A thermotherapeutic pad includes a sealed envelope having a top layer of plastic and a bottom layer of textured plastic. The top layer of plastic and the bottom layer of textured plastic can be heat-sealed together. The bottom layer of textured plastic has an outer textured surface and is more thermally insulative than the top layer of plastic. A plurality of gel beads and liquid are contained inside the sealed envelope. The bottom layer of the pad can be placed against the skin or clothing to provide thermal therapy. Baffles can be provided inside the sealed envelope to promote even distribution of gel beads.
