A pilonidal sinus is a small lump or an abnormal skin growth at the bottom of your tailbone.
In the initial stages, treatment includes medications with antibiotics and home remedies like sitz baths or warm compresses. However, if the infection progresses, you may need surgical treatment.
There are different types of pilonidal sinus surgeries. The main objective of surgery is to remove the pilonidal sinus and prevent its recurrence.
A pilonidal surgery is a safe operation. Like any other surgery, it is normal to experience some pain and discomfort in the affected area after a pilonidal sinus surgery. The pain can be chronic for the first few days. It gradually subsides with time.
To manage your pain, your doctor will give you prescription pain medications. The pain medication should be taken after meals and not on an empty stomach.
Do not take medications more than the recommended dose. Some people may experience some dizziness or nausea after taking the medications. Do not drive or lift anything heavy during this time. If the medications are not working, you must consult your doctor immediately.
Unlike traditional surgery, recovery in Laser Pilonidoplasty (LPP) is much faster. The pain is also minimal in laser surgery.
In addition to painkillers, there are other ways to manage the pain. You can sit on doughnut cushions or a small, soft pillow to provide comfort to the affected area. The application of warm compresses or ice packs can also provide relief to the pain.
It is important to talk to your doctor if the pain is getting worse for a change in the recommended dosage or to detect other signs of complications or infections.
Many people who have undergone a pilonidal sinus surgery have reported a recurrence within 6 months post-surgery. There are others who have experienced a recurrence of the disease even after 20 years.
A pilonidal sinus is a complicated condition and once a person develops the condition, there are chances that the condition may reoccur in the future even after surgery.
There are several factors that may contribute to the reoccurrence of the disease such as:
Sometimes the pilonidal sinus may develop in a new area and require another surgical treatment.
To prevent the pilonidal sinus from recurring, here are a few helpful tips:
It is important to maintain proper hygiene. Wash the area daily with a mild soap and gently pat the area dry with a soft towel. Avoid rubbing the area as it will irritate the skin.
Shave the hair from the sacral area on a regular basis or use a hair removal cream. Some people go for laser treatment for permanent hair removal. Talk to your doctor about alternative ways of hair removal. This prevents ingrown or other hair from entering into the skin.
Avoid sitting for long hours. Sweating or dirt accumulation increases the chances of pilonidal sinuses.
Excessive body weight can lead to recurrence of the disease. Avoid a sedentary lifestyle and follow a regular exercise regime to keep your weight under control.
Go for periodic checkups even if you are completely healed after the surgery for early detection of any abnormal lump or soreness.
Don't just jump into a surgery because your doctor is advising you to go for it. Consult our doctors to know if you need a surgery at all. Rest assured, we WON'T recommend you surgery unless it's the last resort.
Attention to hygiene, taking proper post-operative care, and maintaining a healthy lifestyle are key components in reducing the risks of recurrence of the disease. If you observe that the symptoms are returning, do not delay a visit to your doctor for an early checkup.
