypothalamic-pituitary-adrenal (HPA) axisproposed
After six weeks of regular post-exercise IRS use, the cortisol response to exercise was blunted, indicating adaptation of the HPA axis to the heat intervention.
- Endothelium-independent vasodilationVascular toneproposed
Vasodilation developing by the end of the treatment period, proposed as a compensatory-adaptive reaction supporting thermoregulation.
- Leg musclesNeuromuscular recoveryproposed
Infrared heat penetrates deeply (3-4 cm) into fat tissue and neuromuscular system, potentially improving force production and relaxation of leg muscles after endurance exercise.
- Muscle growthmTOR signalingproposed
Heat exposure may activate mTOR kinases, stimulating cell growth and potentially contributing to hypertrophy.
- Muscle hypertrophyHeat shock protein (HSP) expressionproposed
Heat exposure may increase HSP expression, which protects cells, enhances muscle regeneration, and promotes hypertrophy, but requires muscle temperatures of 38°C or higher.
- Nocturnal heart rateAutonomic nervous system (ANS)proposed
The higher nocturnal heart rate observed after the first IRS session was not present after six weeks, suggesting adaptation of the autonomic nervous system to the heat intervention.
- Noradrenaline and cortisolStress hormone responseproposed
Infrared sauna bathing increased plasma noradrenaline and cortisol concentrations immediately after the session, suggesting a systemic stress response.
- Postprandial glucose handlingGlucose metabolismproposed
8 weeks of PHT lowered postprandial plasma glucose iAUC.
- Skeletal muscle capillariesAngiogenesisproposed
8 weeks of PHT increased type I and type II muscle fiber capillarization (CFPE index +31% and +33%, respectively).
- Systolic blood pressureCardiovascularproposed
8 weeks of PHT reduced systolic blood pressure by 2%.
- Urinary PAH-OH excretionDetoxificationproposed
Infrared sauna treatment was hypothesized to increase excretion of PAH metabolites through sweat, but the reduction in urinary PAH-OHs was not statistically significant.
- core (tympanic) temperaturethermoregulationproposed
Infrared sauna raised tympanic temperature relative to control in healthy women; the authors attribute the sauna's physiological effects primarily to thermoregulatory responses rather than exercise-like cardiorespiratory activation.
- core temperature and cardiac outputsystemic heat stress responseproposed
FIR sauna raised core temperature and cardiac output less than HWI or TRAD in this study; FIR produced no reported significant inflammatory or immune response.
- flow-mediated dilation (brachial artery)vascular endothelial functionproposed
Acute passive heat exposure increased FMD relative to thermoneutral control in CKD participants.
Variations
4 documentedTypical protocol
17 protocolsEstimatedAcross every study of this practice, whatever the variation.
28 min · 3×/week
- Course
- 6 weeks
- Temperature
- 49–60 °C
- Humidity
- 19–30%
- Rounds
- 1–4
- Intensity
- Low
- Format
- Individual
- Supervision
- Instructor-led
Courses and single sessions · 7 repeated-course and 10 single-session protocols
90% of the corpus contributed
Standard Post-Workout Recovery
Beginner9/1015–20 min · 3 times a week
Standard Post-Workout Recovery
Beginner9/1015–20 min · 3 times a week15–20 min · 3 times a week
From studies- How often
- 3 times a week
- Intensity
- Low
- Time of day
- Any time
- Where
- Indoors
- Research depth
- Moderate
This variation is framed around muscle relaxation and reduced soreness between training sessions, with an emphasis on avoiding excessive thermal stress.
No equipment needed.
not for children,not in pregnancy
As studied
6 protocolsEstimatedThe protocol the studies of this variation actually used.
10–20 min
- Course
- 6 weeks
- Longest single session studied
- 30 min
- Temperature
- 42.5–43 °C
- Humidity
- 21–30%
- Rounds
- 1
- Intensity
- Low
- Format
- Individual
- Supervision
- Instructor-led
Courses and single sessions · 3 repeated-course and 3 single-session protocols
Derived from2056903626180741319779213739896640104529+1 more in Sources
How it's done7 steps · 3 cues · 3 common mistakes
A general description of the practice, not instruction or medical advice.
