Pilonidal Sinus (PNS) or Pilonidal Abscess or Pilonidal Cyst or Sacrococcygeal Fistula

Homeopathic treatment

Before delving into homeopathic treatment let us first discuss the conventional or allopathic treatment available.

The conventional or allopathic treatment of pilonidal abscess or pilonidal sinus includes only the conservative management and at the end surgery. For acute conditions with severe pain and discomfort broad spectrum antibiotics are given to knock back on infection. But complete cure with antibiotics is impossible, so don’t make the mistake of thinking that you can cure with antibiotics. The antibiotics only kill the immediate infection but it usually comes back again.

When pain is severe or cellulitis is present and in chronic and recurrent cases surgery is required. The surgery is also not very useful as the condition has more than 90% chances of recurrence after surgery. After surgery you will be surely at ease from discharge but only for few days and again it will get reinfected causing it to suppurate even before the stitches have healed up. This becomes more distressful as there is pain of stitches and cut in addition to the usual discharge and pain. Life becomes hell if you get a recurrence of infection after surgery.

So the various side effects of the surgery are:

  • Recurrence of the condition after surgery.
  • Infection of the wound and bleeding from it.
  • Urinary retention.
  • Increased pain and discomfort in the area.

Homeopathy is an alternative method of treatment based on the nature’s law of cure, “like cures like”. Homeopathic medicines with its ultra minute doses are non-toxic, absolutely harmless and bring about safe cure. These remedies are a better substitute to the antibiotics.

Homoeopathy is not against surgery. Surgery is done to produce cuts in the muscles surrounding the sinus and remove a big chunk of mass. The same goal can be achieved by the homeopathic medicines without the use of a knife. The medicines help to heal the sinus, drying up the pus and go a long way to prevent the recurrence of the condition.

How homeopathy helps:

  • Medicines are an effective alternate to the antibiotics.
  • Remedies act as strong anti-inflammatory medicines which reduce the pain, discharge, drying up of the pus and reduces the discomfort.
  • Medicines are non toxic and brings about speedy recovery.
  • The treatment helps in avoiding surgery unless urgent.
  • Remedies work on the constitution of the person which reinforces the immune system, making it stronger and hence there are less chances of recurrence of the condition.
  • The treatment also helps in slowing down the progress of the disease and the development of complications.
  • Medicines can improve the quality of life of people suffering with pilonidal disease.

There are 144 homeopathy medicines which give great relief in pilonidal sinus (PNS) or pilonidal abscess or pilonidal cyst or sacrococcygeal fistula. However, the correct choice and the resulting relief is a matter of experience and right judgment on the part of the doctor. The treatment is decided after thorough case taking of the patient. Thus remedies are designer made unlike allopathy in which all patients receive the same surgery or drugs although trade name may be different.

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What is pilonidal sinus (PNS) or pilonidal abscess or pilonidal cyst or sacrococcygeal fistula

A pilonidal sinus (PNS) or pilonidal abscess or sacrococcygeal fistula occurs in the cleavage between the buttocks (natal cleft) and can cause discomfort, embarrassment and absence from work for thousands of young people (mostly men) annually.

Pilonidal actually means a ‘nest of hair’. It is a cyst, abscess or a pocket of infection below the skin near or on the natal cleft of the buttocks that often contains hair and skin debris. A sinus tract goes vertically between the buttocks, causing pain and discomfort. A sinus tract typically goes between a focus of infection in the deeper tissues to the skin surface, so the tract may discharge pus time to time. Not everyone who has a pilonidal abscess has a pilonidal sinus.

It affects men more than women and typically occurs between the age of 15-24 years.

The condition was widespread in the United States during the Second World War. More than 80,000 soldiers having this condition required hospitalization. It was termed as “jeep rider’s disease” as long riding in the jeeps was considered to be the causative factor. But now due to long sitting hours at work it is again becoming very common.

