Pilonidal Sinus: Causes, Symptoms, and Treatment Options

A pilonidal sinus is a small tunnel or cyst that develops in the cleft at the top of the buttocks, near the tailbone. It often contains hair, dirt, and debris, causing pain, swelling, and sometimes infection. Pilonidal sinus commonly affects young adults, especially males, and those who sit for prolonged periods.


Causes of Pilonidal Sinus

  • Ingrown hair or hair burrowing into the skin due to friction

  • Prolonged sitting or pressure on the buttocks

  • Excessive sweating and poor hygiene

  • Obesity and skin irritation

  • Hormonal changes after puberty


Symptoms of Pilonidal Sinus

  • Pain, redness, and swelling near the top of the buttocks

  • Pus or blood discharge with foul odor from a small opening

  • Tender lump or abscess around the affected area

  • Difficulty sitting due to discomfort

  • Recurrent infections or abscess formation


Treatment Options

Conservative Care

Early-stage pilonidal sinus without infection may be managed by maintaining hygiene, regular hair removal (shaving or laser), and antibiotics if infection occurs.

Minor Procedures

Incision and drainage can relieve painful abscesses by removing pus. Phenol injection treatments are sometimes used but have a high chance of recurrence.

Surgical Treatment

Surgery is often required for chronic or recurrent pilonidal sinus. It involves removing the sinus tract and infected tissue, followed by wound care and hygiene management.


Ayurvedic Approach

Though pilonidal sinus often requires surgical attention, supportive Ayurvedic care focusing on improving digestion, reducing inflammation, and enhancing healing can complement conventional treatment.


For expert advice and treatment guidance on pilonidal sinus, contact us at +91-9818050963. Our team provides compassionate care and support to manage this condition effectively.