Pilonidal Sinus/ Cyst is Characterized By 
   Small nodular swelling in the lower spinal region with occasional discharges that may stain undergarments. Sometimes mild pain may also be noticed. 
   It is usually seen in adults of college/ school going age & with hairy skin. 

Pilonidal Sinus/ Cyst seldom heal with medicinal treatment. Any medication whether allopathic, Ayurvedic or homeopathic may show some temporary relief but do not eradicate the problem. In most of the patients having pilonidal sinus/ cyst, surgeons usually recommend surgical procedures like Z-plasty etc. Even after surgery the chances of recurrences are always there. Post operative pain, hospitalization and chances of recurrence are the factors which suggest that surgery is not the appropriate method of treating pilonidal sinus/ cyst. 

TREATMENT OF CHOICE (AYURVEDA) - 
In Ayurveda, a parasurgical treatment known as Ksharsutra therapy is an effective treatment for pilonidal sinus/ cyst. Treatment method includes proper identification of sinus tract wrt. to its depth, direction and branching pattern. This could be achieved via sinogram or skilled probing. Once the sinus tract has been properly identified, a super specialized medicated thread i.e. Graded ksharsutra  is placed in the tract. The medicine from the medicated thread is gradually released which leads to debridement of the sinus tract which means unhealthy tissue, pus, hairs are expelled out from the tract. The proper and complete debridement of the tract induces healing of the sinus which subsequently heals. The medicine coated thread remains effective for 7-10 days after which it has to be replaced by a new thread. 

Usually, in a sinus of approx. 5 cm length, 6-8 sittings of medicated thread replacement are required at a weekly interval. Ksharsutra therapy being a non surgical opd procedure doesn't involve any hospitalization or bed rest and patients can resume their routine work immediately after treatment. Graded ksharsutra  treatment is the treatment of choice for Pilonidal Sinus as chances of recurrence are seldom seen. The facility of Graded ksharasutra  is available only at Sushruta Anorectal Institute. 

Pilonidal Sinus/ Cyst Treatment FAQs 

Question 1 - What is Pilonidal Sinus/ Cyst Disease? 

Answer - Pilonidal Sinus disease is seen as a small nodular swelling in the lower spinal region with occasional discharges of pus & blood. It is most commonly found in people with hairy skin. Some times mild pain may also be noticed. The main problem is that it keeps on developing again and again after short period of remission. As the problem aggravates, the size of the swelling & pus discharges also increase. It is usually not noticeable in the beginning till it keeps recurring again and again. It is advisable not to get it operated as the chances of recurrence after surgery are pretty high, where as in Ayurveda with the help of Graded ksharsutra , this problem can be completely cured without surgery. *(There is no guarantee of specific results and the results can vary.) 

Question 2 - What are the Causes of Pilonidal Sinus Disease? 

Answer -Pilonidal sinus is also known as the jeep riders back problem. The problem was first recorded on a large scale during world war II in the soldiers who rode jeeps and motorbikes on a frequent basis. Though, the reason behind the occurrence of the issue is really not known it is believed that in growing hairs and hairs penetrating the skin are main cause. The problem is more common in people who have hairy skin. Home remedies for Pilonidal Sinus? Answer - Pilonidal Sinus is an infective condition usually seen in hairy skin individuals. As such there is no home remedy for Pilonidal Sinus. So instead of wasting time in searching for home remedies; you should plan for complete treatment i.e. Ksharsutra Treatment for Pilonidal Sinus as soon as possible. 

Question 3 - What are the ways of identifying a Pilonidal Sinus and Recognizing Signs of Infection? 

Answer -The main problem with identifying Pilonidal Sinus Infection is; it cannot be done till it grows to a certain extent. At first, it appears like a normal boil on the skin. When it does not go away with time; pus starts discharging out of it. We have demarcated a few of the signs that may help you in detecting the problem. 

Sensation of pain while sitting or standing in the low back region. 
The cyst appears swollen 
Pus and blood mixed watery discharge from the cyst 
eddened skin near the cyst 
Cyst forming again and again

Pilonidal Sinus - Say No to Surgery!

Sinusitis is an inflammatory condition which causes swelling of the tissue lining the sinus passages. The healthy sinisuses are filled with air, but when there is a blockage, they get filled with fluids which can give rise to germs and cause an infection. Conditions such as the common cold, allergic rhinitis (swelling of the lining of the nose) and a deviated septum (shift of the nasal cavity) can cause sinusitis. People with nasal polyps and blocked drainage ducts are more prone to getting sinusitis as compared to other people. The main treatment for sinusitis is surgery.

