Pilonidal cyst treatment without surgery

Pilonidal Sinus: What Is It?

A pilonidal sinus is a cyst that grows on the upper side of your butt cheeks and looks like a sack. The sack is filled with puss, skin, hair, and other debris in this state. It happens in the cleft between your two butt cheeks.

A pilonidal cyst is formed when hair begins to deposit within your skin. While sitting, the ingrown hair causes friction, which causes discomfort and rubbing may cause the sack to form. When a cyst becomes infected and forms a pus-filled cluster, it is referred to as an abscess.

This disorder is more common in men and people with heavy, stiff hair, but it can also affect people who are obese or who sit for long periods of time at work. Truck drivers are particularly vulnerable to this ailment.

This condition can be treated in a variety of ways, including laser surgery on the pilonidal sinus or nonsurgical approaches.

What causes a pilonidal cyst?

The causes of pilonidal cysts are unknown to experts. They do know, however, that ingrown hairs in the buttocks crease cause a skin infection that leads to the formation of a pilonidal cyst. Imagine a sliver of wood stuck in your skin, except instead of a sliver of wood, it’s an ingrown scalp.

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A pilonidal cyst can lead to an abscess or a sinus cavity if left untreated. Both of these symptoms indicate that the skin infection is progressing.

What are the symptoms of a pilonidal cyst?

If you experience any of the following signs, seek medical help right away:

  • Pain that worsens when you sit for long periods of time.
  • Between your cheeks, a slight dimple or a big swollen patch. The pilonidal cyst is normally the culprit. You might note that the area is red and tender.
  • An abscess of pus or blood draining from it. It’s possible that this fluid has a foul odor.
  • Nausea, fever, and extreme tiredness

How is a pilonidal cyst diagnosed?

Your healthcare provider will begin by performing a thorough physical examination on you. During the test, they’ll look for signs of a pilonidal cyst in the crease of your buttocks.

A pilonidal cyst should be visible to the naked eye if you have one. Your doctor can notice what appears to be a pimple or an oozing cyst. If that’s the case, they may ask you a few questions, such as:

  • Has the cyst changed in appearance?
  • Is it draining any fluid?
  • Do you have any other symptoms?

Very rarely, your provider may order a CT or MRI to look for any sinus cavities (little holes) which may have formed under the surface of your skin.

How is a pilonidal cyst treated?

If you have one or more pilonidal cysts, you will be given a care plan that is tailored to your specific situation. This treatment will be determined by the answers to a number of questions, including:

  • Have you ever had a pilonidal cyst?
  • Have you had any other skin problems in the same region (such as an abscess or a sinus infection)?
  • How fast are you getting back on your feet?

You may or may not need surgery to remove your pilonidal cyst, depending on the severity of your symptoms. Aside from surgery, there are several other treatment options available, including:

  • The cyst can be drained in the comfort of your own doctor’s office. To open and drain fluid from your infected cyst, a small incision (cut) will be made.
  • Injections (phenol, an acidic chemical compound) can be used to treat and avoid pilonidal cysts in mild to moderate cases.
  • Antibiotics are a form of antibiotic that can be used to treat skin inflammation. Antibiotics, on the other hand, are unable to repair pilonidal cysts on their own.
  • Laser therapy may be used to remove hair that would otherwise become ingrown and cause more pilonidal cysts to form.

While you wait for your appointment, you can try to relieve any pain you’re experiencing by applying a warm compress to the affected area. When you use an inflatable seat or mattress, you can experience less pain.

How can you treat it at home?

The cyst can be removed with a minor surgical operation, but if you want to relieve the pain and discomfort caused by it, use the methods mentioned below.

  • Apply a warm wet compress or a hot cloth to the cyst. You’ll be able to remove the pus from the cyst if you do this a few times a day. It is possible to get rid of the scratching and pain by doing so.
  • Soak your lower body in warm water in a sitz pan.
  • If the cyst pain becomes unbearable, you should take ibuprofen (Advil), a nonsteroidal anti-inflammatory drug.


Pilonidal sinus can affect anyone, but it is more common in men. By following the steps outlined above, you will avoid developing a cyst, or if you do, the home remedies and medical care can assist you in treating it. You can relieve the discomfort and prevent the cyst from being infected by taking these measures.

However, you must have a basic deterrent in place to ensure that you do not receive one. Maintain good hygiene and cleanliness by not allowing sweat or germs to accumulate near the area for an extended period of time. In addition, you must exercise to keep yourself safe and fit.

Exercise not only improves blood circulation and prevents pilonidal sinus, but it also helps you avoid other illnesses and conditions.

Pilonidal cyst treatment without surgery

Pilonidal cyst treatment without surgery

Mayo Clinic

Pilonidal cyst treatment without surgery