A pilonidal cyst is the sac or pocket of skin formed near the tailbone. This is also called “pilonidal sinus”.

• SIGNS AND SYMPTOMS OF PILONIDAL CYST
• CAUSES OF PILONIDAL CYST
• PATHOPHYSIOLOGY OF PILONIDAL CYST
• DIAGNOSIS OF PILONIDAL CYST
• TREATMENTS FOR PILONIDAL CYST
• PROGNOSIS OF PILONIDAL CYST
• COMPLICATIONS OF PILONIDAL CYST
• PILONIDAL CYST AND AYURVEDA
• NIDANA- AYURVEDIC CAUSES OF PILONIDAL CYST
• PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF PILONIDAL CYST
• SAMPRAPTI – AYURVEDIC PATHOGENESIS OF PILONIDAL CYST
• LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF PILONIDAL CYST
• AYURVEDIC PROGNOSIS OF PILONIDAL CYST
• CHIKITSA- AYURVEDIC TREATMENT FOR PILONIDAL CYST
• AYURVEDIC LOCAL TREATMENT FOR PILONIDAL CYST
• AYURVEDIC SAMANA TREATMENT FOR PILONIDAL CYST
• AYURVEDIC SHODHANA TREATMENT FOR PILONIDAL CYST
• COMMONLY USED AYURVEDIC MEDICINES FOR PILONIDAL CYST
• HOME REMEDIES FOR PILONIDAL CYST
• DIET AND BEHAVIOUR FOR PILONIDAL CYST
• YOGA FOR PILONIDAL CYST
• RESEARCH PAPERS ON AYURVEDIC MANAGEMENT OF PILONIDAL CYST

SIGNS AND SYMPTOMS OF PILONIDAL CYST

The symptoms of an infected pilonidal cyst are:

• Pain
• Redness
• Pus
• Tenderness
• Swelling

CAUSES OF PILONIDAL CYST

• The exact cause is not known
• Excess ingrown hair growth in the crease of the buttocks is the major cause of developing pilonidal cyst.  

PATHOPHYSIOLOGY OF PILONIDAL CYST

The ingrown hair growth in the crease of the buttocks leads to skin irritations and infection. The repeated skin infection causes the development of a cyst. If untreated the cyst becomes infected and developed into an abscess or sinus. 

DIAGNOSIS OF PILONIDAL CYST

1. PHYSICAL EXAMINATIONS

• Inspection

• INVESTIGATIONS

• CT scan
• MRI scan

TREATMENTS FOR PILONIDAL CYST

• Antibiotics
• Draining of the cyst
• Surgical interventions
• Treatment of underlying pathology
• Wound cleaning and dressing
• Laser therapy

PROGNOSIS OF PILONIDAL CYST

• Prognosis is based on the stage of the cyst, size of the sinus,  and condition of the patient

COMPLICATIONS OF PILONIDAL CYST 

• Chronic infection
• Development of squamous cell carcinoma

PILONIDAL CYST AND AYURVEDA

• In Ayurveda, the infected pilonidal cyst is managed based on the treatment of “dushtavrana” and “naadi vrana”

NIDANA- AYURVEDIC CAUSES OF PILONIDAL CYST

• Excess consumption of ununctuous, dry food
• Prolonged sitting
• Sedentary lifestyle
• Excess hair growth at the region of the tailbone
• Suppression of natural urges.

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF PILONIDAL CYST

• Skin irritation and infection

SAMPRAPTI – AYURVEDIC PATHOGENESIS OF PILONIDAL CYST

By analysing of the pathogenesis, it is more specifically related to “shalyaja naadi vrana”. Repeated hair irritation causes the development of cysts and the sinus (nadi). If the nadi gets infected lead to vrana (abscess).

LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF PILONIDAL CYST

• Toda –pain
• Sopha – swelling
• Vrana – ulcer
• Srava – discharge

AYURVEDIC PROGNOSIS OF PILONIDAL CYST

• Symptoms are manageable with Ayurvedic treatments

CHIKITSA- AYURVEDIC TREATMENT FOR PILONIDAL CYST

Ayurvedic local treatment for pilonidal cyst

• Vranaparisheka
• Kshara suthra

AYURVEDIC SAMANA TREATMENT FOR PILONIDAL CYST

• Triphala guggulu
• Guggulu panchapalam churnam
• Guduchyadi kashaya

COMMONLY USED AYURVEDIC MEDICINES FOR PILONIDAL CYST

Internal administration

• Triphala guggulu
• Guggulu panchapalam churnam
• Guduchyadi kashaya

HOME REMEDIES FOR PILONIDAL CYST

• Remove the excess hair from the site
• Apply a hot, wet compress

DIET AND BEHAVIOUR FOR PILONIDAL CYST

• Avoid food items that produce dosha imbalance like ununtuous and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
• Consume easily digestible food items, cow’s milk
• Avoid chances of prolonged sitting

YOGA FOR PILONIDAL CYST

• Nadi Shuddi Pranayam    – calms the mind and gets relief from aches and pains

The patient needs to be seated in a meditative posture with the head and spine erect, and the body relaxed. The patient has to close one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.                             

• Savasana – relaxes body and mind

RESEARCH PAPERS ON AYURVEDIC MANAGEMENT OF PILONIDAL CYST

1. Management of pilonidal sinus by Kshar Sutra, a minimally invasive treatment

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2924975/

2.     Pilonidal sinus (Nadi vrana): A case study

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2996578/

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