A combination single unit hydrotherapy and exercise device for allowing multiple exercises including both swimming and running in place, massage, and therapy, having a single seamless enclosure with stairs, and sufficiently long and deep for an adult to swim and stand in, a cavity with treadmill at the bottom with safety walk off ledge, external motor means connected to the treadmill shaft inside the enclosure, swim jets in the front to provide resistance to allow swimming in place, control and safety buttons at the top, treadmill impact absorption means, treadmill adjustment means from above the treadmill, and cavity next to the treadmill cavity for accessing the shaft.