Pilonidal Sinus: What You Need To Know & How To Beat It

Pilonidal sinus is a painful condition that affects the skin and tissue near the top of the buttocks. It occurs due to growth of hair follicles in the affected area and can be a chronic and recurring issue. In this article, we talk about the causes of pilonidal sinus, what the signs are, and how to treat it. We also share some advice on how to stop it from happening.

Understanding Pilonidal Sinus

  • Risk Factors: Men between 15 and 40 are more likely to have pilonidal sinus. People with a family history are also more at risk. Being overweight and not active can increase the risk of pilonidal sinus.
  • Anatomy of Pilonidal SinusPilonidal sinus is a small opening near the tailbone. The channel can fill with hair, skin fragments, and other debris, leading to infection and pain.
  • Types of Pilonidal Sinus: There are two main types of pilonidal sinus: acute and chronic. Acute pilonidal sinus causes sudden pain, swelling, and redness. Chronic pilonidal sinus is a recurring condition that leads to long-term discomfort.

Diagnosis of Pilonidal Sinus

Pilonidal sinus is an uncommon condition that can be difficult to diagnose. Often, the symptoms may be like other skin conditions, such as boils or abscesses. To diagnose pilonidal sinus, a healthcare professional may perform the following steps:

  • Physical Exam: A physical exam is the first step in diagnosing pilonidal sinus. The healthcare professional will look for any signs of swelling, redness, or discharge in the affected area.
  • Medical History: The doctor asks about the patient’s health and risks for pilonidal sinus. This includes past infections or skin problems.
  • Imaging Tests: In some cases, imaging tests may be necessary to diagnose pilonidal sinus. This may include X-rays, CT scans, or MRI scans to get a better view of the affected area and the extent of the condition.
  • Biopsy: In some cases, a biopsy may be necessary to diagnose pilonidal sinus. During the procedure, we take a tiny piece of tissue from the affected area. We look at it under a microscope to see if it’s a pilonidal sinus or a different skin problem.

Accurate diagnosis is a crucial first step in treating and managing pilonidal sinus. If you suspect you have pilonidal sinus, it’s important to consult a doctor. They can assist you in getting a proper diagnosis and determining the best treatment plan for you.

Treatment of Pilonidal Sinus

  • Medical Treatment: Sometimes, we treat the pilonidal sinus with medicine to get rid of the infection. We also use medicine to help with the pain.
  • Surgical Treatment: Surgery is the most common treatment for pilonidal sinus. The type of surgery depends on the severity and type of pilonidal sinus and the patient’s health. Options may include incision and drainage, excision, or closure of the sinus cavity.
  • Home Remedies: To feel better from pilonidal sinus, you can use warm clothes, pain medicine, and warm baths.
  • Follow-up Care: Check with the doctor after treatment. The doctor may suggest ways to prevent pilonidal sinus from coming back. Examples are: staying clean, eating healthy, avoid harm to the affected area.

Prevention of Pilonidal Sinus

  • Good Hygiene: Good hygiene helps prevent pilonidal sinus and stop it from coming back. Wash the affected area with soap and water, use an antiseptic, and keep it clean and dry.
  • Maintaining a Healthy Weight: Being overweight raises the risk of pilonidal sinus. Staying healthy through diet and exercise can lower the risk.
  • Avoiding Trauma: Friction or pressure on the affected area can make pilonidal sinus more likely. To avoid this, don’t wear tight clothes or sit for long periods. Use a cushion or supportive seat.
  • Shaving: Shaving the area can worsen the pilonidal sinus by irritating and hurting it. To prevent this, avoid shaving the area or use an electric razor instead of a manual one.


Pilonidal sinus is a painful condition near the tailbone. It often returns and affects the skin and tissue. With proper treatment and prevention, we can control it and reduce the chance of it happening again. If you think you have pilonidal sinus, it’s important to talk to a doctor. They will give you the right diagnosis and a plan to get better.

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