Ayurvedic Treatment for Pilonidal Sinus


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‘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.

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

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.

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

Pilonidal Sinus treatment is a challenge for modern medical science. Antibiotics & advance surgeries will not assist the removal of Pilonidal Sinus or the infection owing to the same. Drug of any kind can control the Pilonidal Sinus infection but cannot treat Pilonidal Sinus completely. So do not waste your time & money in the hope of some miracle.

In AyurVaid we treat Pilonidal Sinus by Ksharsutra treatment. This treatment is the best alternative for modern surgery techniques. Ksharsutra treatment is now replacing all complex surgeries for Pilonidal Sinus with great success rate.

We have developed different probes & techniques for Pilonidal Sinus. Using appropriate technique, Ksharsutra is inserted correctly in the Pilonidal Sinus. This herbal thread is changed after every 7 days. Duration of treatment is generally four to eight weeks, and it depends on the length & stage of pilonidal cyst. No recurrence, no daily dressing required, no hospitalization required for early stages, no bed rest and patient can resume his / her routine work within few hours..

While all modern surgical & medicinal techniques are just to remove the existing infection in the Pilonidal Sinus, the Ksharsutra treatment in Ayurveda goes far beyond at both concept and implementation levels. This herbal therapy not only removes the infection but helps human body to create new healthy tissue naturally. The quality of this tissue is so miraculous that it will not get infected easily. You can avoid surgery by this natural way. It has low recovery time & high success rate.

Thus Pilonidal Sinus (PNS) can be treated without surgery through AyurVAID’s Ksharasutra

How Can You Prevent Pilonidal Sinus Disease?

Prevent recurrence of PNS by washing the area on a daily basis with a mild soap; making sure all soap is removed; keeping the area completely dry; and avoiding sitting for long periods.

Disclaimer: * Outcomes may vary from person to person