Steps
- Hydrate with 300-500ml of water before entering the sauna.
- Set the infrared sauna temperature to 45-50°C (113-122°F).
- Enter the sauna wearing light, breathable clothing like shorts and a sports bra or a cotton t-shirt.
- Sit comfortably on the bench with your back straight and feet flat on the floor.
- Relax for 20 minutes, breathing normally. You should feel a gentle, deep warmth but not be sweating profusely.
- Exit the sauna slowly and cool down at room temperature for 5-10 minutes.
- Rehydrate with another 300-500ml of water.
Cues
- · Focus on nasal breathing
- · Keep shoulders relaxed and away from ears
- · The goal is a light sweat, not overheating
Common mistakes
- Staying in too long and becoming lightheaded
- Not drinking enough water beforehand
- Wearing heavy, non-breathable clothing
Studied protocols6 on file
- 20 min· 3×/week· 13 weeks· A repeated coursePMID 20569036
- 10 min· 3×/week· 6 weeks· n=40· A repeated coursePMID 40104529
- 10 min· 2.5×/week· 6 weeks· n=40· A repeated coursePMID 40926789
- 30 min· 42.5 °C, 30%, Rounds 1· n=10· Single sessionsPMID 26180741
- 20 min· n=255· Single sessionsPMID 31977921
- 20 min· 43 °C, 21%, Rounds 1· n=16· Single sessionsPMID 37398966
Gentle Evening Relaxation
Beginner8/1010–20 min · As needed
Gentle Evening Relaxation
Beginner8/1010–20 min · As needed10–20 min · As needed
Editorial- How often
- As needed
- Intensity
- Very low
- Time of day
- Before bed
- Where
- Indoors
- Research depth
- Minimal
This brief, mild-heat session is intended as a calming wind-down before bed, with slow breathing and a focus on relaxing tense muscles. The guidance cautions that too much heat or a session that runs too long may leave you overheated at bedtime.
No equipment needed.
not for children,not in pregnancy
How it's done7 steps · 3 cues · 3 common mistakes
A general description of the practice, not instruction or medical advice.
Steps
- Dim the lights in the sauna room or use a sauna with chromotherapy lighting set to red or no light.
- Set the temperature to a very mild 35-45°C (95-113°F).
- Enter the sauna and sit or lie down in a comfortable position.
- Close your eyes and practice slow, deep breathing: inhale for 4 counts, hold for 2, exhale for 6.
- Stay in the sauna for 15 minutes. The heat should feel soothing, not challenging.
- Exit the sauna and wrap yourself in a warm robe. Avoid screens and bright lights.
- Proceed directly to your bedtime routine.
Cues
- · Soften your jaw and the space between your eyebrows
- · Imagine the heat melting away tension from your muscles
- · Keep the session short to avoid raising your core temperature too much, which can disrupt sleep
Common mistakes
- Setting the temperature too high, which is stimulating rather than relaxing
- Using a phone or tablet during the session
- Staying in too long and feeling overheated at bedtime
Studied protocols2 on file
- 15 min· 5×/week· 3 weeks· 60 °C· A repeated coursePMID 30239008
- 15 min· n=16· Single sessionsPMID 34632485
Extended Heat Adaptation
Intermediate7/1035–50 min · 3 times a week
Extended Heat Adaptation
Intermediate7/1035–50 min · 3 times a week35–50 min · 3 times a week
Editorial- How often
- 3 times a week
- Intensity
- High
- Time of day
- First half of the day
- Where
- Indoors
- Research depth
- Minimal
This variation is intended to build heat tolerance and support cardiovascular function through longer, hotter exposure that raises core body temperature. It is described for healthy individuals seeking endurance gains or heat acclimatization, with gradual build-up and careful hydration.
No equipment needed.
not for children,not in pregnancy,caution for older adults
As studied
6 protocolsMeasuredThe protocol the studies of this variation actually used.
45 min
- Course
- 8 weeks
- Temperature
- 45–65 °C
- Humidity
- 19%
- Rounds
- 1
- Format
- Individual
- Supervision
- Instructor-led
Courses and single sessions · 1 repeated-course and 5 single-session protocols
Derived from3495434839209309393736674033249442113470+1 more in Sources
How it's done7 steps · 3 cues · 3 common mistakes
A general description of the practice, not instruction or medical advice.
