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 irritation or swelling of the tissue covering the sinuses. Healthy sinuses are loaded with air. But there are times when they get blocked and loaded with fluid. In such cases, germs can develop and cause an infection. Due to this infection, your nose gets heavily blocked along with you sinuses and might make it difficult for you to breathe.
Conditions that can bring about sinus blockage include the following:
Common cold
Allergic rhinitis (swelling of the lining around the nose)
Little developments or growths in the covering of the nose called nasal polyps
A deviated septum (a shift in the nasal cavity)
Here are some of the ways you can get rid of sinusitis naturally:
Stay Hydrated: Drink a lot of water, soup or broth, along with juices with no added sugar and hot tea. These liquids will disperse bodily fluids and drain it from the disturbed sinuses.
Salt Water Rinse: In case you suffer from sinus infections often, invest in a neti pot. This helpful container makes it simple to hydrate your nasal tract, getting out undesirable bodily fluids and any contaminants you may have breathed, an which may have been caught in the nasal cavity.
Turmeric/Ginger Root: Turmeric root is an excellent fragrant spice found in most Indian and Middle Eastern dishes. Turmeric not only contains the regular calming and anti-inflammatory curcumin, it is also an antioxidant. When it is mixed with hot ginger ale and blended with hot tea, this mixture can remove excess fluid from the clogged nasal sections, ease sinus pressure and make you feel better.
Spicy Food: Spicy ingredients such as mustard, hot peppers, curry, horseradish, and masala in one s food may help in clearing sinuses. In case you like spices, think about including some hot flavours to your food to open your nasal entries.
Apply Warm Packs: You can use a warm pack to keep the nasal tissues damp. Also, fill a round bowl or pot with steaming water and place your face over it with a towel around your head to inhale the steam in. This will open up your sinuses and make an easy path for fluid drainage.
Take a Steam: High temperature water vapour can saturate the sinuses. Sprinkle a couple drops of eucalyptus or menthol in the shower or bath and steam up your bathroom. A hot shower can also relax the bodily fluid as well as the mucus and debris that are stuck inside your nose.
Apple Cider Vinegar: Apple cider vinegar is not only powerful in disposing off sinus issues; it can also be used for different skin and hair issues. What it does essentially for sinus infection is that it clears up the nose so that the bodily fluid can be removed quickly.

How To Cure Sinusitis Naturally?

The inflammation of the tissues around the sinuses is a condition known as sinusitis. This can be triggered by a number of factors including a common cold and pollen allergies. The symptoms of acute sinusitis are

Facial muscle pain
Stuffiness of the nose
Running nose
Congestion
Loss of smell

Sinusitis is an uncomfortable condition on its own, but can also lead to a number of other complications. Ayurveda can be very effective in treating sinusitis without causing any other side effects. Here are a few ways to treat sinusitis with Ayurveda.

Steam inhalations

Steam is a decongestant that can successfully clear congestion and make sinusitis less painful. This can be done five to six times a day. If your sinus is causing excessive pain, this should be repeated regularly for at least a week. In cases of chronic sinusitis, you may even continue this form of treatment for two years.

Nasyam

Nasyam is one of the five therapies of detoxification according to Ayurveda. It treats sinusitis by administering medicated oils or herbal juices through the nostrils into the body. Nasyam acts by attacking and removing excess humor in sinus cavities. This improves the flow of oxygen in the body, and thus also helps treat the pain that is a result of your sinusitis.

Ginger-Garlic

Ginger and garlic have a number of medicinal properties. A teaspoon of fresh ginger juice with honey can help reduce the congestion caused by sinusitis. This should ideally be had early in the morning, as soon as you wake up and may be repeated in the evening. Similarly, create a concoction with crushed garlic, turmeric, and honey, in the ratio of 1 tsp each of garlic and turmeric and 2 tbsp of honey. Have 1 tsp of this concoction daily.

