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Special therapy jets are standard in a hot tub for back relax purposes, and they target problem areas in the neck and back to help soothe pain away. Many tubs include lounge seats with jets specifically designed to massage the lower back, too. The warm, circulating water loosens muscles and dulls pain, which helps you relax. If the hot tub seat is too hard for your comfort, many dealers offer special pillows or seat covers to take care of the problem. Many doctors prescribe hot tub therapy for back pain because of the heat and increased blood flow, but also because the buoyancy of the water helps remove weight and stress from the spine and vertebrae.