What is pilonidal sinus PNS


The exact cause of pilonidal sinus is not clear. The various assumed causes are:

  • Hormones : Sex hormones first produced at puberty are known to affect the pilosebaceous glands, which coincides with the earliest onset of pilonidal disease.
  • Ingrown hair may be responsible for its development.
  • Obesity and excessive sitting is thought to predispose to pilonidal sinus or abscess as it causes increased pressure on the coccyx region.
  • Friction between the buttocks is responsible for sucking keratin and hair into the distended follicles, which leads to infection of the follicle and abscess formation.
  • Infection : Anaerobic bacteria (particularly bacteroides and enterococci) result in the development of infection of the follicles and abscess formation.
  • Some researchers have proposed that pilonidal cyst or sinus may be the result of a congenital pilonidal dimple. This subsequently collects hair and debris resulting in abscess and pilonidal sinus.

Risk factors

  • Obesity: A body mass index (BMI) of 30, or more.
  • Having an above average amount of body hair.
  • Having a family history of the condition.
  • Having a job which involves doing a lot of driving, or sitting down for long periods (sedentary life style).
  • Local irritation or trauma prior to the onset of symptoms.


  • Acute pilonidal abscess: Increasing discomfort and swelling over a number of days is noticed by the patient and the pain may be severe by the time of presentation. On examination there is a fluctuant swelling in the midline of the natal cleft with overlying cellulitis. There is intolerable pain experienced by the patient on separating the buttocks for examination.
  • Chronic (persistent) pilonidal disease: Patients present with chronic pain and discharge, often with a history of up to 2 years.
  • On examination a single or multiple sinuses may be seen. Tufts of hair and other debris like clothing fibers can be seen arising from the sinus. Localized swelling and inflammation may be seen.
  • Complex or recurrent pilonidal disease: This is due to the reinfection of the neighboring hair follicles or chronic infection from entry of hair or debris into the wound.


A pilonidal sinus can be diagnosed by your physician based on your symptoms and the findings on the physical exam. In general, blood work or imaging studies are usually not necessary.

Home care

  • Patient should be advised to keep the area clean.
  • Early in an infection of a pilonidal cyst or abscess or sinus, the redness, swelling, and pain may be minimal. Sitting in a warm tub may decrease the pain and may decrease the chance that the cyst will develop to the point of requiring incision and drainage.
  • Posture : Posture of sitting must be corrected as poor sitting postures can aggravate the condition.
  • Cushions: A coccyx cushion can help to keep the pressure off your tailbone.
  • Hair removal: Keep the area always shaved to prevent the hair getting embedded.

*Pilonidal cyst, between buttocks; cysts occur often, severity varies month to month. Severe cysts occured in 2005 and 2010. During severe cysts the size of it is like a fist, takes 10 days to busrt and drain. Normal cysts cause minor pain and some times drains in 3-4 days and heal quickly.

I have been taking homeopathy since 1 year but do not know the composition of the medicine and I am not confident it is working correctly for me. Cysts frequently occur while using the homeopathy medicine.

Also what I commonly notice is whenever my stool is hard and when I apply pressure, more likely the cysts are developed. During passing of stool if I apply pressure, I can sense stool or some thing is passing into the area where pilonoidal cysts are deveoped; and definetly after this happens cysts develop.

Need your help in treating my case. I am living in America.

After 3 months of treatment Dear Dr. Rohit, I'm about to complete the first 4 months of prescriptions. Here is my feed back. Firstly thank you so much for paying attention in detail to my case and emails I have been sending you. All the case history is in this email chain below. I started using the medicines from Feb 2012, I got minor cysts in March on a weekly basis and the pus drained out, after that cysts re-occurred like every 20-30 days, but they are of low intensity in pain and the pus drained out every time with not much pain.

I think this is an improvement for me compared to suffering for 1 week with pain and on bed every time cyst occurred in the past before starting to use your medicine.

I am attaching the photos of the area comparing from Jan 2012 to May 2012. Please review for your analysis. Please ask any questions you may have and advise me any change to the current medicine based on my feed back if necessary.

Also please advise for how long should I pay the fees for the next course. And I do want to use the medicine till I am completely healed.