Jala Neti

Neti is a yogic purification method and jala neti refers to purification by water. This is a simple technique that should be practiced daily to relieve problems related to sinuses. Fill a neti pot with lukewarm water and a little salt. Position the neti pot such that the spout is in one of the nostrils. Breathe through your mouth and tilt your head till the water starts flowing from one nostril to the other. Once the pot has been emptied, repeat the process with another nostril. This can be repeated any number of times.

Change your diet

Ayurveda is a lifestyle and hence diet is a very important part of the treatment. Avoid cold and oily food. Starting the day with a glass of lemon juice and water is also said to be beneficial to sinusitis patients. Processed foods, chocolates, liquor, carbonated drinks etc are other things to be refrained from when treating sinusitis with Ayurveda.

Treating Sinusitis with Ayurveda

What is Sinusitis?
For those of you who do not know what Sinusitis is, it is the inflammation or swelling of the sinus tissues which are hollow spaces in between the bones around the nose. The sinuses are healthy when there is constant flow in the air but when the portion gets blocked it fills with bacteria and viruses. This causes mucus and other unhealthy elements to remain blocked inside the nose.

Symptoms-
The symptoms of sinusitis are common and not critical or dangerous in nature. Over 40 million people get affected by this common disease every year.

Swelling or inflammation inside the nose because of a mild fever or common cold can cause the sinuses to get blocked and result to sinusitis.
If the drainage ducts inside, the nose gets blocked the health passage of air gets halted or disrupted.
A runny nose with a constant flow of water and the nose might also get blocked by pus inside.
Structural problems inside the nose which may lead to the narrowing of the nasal tract through which the air passes and comes back.
Deficiency in the immune system can lead to such a problem.
Allergies are also a common contributor to the cause of sinusitis because the nasal chamber gets blocked in the result.
Treatment-
Treating a condition of sinusitis is very common. Let us have a look :

The first thing which a doctor will prescribe you is an antibiotic doze of 7-8 days, which will help you to fight the blocked bacterias and viruses.
Warm compresses will help the nasal cavity to remain warm and wet, keeping it clean from pus and germs. Thus clearing the way for healthy inhaling of air.
Saline nose drops are also used to clear out the blockage in the nose and fight the germs building inside the sinuses.
Sometimes surgeries are also performed when no other medications work properly. It helps to widen the natural pathway which helps in draining between the sinuses and nose, resulting in the congested mucus to come out and again start a fresh process of taking air in. 

Sinusitis - Signs & Symptoms You Must Not Ignore!

Acute sinusitis is a type of infection of the sinus. It involves an infection or inflammation of your sinus membranes. The most common symptom of sinusitis is that you have trouble draining mucus from your nose. The sinus is the cavity around the nasal passage and it may swell up when this condition occurs. Usually, the symptoms are temporary. However, sometimes, especially if you suffer from chronic sinusitis,medical intervention is required.

Saline Nasal Spray: This is a spray you put into your nose several times a day to clean your nasal passages.
Nasal Corticosteroids: There are many types of nasal corticosteroids. They include fluticasone, budesonide, mometasone, beclomethsone. These nasal sprays not only help to treat inflammation, they help prevent to prevent inflammation as well.
Aspirin: This is a type of OTC pain relievers and they help relieve the pain of acute sinusitis. Acetaminophen and ibuprofen are two other OTC pain relievers which can be used instead of aspirin.
Antibiotics: Antibiotics are usually not required and should never be taken without the doctor's prescription. However, sometimes the doctor may recommend it if he thinks there is a bacterial infection or if the symptoms progress rapidly.
Immunotherapy: Immunotherapy is given when allergies are the reason you are having acute sinusitis. It is rarely needed, however.
Surgery: For sinusitis symptoms which are chronic or occur frequently, nasal surgery may be the best option for permanent relief. A number of different surgical procedures can be used to treat acute sinusitis such as balloon sinuplasty, endoscopic sinus surgery etc.

Treatment of Acute Sinusitis

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!

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