How to take care of Pilonidal Sinus? Home remedies & tips



Pilonidal sinus is a common condition that affects the skin present at the spinal base. It occurs when a small tunnel or tract forms, leading to the development of a cyst or pilonidal abscess. While pilonidal sinus can be uncomfortable and painful, there are several self-care measures that individuals can take to manage the condition and promote healing.

In this article, we will explore essential considerations for self-care when dealing with pilonidal sinus. We'll talk about practical home treatments, cleanliness habits, lifestyle changes, and adequate time for seeking medical help. These self-care techniques can help people manage their pilonidal cyst symptoms, avoid problems, and speed up healing.

What are Pilonidal Sinus?

The palatine sinus often exists in the sacrococcygeal region, sometimes called the tailbone area. Young individuals are more likely to be affected, and men have more possibility than women. A nasal tract forms due to blocked hair follicles, which leads to this condition. Pilonidal abscesses follow due to the accumulation of hair, dirt, bacteria, inflammation, infection, and cysts.

Aside from pain, swelling, and redness, pilonidal cyst symptoms include blood or pus leaking. Daily chores become challenging because of the discomfort, which can range from mild annoyance to severe pain. Understanding the condition and its symptoms is vital for self-care approaches to be effective. Depending upon the condition and health of patient, the doctor might even suggest pilonidal sinus surgery. Pilonidal sinus surgery is a simple procedure carried out under local anesthesia to drain the pus.

What Home Remedies Can be Used for Pilonidal Sinus?

Following are some of the home remedies that might help got pilonidal sinus:

Warm Compresses:

Giving warm compresses to the affected area helps to reduce pain and inflammation, and hence promotes sinus drainage. Use a fresh, warm towel or take a few 20 to 30-minutes baths each day.

Proper Hygiene:

Maintaining good hygiene is crucial for pilonidal sinus. Sanitise the area with mild soap and rinse thoroughly with warm water. Pat dry the area and avoid excessive rubbing. To stop bacterial development, keep the area tidy and dry all day.

Topical Antiseptics:

Applying antiseptic lotions or ointments by a doctor's instructions can help prevent infection and speed up recovery.

Pain Management:

Non-steroidal anti-inflammatory medications (NSAIDs) or acetaminophen, both available over the counter, can help reduce pain and discomfort. Always take the medication as instructed.

Avoid Prolonged Sitting:

Sitting in same position for long periods can elevate the pilonidal sinus. Take frequent breaks to stand or walk.

What Lifestyle Modifications Can Help Pilonidal Sinus?

By adopting these changes in your lifestyle, you can effectively manage pilonidal sinus:

Weight Management:

Reducing the incidence of pilonidal sinus and limiting its recurrence, needs maintaining a healthy weight. Weight gain can heighten the problem by adding to the pressure and friction in the sacrococcygeal area.

Hair Removal:

Keeping the area free of excess hair can help prevent blockage and reduce the risk of pilonidal sinus development. Consider regularly shaving or waxing the area, or consult a healthcare professional for other hair removal options.

Clothing Choices:

Wear loose-fitting, breathable clothing that reduces friction and allows air circulation around the affected area. Avoid tight underwear or pants that can increase pressure and discomfort.


Regular physical activity aids in improving blood circulation and promotes overall health. Choose exercises that are low impact and do not put excessive strain on the tailbone area.

Prolonged Sitting:

Prolonged sitting can significantly impact the management of the pilonidal sinus. Continuous pressure and friction on the affected area can increase the symptoms and hinder healing. To avoid this, taking frequent breaks from sitting and engaging in activities that relieve pressure on the coccyx is crucial.

Use of Cushions:

Simple measures such as standing up, walking around, or changing positions periodically help distribute the pressure and reduce discomfort. Additionally, cushions or doughnut-shaped pillows designed to relieve pressure on the tailbone can provide added support and comfort. These cushions help to disperse the weight and reduce direct contact with the pilonidal sinus area.

By incorporating these pressure management techniques into daily routines, individuals can minimise the aggravation of symptoms and promote better healing outcomes. However, it's important to note that pressure management alone may not be sufficient for the complete resolution of the condition, and medical intervention may still be necessary for more severe or recurrent cases. Consulting with a healthcare professional is essential to know the correct course of treatment based on individual circumstances.

When to Seek Medical Attention for Pilonidal Sinus?

Pilonidal sinus can be well managed with self-care techniques. However, there are times when medical treatment is required. And hence some warning indicators, which may point to difficulties or the requirement for expert assistance, should be recognised, such as:

Severe Pain or Swelling:

It is best to get medical advice if the pain or swelling is severe or worsens over time. Doctors can evaluate the situation and make suitable therapy recommendations.

Persistent or Recurrent Infections:

If you frequently become sick or if your infection does not go away with home remedies, you may need medical attention. Infections that are either untreated or prolonged might result in more severe problems.

Spreading Redness:

If the redness surrounding the sinus system is widespread or seems to be spreading, it may be an infection that has to be treated by a doctor.

Fever or Chills:

Fever, chills, or other systemic symptoms suggest a more severe infection.

Difficulty with Daily Tasks:

Consult a healthcare expert for additional assessment and management if the pain or discomfort severely impairs your ability to carry out daily tasks or degrades your quality of life.


Proper self-care is essential in managing pilonidal sinus and promoting healing. Individuals can effectively manage the condition by implementing home remedies, maintaining good hygiene, making lifestyle modifications, and recognising when to seek medical attention. If the condition cannot be treated with medications, then doctors suggest pilonidal sinus surgery. However, speaking with a medical expert for a correct diagnosis and advice is crucial. A thorough self-care regimen can help people with pilonidal sinuses manage their symptoms, lower their risk of complications, and enhance their general well-being.Platforms like MediBuddy can play a vital role in connecting individuals with experienced healthcare professionals. MediBuddy is a comprehensive healthcare platform that provides easy access to a network of healthcare providers, including doctors specialising in pilonidal sinus treatment. Through MediBuddy, individuals can conveniently schedule appointments, access virtual consultations, and seek expert medical advice. By using MediBuddy, individuals can receive timely and appropriate care, ensuring a smoother healthcare journey.