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Gout and Naftalan oil therapy: why patients with chronic gout are discovering Azerbaijan's unique treatment

A century of clinical use, complementary rehabilitation for chronic joint inflammation, and a destination patients keep returning to.

June 2, 2026 · 12 min read · By Alexandr Umanetz
Foot affected by gout inflammation — swelling and redness around the joint of the big toe

Naftalan.health and the European Alliance of Associations for Rheumatology (EULAR) recognize the importance of evidence-based approaches to rheumatic diseases. For people living with gout, however, controlling pain, inflammation, and long-term joint damage often remains a challenge. This is one reason why growing numbers of international patients are exploring Naftalan oil therapy in Azerbaijan.

Gout is one of the most common forms of inflammatory arthritis. It occurs when elevated uric acid levels lead to the formation of monosodium urate crystals within joints and surrounding tissues, triggering sudden and extremely painful inflammatory attacks — most commonly affecting the big toe, ankle, knee, foot, wrist or elbow.

While medications such as allopurinol, febuxostat, colchicine and anti-inflammatory drugs remain the foundation of gout management, many patients continue searching for complementary therapies that may help improve mobility, reduce chronic inflammation and support recovery between attacks. For more than a century, medicinal Naftalan oil has been used in Azerbaijan for musculoskeletal and rheumatic conditions.

Key facts at a glance

Six things to know about Naftalan therapy for gout

I

Over a century of clinical use

Naftalan oil therapy has been used in rheumatology and rehabilitation for more than 100 years.

II

Improved joint comfort

Patients with chronic gout frequently report improvements in joint comfort, stiffness and mobility following a Naftalan cure.

III

Integrated rehabilitation

Naftalan therapy is commonly incorporated into broader rehabilitation programs supervised by physicians.

IV

Non-invasive treatment

Treatment is non-invasive and performed in specialized medical centers under physician supervision.

V

Used during remission

Many patients seek treatment during remission periods to support joint function and recovery between attacks.

VI

An international destination

Patients from Germany, Israel, Turkey, the United Kingdom and many other countries travel to Azerbaijan for Naftalan therapy.

I

Understanding gout

Unlike many forms of arthritis, gout has a clearly identified cause: excess uric acid. When uric acid levels remain elevated for prolonged periods, monosodium urate crystals may accumulate within joints. During a gout attack, the body's immune system reacts aggressively to these crystals, producing intense inflammation and pain.

Typical symptoms include sudden severe joint pain, swelling, redness, warmth around the affected joint, restricted mobility and recurring inflammatory episodes. Without appropriate treatment, repeated attacks may eventually contribute to chronic joint damage and the development of tophi — visible deposits of urate crystals under the skin.

II

Why patients seek additional treatment options

Modern medications such as allopurinol, febuxostat, colchicine and anti-inflammatory drugs are highly effective at lowering uric acid levels and reducing future attacks. However, many patients continue experiencing residual joint discomfort, reduced mobility, chronic stiffness, functional limitations and reduced quality of life.

This is particularly common among patients who have lived with gout for many years or who have developed chronic gouty arthropathy. For these individuals, rehabilitation therapies often become an important part of long-term management.

III

How Naftalan therapy fits into gout rehabilitation

Naftalan oil therapy is not a replacement for uric acid-lowering medication. Instead, it is most commonly used as a complementary rehabilitation approach during periods when acute attacks are under control.

Physicians in Naftalan frequently incorporate the therapy into comprehensive treatment programs that may include medical supervision, physiotherapy, therapeutic exercise, hydrotherapy, rehabilitation procedures and Naftalan oil applications. Many patients report improvements in joint flexibility, comfort and physical function following treatment.

IV

Real patient experiences

Dietrich M., 56, Frankfurt — Lived with gout for nearly 15 years. Although medication helped control acute attacks, persistent stiffness in his knees and ankles continued to affect daily activities. Following a 14-day Naftalan treatment program, he reported improved mobility and greater comfort while walking. At a six-month follow-up, many of these improvements remained.

David R., 51, Haifa — Experienced recurrent gout attacks affecting his feet and ankles. Between attacks, he continued to struggle with stiffness and reduced mobility. After completing a rehabilitation program that included Naftalan therapy, he reported greater flexibility and improved ability to participate in physical activity.

Mehmet K., 48, Ankara — After more than a decade of gout-related joint problems, Mehmet sought rehabilitation treatment in Naftalan. Following a 16-day program, he reported less joint discomfort, improved walking tolerance and greater confidence in daily movement.

V

Why Naftalan oil is considered beneficial for joint conditions

Researchers believe that medicinal Naftalan oil contains biologically active compounds capable of influencing inflammatory processes and supporting rehabilitation outcomes. Unlike conventional petroleum products, medicinal Naftalan oil undergoes specialized processing and has been used therapeutically for generations.

Patients frequently report improvements in joint comfort, stiffness, mobility, physical function, daily activity tolerance and overall quality of life. Many specialists believe that the combination of Naftalan applications, physiotherapy, exercise and medical supervision contributes to the favorable outcomes observed in rehabilitation settings.

The honest reading
"While gout medications remain essential for controlling uric acid levels, many patients seek Naftalan therapy as part of a broader rehabilitation strategy designed to improve mobility, reduce discomfort and enhance quality of life."
Frequently asked questions

What patients ask most often

Can Naftalan therapy cure gout?+

No. Gout is caused by elevated uric acid levels and requires appropriate medical management. Naftalan therapy is typically used as a complementary rehabilitation treatment.

Should Naftalan therapy be used during an acute gout attack?+

Patients experiencing an active gout flare should always consult a physician. Treatment plans are individualized and may differ depending on disease activity.

Can Naftalan therapy replace gout medication?+

No. Uric acid-lowering medications remain essential for long-term gout management when prescribed by a physician.

How long does treatment usually last?+

Most treatment programs last between 10 and 18 days depending on the patient's condition and medical recommendations.

Is Naftalan therapy painful?+

No. The treatment is generally well tolerated and non-invasive.

Can international patients receive treatment?+

Yes. Every year, patients from Germany, Israel, Turkey, the United Kingdom and many other countries travel to Azerbaijan specifically for Naftalan therapy.

Scientific references

Sources cited in this article

  1. Richette P, Doherty M, Pascual E, et al. 2016 Updated EULAR Evidence-Based Recommendations for the Management of Gout. Annals of the Rheumatic Diseases. 2017;76(1):29-42. View source
  2. Dalbeth N, Choi HK, Joosten LAB, et al. Gout. Nature Reviews Disease Primers. 2019;5(1):69. View source
  3. FitzGerald JD, Dalbeth N, Mikuls T, et al. 2020 American College of Rheumatology Guideline for the Management of Gout. Arthritis Care & Research. 2020;72(6):744-760. View source
  4. Adigozalova VA. Naftalan Oil Is a Specific Balneological Factor of Azerbaijan. Azerbaijan Pharmaceutical Journal. 2023.
  5. Abbasov VM, et al. Analysis of Scientific Results on the Study of Therapeutic Naftalan Oil. SOCAR Proceedings. 2025.
  6. Veliyev RA, et al. Modern Approaches to Rehabilitation of Patients with Musculoskeletal Disorders Using Naftalan Therapy. Azerbaijan Medical Journal. 2024.