Steps
- Ensure you are well-hydrated throughout the day before the session.
- Set the infrared sauna to 55-65°C (131-149°F).
- Enter the sauna and sit upright. It is normal to not sweat immediately as infrared heat penetrates deeply.
- Start with a 10-minute warm-up phase at a lower temperature if your sauna allows, or simply sit for the first 10 minutes acclimating.
- Remain in the sauna for a total of 40-45 minutes. If you feel dizzy or nauseous, exit immediately.
- After exiting, take a lukewarm shower to gradually bring your body temperature down.
- Drink an electrolyte beverage or water with a pinch of salt to replenish minerals lost through heavy sweating.
Cues
- · Monitor your heart rate; it should feel like a brisk walk
- · Place a small towel on the bench to absorb sweat
- · Keep the session to the first half of the day to avoid sleep disruption
Common mistakes
- Attempting a long, hot session without prior acclimation
- Ignoring early signs of heat exhaustion like headache or nausea
- Taking a cold shower immediately after, which can cause a sudden blood pressure drop
Studied protocols6 on file
- 45 min· 3×/week· 8 weeks· n=14· A repeated coursePMID 39373667
- 45 min· Rounds 1· n=10· Single sessionsPMID 34954348
- 40 min· n=12· Single sessionsPMID 39209309
- 45 min· 45–65 °C· n=20· Single sessionsPMID 40332494
- 25 min· 60 °C· n=10· Single sessionsPMID 42113470
- 45 min· 65 °C, 19%· n=12· Single sessionsPMID 42533687
Clinical Whole-Body Hyperthermia
Expert5/10supervision recommended60–100 min · Weekly
Clinical Whole-Body Hyperthermia
Expert5/10supervision recommended60–100 min · Weekly60–100 min · Weekly
Editorial- How often
- Weekly
- Intensity
- Very high
- Time of day
- First half of the day
- Where
- Indoors
- Research depth
- Minimal
This is a medically supervised hyperthermia protocol intended for therapeutic use, including as an adjunct for mood disorders—not a home relaxation session. It uses core-temperature monitoring and supervised cooling, and requires medical screening and clearance.
Equipment: Medical-grade infrared sauna dome or whole-body system, Core temperature monitoring device, Blood pressure monitor
not for children,not in pregnancy,caution for older adults
How it's done7 steps · 3 cues · 3 common mistakes
A general description of the practice, not instruction or medical advice.
Steps
- Undergo a pre-session medical screening to rule out contraindications.
- Hydrate with a specific electrolyte protocol as directed by the supervising clinician.
- Lie down in the infrared sauna dome with your head outside the heated area.
- Allow the clinician to insert a core temperature monitoring probe.
- The sauna is heated until your core temperature reaches approximately 38.5°C (101.3°F), which may take 60-90 minutes.
- Core temperature is maintained at the target for a prescribed duration under constant supervision.
- Begin a supervised, gradual cooling-down process immediately after the heating phase is complete.
Cues
- · This is a medical procedure, not a relaxation technique
- · Communicate any unusual sensations to the supervisor immediately
- · Mental focus should be on staying calm and still
Common mistakes
- Attempting this protocol at home without medical supervision
- Failing to disclose all medications and health conditions during screening
- Standing up too quickly after the session, risking orthostatic hypotension
Studied protocols3 on file
- 99 min· 11 weeks· 57.2 °C, Rounds 4· n=30· A repeated coursePMID 41146956
- 4 weeks· Rounds 8· n=34· A repeated coursePMID 18685882
- 110 min· n=25· Single sessionsPMID 34674592
How to start
Community experience
Based on 319 public posts from Reddit, YouTube, Phoenix Rising, Bluesky, and Hacker News.
What people report it did
22 outcomes mentioned across 319 public reports. A report often mentions several, so these counts do not add up to the total.
