Ksharasutra – A Permanent Cure in Ayurveda for Pilonidal Sinus (PNS) Without Surgery
What Is Pilonidal Sinus Disease (PNS)?‘Pilonidal’ means nest of hairs. A Pilonidal Sinus is a small cyst or abscess that occurs in the cleft at the top of the buttocks - tube like random shaped structure which contains a tuft of hairs. A PNS usually contains hair, dirt, and debris. It can cause severe pain and can often become infected. If it becomes infected, it may ooze pus and blood and have a foul odour. This cyst/abscess with infected tissues, pus, and blood is found under the skin covering the last part of back bone - tail bone between the buttocks. It is also called as ‘Jeep-Bottom’ or ‘Barber’s Disease’ because this is very common in Jeep drivers.
Who gets Pilonidal Sinus?A PNS is a condition that mostly affects men and is also common in young adults, and a high incidence of PNS is reported in India. It is rare in children and in people over the age of 40. It is four times more common in men (as they are hairier than women). It’s also more common in people who sit a lot, like cab drivers.
Certain factors increase the risk of developing the condition and include:
- A job involving a lot of sitting (a sedentary occupation)
- Being overweight (obesity)
- A previous persistent irritation or injury to the affected area
- Having a hairy, deep natal cleft
- A family history of the condition
Signs & Symptoms of Pilonidal Sinus (cyst):There may not be any noticeable symptoms at first, except for a small, saucer-like depression on the surface of the skin. But, if the depression gets infected, it will quickly develop into a cyst (a closed sac filled with fluid) or an abscess (a swollen and inflamed tissue where pus collects).
The signs of an infection include:
- pain when sitting or standing
- history of recurrent swelling & abscess on lower back
- swelling of the cyst
- reddened, sore skin around the area
- pus or blood draining from the abscess, causing a foul odor
- hair protruding from the lesion
- formation of more than one sinus tract, or holes in the skin
- external sinus opening seen at the base of spine between the buttocks
You may also experience a mild fever, though this is not common.
What Are the Causes of PNS?The exact cause of this condition is not known, but its cause is believed to be a combination of changing hormones (because it occurs after puberty), hair growth, and friction from clothes or from spending a long time sitting. Activities that cause friction, like improper sitting, can force the hair growing in the area to burrow back under the skin. The body considers this hair foreign and launches an immune response against it, similar to how it would react when dealing with a splinter. This immune response forms the cyst around your hair.
- Lack of cleanliness in sacral region
- Over sweating
- Improper sitting style
- Twisting of hairs below skin causing infection to hair root