Sinusitis Surgery
Surgery is the most effective treatment for this condition as it makes the sinuses drain by getting rid of the blockage and draining out the mucus. Surgery also removes infected, swollen and damaged tissues in the sinus along with polyps present in the nose or the sinus. If any foreign substances are obstructing the nasal passage, they are removed as well. Surgery, sometimes, is the only way of getting rid of a nose which is badly blocked. In severe conditions, people might also require a second surgery. Surgery, when coupled with medication, is more effective in treating this condition as antibiotics might be required to prevent the sinus from getting re-infected.

There are two types of sinusitis surgeries people can avail:

Endoscopic surgery: This surgery removes small bones and other foreign substances blocking the sinus passage or is used for removing polyps. A thin tool called the endoscope is inserted into the nose with the help of which, the doctor gets rid of substances which are blocking the sinus passage.
Sinus surgery: This is carried out in conditions when there are developments like pus and infections in the facial bones or in case of a brain abscess (inflammation caused due to infection within the tissues of the brain). In this kind of surgery, the doctor uses the opening in the mouth or makes another one through the skin of the face to remove the blockage from the sinus and get rid of sinusitis.

Suffering from Sinusitis? Can Surgery Be Helpful?

Sinusitis or sinus infections can be quite a debilitating ailment when it becomes recurrent. Sinuses are cavities within our head just behind the nose which extends up to our forehead and to certain areas of the cheeks. These cavities are filled with a mucosal lining which helps you breathe and also filters the air which goes to the lungs. When the mucosal lining gets inflamed, it blocks the normal drainage of the mucus into the nose. This results in headaches, nasal polyps and general discomfort. Homeopathy offers some great remedies for this condition, without side effects. Some of these are discussed below.

Homeopathic remedies for sinus problems

Belladonna: This medication is very effective when the sinusitis has resulted in a suppressed discharge from the nose which occurs intermittently. If you have a splitting headache which feels unbearable, Belladonna can help relieve the symptoms quickly. If the infection of the sinus has spread to the throat and results in cough, Belladonna can be equally effective in those circumstances as well.
Pulsatilla: If you are experiencing a greenish mucosal discharge from your nose without a painful burning sensation within it, Pulsatilla can be a very effective cure. Another indication where this medication is very effective is when you have headaches centered just above your eyes rather than over the forehead or other parts of your face.
Kali Bichrome: This is another commonly prescribed medication to deal with the symptoms of sinusitis as well as to reduce inflammation and cure sinusitis altogether. If you have a lot of mucosal discharge that drops into your throat along with discharges through the nose, Kali Bichrome is the drug to go to. Other indications where it is effective are pain and heaviness in the nose and the inability to breathe with headaches in and around the eyes.
Silicea: If you are feeling cold and constantly chilly along with nasal stuffiness, Silicea is the medication to go to. Along with discharges, your nose may form hard mucous crusts within it. Trying to manually remove these crusts may also cause bleeding. Silicea will reduce these symptoms and is also effective in reducing a headache which occurs mostly on the left side of your face.
Merc Sol: If you are experiencing a yellowish green discharge from the nose along with a burning sensation and increased saliva secretion in your mouth, Merc Sol is the remedy to turn to. It is also effective wherein the headache has spread all around the head.

Troubled by Sinus Problems - Choose Homeopathy!

Panchakarma is a unique treatment process followed in the ancient field of alternate medicine, Ayurveda. Over the years the practice has found takers not only in India but in several other countries, including the advanced ones such as the US. The recent opening of an Ayurveda kendra or center in New Jersey is ample proof of the popularity of this system of treatment. Practically every health condition is addressed through the panchakarma treatment and sinusitis is also included among them.

Different Levels of the Condition
Sinusitis is a form of inflammation inside the nasal passage that causes pain in the areas surrounding the nose and there are many causes for the condition to develop. Those who undergo the disorder, may experience different levels of sinusitis. It becomes essential for the physician to first diagnose if the sinusitis is acute, sub-acute, chronic or recurrent. Each type can show slightly different symptoms or last for longer durations. Starting from 4 weeks one could have sinusitis conditions lasting a whole of 8 weeks or even longer and there are those who experience it several times during a year.

Not Difficult to Diagnose
Someone with any level of sinusitis usually shows symptoms of a cold or nasal block and accumulation of mucus and so on. But there are simple diagnostic methods using which the doctors distinguish a common cold from sinusitis-like conditions. If the symptoms are severe, the doctor may order a scan done.

Panchakarma Can Offer Effective Remedies
Under the Ayurvedic system, the practitioner would first identify the  dosha  and then go about prescribing the remedy. Since the condition is related to the presence of toxins, detoxification will be a primary form of addressing the issue. There are different methods prescribed within the panchakarma method of treatment. Among them, for sinusitis, Nasyam and Rasaayan therapies are the most frequently suggested ones for this condition.

