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Pilonidal Sinus - Say No to Surgery!

Written and reviewed by
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
General Surgeon, Delhi  •  35years experience
Pilonidal Sinus - Say No to Surgery!


What is Pilonidal Sinus/ Cyst 

•    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. 

AYURVEDA Treatment for Pilonidal Sinus

In Ayurveda, a para surgical treatment known as Ksharsutra therapy is an effective treatment for pilonidal sinus/ cyst. The 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 the 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 nonsurgical 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

What is Pilonidal Sinus/ Cyst Disease?

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 a 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, whereas 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.)

Causes of Pilonidal Sinus Disease?

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 is the 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 searching for home remedies; you should plan for complete treatment i.e. Ksharsutra Treatment for Pilonidal Sinus as soon as possible.

Ways of identifying a Pilonidal Sinus and Recognizing Signs of Infection?

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.

  1. A sensation of pain while sitting or standing in the low back region.
  2. The cyst appears swollen
  3. Pus and blood mixed watery discharge from the cyst
  4. Reddened skin near the cyst
  5. Cyst forming again and again

In case you have a concern or query you can always consult an expert & get answers to your questions!

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