As my medicines will be completely over in next 10 days, please reply so that I can pay the fees and medicines can be shipped for me to take without a break.

Thank you so much for your help. Really appreciate your work!!!

- Mr. Sandeep Dhamija

Houston, Texas, USA

*DISCLAIMER: There is no guarantee of specific results and the results can vary. None of the remedies mentioned including services, mentioned at HomeopathicTreatment4U.com, should be used without clearance from your physician or healthcare provider. We do not claim to cure any disease which is considered 'incurable' on the basis of scientific facts by modern medicine. We assure you of the best possible efforts for those who apply for online treatment. However, please note that we do not claim to cure each and every case, nor do we guarantee any magical cure. The website’s content is not a substitute for direct, personal, professional medical care and diagnosis.

Best homeopathy doctor for pilonidal sinus or PNS

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He is a consultant homeopathy doctor practicing since 1997 with rich clinical experience.


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Pilonidal sinus disease

Oct 26, 2020 9:28 pm Reply

I had a surgery in april as my dermatologist told me it is pyogenic granuloma between my cleft and it was quite big so she suggested to have a surgery and I didn't think much and I did it. It took totally 2 months to heal that space but I gues it reoccured and I am still confused it is pyogenic granuloma or pilonidal cynus.Please help me .I live in Gurgaon and I can come to your clinic.

Pragati Gangwar
Jul 19, 2019 6:00 pm Reply

Sir i want to remove pinodial sinous without surgery can it be possible i have taken medicine and now i dont have any pain but one lump (pimple) is there what will i do please reply as soon as possible Thankyou

Mar 27, 2019 10:43 pm Reply

hello sir, mujhe pilonidal sinus hua hai above 8 or 9 months se maine ayurveda medicine bhi liya 2 mahina par thik nhi hua ab kya kare bataye

Vikash Kumar
Mar 13, 2019 3:14 am Reply

Pilonidal sinus

Jun 24, 2018 9:48 am Reply

Sir i am operated with a surgery of piolnidal sinus ..in homeopathy i listen silicia and calcarea carbonica in1m are effective syrup pls sujjest me.

Amit Kumar
Apr 4, 2018 8:28 am Reply

i have been digonised pilonidial sinus by the surgery doctor. the only treatment is operation according to the doctor. but. i do not want to be operated. is there any medicine in homeopathy to cure it permanently. kindly advise

Ravi Reddy
Mar 12, 2018 1:06 pm Reply

i have been digonised pilonidial sinus by the surgery doctor. the only treatment is operation according to the doctor. but. i do not want to be operated. is there any medicine in homeopathy to cure it permanently. kindly advise

Soumya Ranjan Kanungo
Dec 18, 2017 10:45 pm Reply Pilonidal sinus treatment Anu
Mar 15, 2018 5:51 pm

I am suffering from pilodinal sinus. I have done surgery before 8 months ago but now it is again growing. So I wanted to know is homiopatic treatment is permanent solution for it.

Nov 29, 2017 9:49 am Reply


Mustafa G Rupawala
Sep 2, 2017 10:55 am Reply

im suffering pilodinal sinus from past 6months i was worried about surgey n age is 25 can you pl asvice me reagarding my concern thanks in advance waiting for your valuable golden reply

Nov 4, 2016 10:19 pm Reply My son is suffering from Pilonidal sinus developed on the cleft of his buttocks about one month back. He is taking allopathic treatment and is advised surgery. Mahesh Chhabra
Jun 26, 2017 10:49 am

I am suffering from pilonidal sinus and had once undergone surgery but it is recurrent. So, sir can homeopathy help me if yes than how.

Oct 24, 2016 9:41 pm Reply Sir last 2 years back I under surgery for piloneedle , it not succeed. After that once in 7-8 months, it's growing. So sir please help me out from this ,it's very difficult to work from this Srikanth Kamath
Jun 19, 2017 1:44 pm

Hello doctor, I am suffering from pilonidal sinus and had once undergone surgery but it is recurrent. So, sir can homeopathy help me if yes than how.

Akash Paul
Sep 7, 2016 8:54 pm Reply