Reported benefits18
- Mood Improvement45 mentions
- Sleep Quality Improvement33 mentions
- Chronic Pain Reduction33 mentionsnot studied
- Muscle Recovery Acceleration17 mentions
- Physical Energy Increase17 mentions
- Detoxification Support17 mentions
- Cellular Energy Support13 mentionsnot studied
- Skin Health Improvement10 mentions
- Physical Endurance Increase10 mentions
- Physical Function10 mentions
- Immune System Support9 mentions
- Anxiety Reduction8 mentions
- Muscle Soreness Reduction (DOMS)8 mentions
- Biorhythm Regulation6 mentionsnot studied
- Blood Flow Improvement5 mentions
- Sleep Onset Improvement5 mentionsnot studied
- Stress Resilience Improvement5 mentions
- Cardiovascular Health Support5 mentions
Reported side effects3
- Physical Fatigue6 mentionsnot studied
- Paresthesia (Tingling/Numbness)not studied
- Skin Rash / Irritationnot studied
Reported after stopping1
- Physical Endurance Decreasenot studied
What people report doing
Counted from public posts and videos, not from a survey. Each figure counts the posts that mentioned it — most reports say nothing about schedule.
Where7 mentions
Session lengthas written
How long they've practisedas written
References
22 screened · 19 analysed · 20 listed below
Studies and sources cited on this page. Evidence quality varies — check the grade on each.
- Effects of sauna bath on heart failure: A systematic review and meta-analysis.Clin Cardiol2018Meta-analysisB
- Acute effects of passive heat exposure on vascular function and exercise capacity in patients with chronic kidney disease.Am J Physiol Heart Circ Physiol2026Crossover RCTCn=10
- Far-infrared sauna exposure at 65°C elevates core temperature.Exp Physiol2026Observational CohortCn=12
- Salivary cortisol response to post-exercise infrared sauna declines over time.Temperature (Austin)2025RCTCn=40
- Repeated passive heat treatment increases muscle tissue capillarization, but does not affect postprandial muscle protein synthesis rates in healthy older adults.J Physiol2025Quasi ExperimentalCn=14
- Effects of repeated use of post-exercise infrared sauna on neuromuscular performance and muscle hypertrophy.Front Sports Act Living2025Quasi ExperimentalCn=40
- A Randomized Trial Testing a Novel Mind and Body Intervention for Depression: Cognitive Behavioral Therapy (CBT) and Whole-Body Hyperthermia (WBH).Glob Adv Integr Med Health2025RCTCn=30
- Comparison of thermoregulatory, cardiovascular, and immune responses to different passive heat therapy modalities.Am J Physiol Regul Integr Comp Physiol2025Crossover RCTCn=20
- A Single Sauna Session Does Not Improve Postprandial Blood Glucose Handling in Individuals with Type 2 Diabetes Mellitus: A Cross-Over, Randomized, Controlled Trial.Exp Clin Endocrinol Diabetes2024Crossover RCTCn=12
- A post-exercise infrared sauna session improves recovery of neuromuscular performance and muscle soreness after resistance exercise training.Biol Sport2023Crossover RCTCn=16
Show all 20 references
- Infrared sauna as exercise-mimetic? Physiological responses to infrared sauna vs exercise in healthy women: A randomized controlled crossover trial.2022Crossover RCTCn=10
- Autonomic Nervous System Response to Far-Infrared Sauna Exposure in Firefighters.2022Quasi ExperimentalCn=16
- Feasibility and acceptability of a Whole-Body hyperthermia (WBH) protocol.2021Pilot studyCn=25
- Evaluation of Interventions to Reduce Firefighter Exposures.2020Observational CohortCn=255
- Effects of far-infrared sauna bathing on recovery from strength and endurance training sessions in men.2015Crossover RCTCn=10
- [The influence of general infrared sauna on the antioxidant systems in the blood of volunteers].2013Observational Cross SectionalC
- The effects of repeated thermal therapy on quality of life in patients with type II diabetes mellitus.2010Quasi ExperimentalC
- Infrared sauna in patients with rheumatoid arthritis and ankylosing spondylitis. A pilot study showing good tolerance, short-term improvement of pain and stiffness, and a trend towards long-term beneficial effects.2009Pilot studyCn=34
- Far-infrared saunas for treatment of cardiovascular risk factors: summary of published evidence.2009Systematic reviewC
- Expert knowledge synthesis