Pilonidal Sinus - FAQ

Pain | Cure | Avoid Surgery

Which is best treatment ?

FAQ - Piles - Fistula -plonidal sinus - Kshar sutra

Frequently Asked Questions

Pilonidal Sinus

Here is all information related to Ayurvedic treatment for Pilonidal Sinus, precautions, pain, risks, food restrictions, home remedy during treatment; limitations of surgery and Kshar sutra; thread quality, price; cutting and healing.

Is a hole / boil / pimple on my buttock in tailbone area called pilonidal cyst?

Such pimple may be an external opening of a pilonidal sinus or abscess. You should get it confirmed with MRI and examination by your doctor.

Is pilonidal sinus curable by medicine without surgery?

No. Any medicine ( antibiotics, ayurvedic herbal or homoeopathic ) can control the infection but they can’t assure to cure pilonidal sinus.

Can a pilonidal sinus heal itself ?

No. Due to the structure of pilonidal sinus, it holds hair and infection. Though the opening closes automatically or by any medicine, the infection continues to growth and will burst out from repeatedly.

Is pilonidal sinus serious ?

Yes. If it is untreated, it will keep on getting infected repeatedly. Also there is chance of extending sinus towards anus and it may enter in anal canal to form fistula.

How long does it take for a pilonidal sinus to heal ?

After Kshar sutra treatment, the wound takes approximately 4 to 8 weeks to heal. It depends on the length and depth of wound.

Can kshar sutra treatment cure pilonidal cyst permanently without antibiotics?

Yes. Our research in 21 years has proved this fact. If the medicated thread is prepared scientifically, no need of antibiotics.

Is there any home remedy for pilonidal sinus?

Patient should not waste time and money in the hope that there is any home treatment / remedy which can cure fistula automatically. Healthy diet, proper cleaning can help body to heal the wound partly. But can not cure fistula in ano permanently.

Can surgery cure pilonidal sinus?

Search for modern surgical techniques in the world itself tells about the failure rate of their previous techniques. In Spite of very high failure percentage, modern surgical techniques are followed in huge number all over the world.

How Kshar sutra treatment works in Pilonidal sinus?

See the animated video =>

Part I – Formation of sinus – time slab between 0 sec to 2 min.

Part II – Procedure of Kshar sutra treatment can cure in Pilonidal Sinus – time slab between 2 min to 3.35 min

What is the best treatment for pilonidal sinus?

Kshar sutra treatment is the best option for anal fistula. If someone is using partial surgery, antibiotics and Kshar sutra, he /she may not be confident about the medicated thread or any one of these techniques. That’s why they try all together. As we use our own manufactured threads and technique, we don’t use multiple surgical techniques.

Can kshar sutra treatment guarantee 100% cure?

No. Though we have high success rate (more than 90%) for fistula cure, we can’t assure 100% cure in each and every case. As most of the patients come after multiple failed surgical attempts, it may not be possible to understand and repair surgical damages done during previous attempts.

What can be the required duration for the treatment?

Duration of treatment depends on the length and complexity of fistula. It can be variable from 4 to 8 weeks.

Is there any anesthesia used during procedure?

The procedure can be done under local anesthesia.

What is the cost of Kshar sutra treatment?

As the medicated thread has cutting and healing action, pain will be there. We have modified traditional Kshar sutra treatment to be a less painful. Our patients say that the pain of Kshar sutra is very less as compared with surgery. This pain is manageable by pain killer tablets.

Why there is so much difference in the cost of Kshar sutra treatment in India?

Many clinics / hospitals in India may run marketing policy to quote low price which may be the cost of the procedure day only. They don’t disclose cost of hospital stay, medicines, duration of treatment, recurring follow up charges, etc. In our clinic, we quote the whole price. So be cautious and always take decision only after the whole quotation.

What can be the reasons for failure of kshar sutra treatment?

The possible reasons for the failure of this treatment are as follows : 

  • Wrong insertion of thread failing to cover whole fistula track Bad quality of thread
  • Patients with low immunity / metabolism or with diseases like HIV, Hepatitis B/C, Tuberculosis, Crohn’s, Diabetes, etc.
  • Improper cleaning and dressing after removal of last thread

What is the importance of Kshar sutra treatment against surgery?

Ksharsutra treatment in pilonidal sinus can be done under local anesthesia & patient is discharged within an hour. Here no cut or stitches are taken. Patient must come once in a week to change the medicated thread. The herbal coatings of the thread helps body to remove infection and to create new healthy tissue. The wound gets healed without antibiotics. Just normal dressing is required. No need of hospitalization or bed rest.

What food should be avoided during treatment?

Fermented food should be avoided. Detail information will be given on the day of treatment. 

Can I do swimming or Yoga or any other exercise?

Patient should strictly avoid swimming and weight lifting. Patient can do limited Yogic exercises. Walking is highly recommended during the treatment.

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