Under the Nasyam method, the patient is generally asked to lie on his or her back and a specially prepared medicated oil is passed through the nostrils to clean the area. It can result in the condition not only getting cured, but can prevent it from recurring.

The other panchakarma treatment for sinusitis is Rasaayan. In reality, sinusitis is seen as an imbalance in the levels of fluids within the body and if the balance is restored, then health will automatically return. Based on this, the treatment of sinusitis is formulated using the appropriate herbs and elements needed to provide a healthy restoration of the nasal passage and removal of blockages.

If administered by professional Ayurveda practitioners, sinusitis, whichever type it is, can be effectively cured using the panchakarma treatment. As indicated, in many cases the remedy can be so useful that it can go beyond curing and can stop the condition from resurfacing again. That is the beauty of panchakarma.


Panchakarma Treatment For Sinusitis!

The inflammatory condition of your sinuses (marked by inflammation of your nasal cavities) caused due to viral, bacterial or fungal infection; any autoimmune disorders or allergic reaction is known as sinusitis. This condition is also referred to as 'rhinosinusitis' as nose inflammation occurs. Sinusitis can be either acute, sub-acute or chronic in nature. Acute sinusitis is generally caused due to the common cold and lasts not more than four weeks. Sub-acute sinusitis is more prolonged in nature and lasts for about eight weeks. Chronic sinusitis is more severe in nature and can last for up to twelve weeks or even more.

The most common symptoms of sinusitis are as follows: 

Severe headache
Nose blockage
Release of yellowish green fluids from your nose.
Fever
Difficulty in breathing
Painful sensation in your eyes, ears and forehead.
Post nasal discharge
Frequent cough
A sore throat
Nausea
Body fatigue
Neck stiffness
Tastelessness and anosmia (loss of smell)
The treatment methods available for sinusitis are as follows:

Intake of painkillers like paracetamol can give you temporary relief from your aches. But consuming too much of these can cause side effects such as loss of appetite and drowsiness.
Keep yourself hydrated by drinking about 2 to 3 liters of water every day and take proper rest.
Steam inhalation can give you relief from nasal congestion.
Using nasal sprays like Oxymetazoline can also give you temporary relief.
Your doctor may advise you antibiotics like Amoxicillin in your sinusitis is chronic in nature.
Immunotherapy helps to treat sinusitis if your sinusitis is caused due to allergic reactions.
Your doctor may also recommend an endoscopic surgery of the sinus if your condition is found to be very severe.

Symptoms and Treatment of Sinusitis

Most people go through the experience of getting up in the morning feeling lousy along with a heavy headedness which lingers on all through the day. You may believe that you are getting cold, but you realize that the medications of the common cold are not able to mitigate your symptoms. That s because you are being affected with sinusitis which needs comprehensive treatment.

What is sinusitis?
Sinuses are hollow spaces in the body which have their opening in the nose for the exchange of air and mucus, and each sinus is joined with the nasal passage with the help of continuous mucous membrane. This means that anything which leads to a swelling in the nose including an infection or allergic reaction or immune reaction can affect these sinuses. It results in an intense pain of sinus attack as air is prevented from entering into the nasal sinus because of the swollen membrane. It can also lead to other symptoms such as a runny nose along with nasal congestion, tiredness, fever and severe cough.

How to get rid of sinusitis?
Even though there are endless numbers of medications which can help you control the symptoms of sinusitis, you will be surprised to know that it can also be effectively treated through the Unani medicines without any side effects. If you are suffering from acute sinus pain, you can inhale steam with holy basil five to six times a day. You may require this treatment for several weeks to years together as per the level of suffering. Practicing breathing techniques can also aid in draining out pollutants from the sinus cavities.

Besides practicing these effective procedures, it is recommended to see a Unani medicine expert who can evaluate your unique physical condition and set a treatment plan to relieve your condition. This particular system has got its name from a region in Greece called Unan. The system of Unani medicine is based on several kinds of research, and it incorporates a huge number of drugs from notable medical systems like Siddha and Ayurveda.

How does the Unani system of medicine work to treat sinusitis?
According to the Unani system of medicine, it is important to find out the reason behind the ailment to treating the ailment from its roots. A person gets affected by different diseases including sinusitis due to the surrounding conditions. Therefore, it is important to strike a balance between human body and environment. Pollution also makes the body weaker, and medicines bring about a host of unwanted side effects. On the other hand, the medicine aids in collecting the factors which have contributed to causing the disease. The natural forces in the body together with the Unani medicines help in removing the ailments which, in turn, manage the symptoms of sinusitis.

So, if you are suffering from intense sinusitis and no treatment has helped your condition, then you should consider Unani medications without further delay. It would take some time to uproot the condition, but it is possible to get rid of the condition by following the instructions of your expert diligently.

Best Unani Medicine for Sinusitis Treatment

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