Kshara Sutra Therapy in the treatment of Pilonidal Sinus

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वसंत ऋतु में खान पान; Lifestyle in spring season as per Ayurveda (Hindi)

Ayurveda treatments for pilonidal sinus

‘Kshara Sutra Therapy’ in the treatment of ‘Pilonidal Sinus’ 

Dr. Naveen Chauhan

BAMS, CCYP, ROTP, CRAV (Kshara Sutra)

Consultant Ayurveda Proctologist

Founder Director: Shri Dhanwantari Clinic, Ghaziabad

What is Pilonidal Sinus? 

 

Pilonidal sinus treatment by Dr. Chauhan

Pilonidal sinus treatment by Dr. Chauhan

‘Pilus’ = Hair and ‘nidus’ = nest; Pilonidal sinus means ‘sinus with nest of hair.’

  • This condition is commonly occurs in hairy men.
  • This is an acquired condition.
  • When a person sits, buttocks take maximum pressure. As they rub against clothing etc. hairs break off and get collected between cleft of the buttocks. These gradually penetrate the skin or enter the openings of sweat glands, forming a sinus. Gradually more hairs are sucked into the sinus forming a bunch of hairs, so it looks like a nest of hairs, thus it is called ‘Pilonidal Sinus’.
  • As this condition is common in jeep drivers, this condition is also called ‘jeep bottom’ disease.
  • In Ayurveda, ‘Pilonidal Sinus’ is a type of ‘Naadi Vrana’.

Symptoms of Pilonidal Sinus:

  • Chronic or recurring sinus in the midline, between buttocks.
  • A tuft of hair projects from its opening.
  • Discharge from the sinus is blood stained, foul smelling and contains hairs.
  • Secondary openings may be found in the midline or in the buttocks and there is an indurated track connecting the openings.
  • Generally the patient is a hairy, male and 20 to 40 yrs. of age.
  • There may be pain and swelling locally.
  • Generally, it does not penetrate the bone.
  • There may be history of repeated abscess in the region, which may have resolved spontaneously or may have been incised open.

Treatment of Pilonidal Sinus:
Conservative management of Pilonidal Sinus:

  • Clean the track.
  • Removing hairs from the track and a considerable area surrounding the track.
  • Avoid occupations which involve long hours of sitting e.g. driving vehicles etc.

These measures have given encouraging results in those with mild symptoms.

When an abscess has been formed (acute stage):

  • Incision and drainage (I & D) has to be done.
  • The abscess cavity has to be cleaned well to remove hairs and unhealthy granulation tissue to prevent recurrence.
  • Care should be taken as in a patient of abscess.

Excision (Surgical removal) of Pilonidal Sinus:

  • Operation has to be carried out after the signs of inflammation have subsided.
  • Patient is place in prone position.
  • Methylene blue dye can be injected into the opening to colour and thus identify the tracks.
  • The track once identified, has to be surgically laid open, hairs and debris removed and the edges sutured. But this is associated with risk of recurrence.
  • Hence, once all the tracks have been excised, and perfect haemostasis maintained, the area is packed with gauze dipped in Betadine. Next day the dressing is removed, and patient is advised daily hip baths and a dressing till the wound has healed completely by secondary intention.

‘Kshara Sutra Therapy’ in the treatment of ‘Pilonidal Sinus’:

Kshara Sutra, an alkaline herbal medicated thread which is one of the most successful among all the therapies available for the treatment of Naadi Vrana (Pilonidal Sinus) and Bhagandara (Fistula-in-ano) from ancient time to the present era.

How to apply Kshara Sutra in Pilonidal Sinus?

  • Patient is placed in prone position.
  • Under aseptic measures and under proper anaesthesia, track should be identifying with the help of a probe.
  • After cleaning the track, Kshara Sutra (An alkaline herbal medicated thread) has to be passed in the track and make it fix over there.
  • As we discussed above that due to its proteolytic enzymes and hygroscopic action, the Kshara produced debridement of sluggish tissue.
  • The Kshara Sutra has power to cut and heal the sinus track simultaneously.
  • After every week, the Kshara Sutra has to be changed with the previous one.
  • After every week of Kshara-sutra change, the track cleans-up and simultaenous healing occurs, thus the length of track and the kshara sutra goes on decreasing on subsequent visits. Finally the whole track gets cut off (cut through) by the action of Kshara-sutra and the disease cures completely.

A must read article Ayurvedic dressing for pilonidal sinus

Principle behind ‘Kshara Sutra Therapy’:

Cutting and healing of the track (Sinus) simultaneously.
The idea has been to preserve the actions of all the three ingredients, i.e. the proteolytic action of the latex, the hygroscopic nature and caustic action of the Kshara and the antiseptic action of Haridra (Turmeric) powder. Due to its proteolytic enzymes and hygroscopic  and penetrating action, the Kshara sutra produce debridement of sluggish tissue, which leads to cleaning and thus a good healing.

Thanks for patiently reading this article. I hope people will be more familiar to this disease, after reading this article. If however, you still have any query/doubt, you can e-mail me at consult@ayurvedapilescure.com

Author: Dr. Naveen Chauhan

Consultant Ayurveda Physician and  Proctologist

SHRI DHANWANTARI CLINIC, GHAZIABAD

Qualities of a surgeon according to Ayurveda
वसंत ऋतु में खान पान; Lifestyle in spring season as per Ayurveda (Hindi)

24 comments

  • Dear sir ,
    me also I’m suffering from this pilonidical sinus , I have already been operated 3 times but no result , this fistula reappear after 2 or 3 months .
    Pls advise me , how will I get realise from this problem.
    Pls do reply.

  • Dear sir,
    I’m suffering with pilonidical sinus I’m staying in Bangalore so kindly refer me one good hospital for treatment

  • I am a female sufferer of this and just had my 3rd surgery to remove cyst. What is the reoccurrence rate with this treatment? What is the length of the treatment and what is the recovery length. I am based in uk and doing research.

  • Sir
    I am 30. Suffering from fistula in an since last 3 years. I had undergo surgery one year back. But it deovlop again.plz suggest me best treatment or best hospital. I am living in pune.

  • Sir
    Iam Balbir from chd iam suffering from pilonidel sinus last 8 months can u guide me surgery is the best or kesur sutra therapy.

  • I’ve Hidradenitis Supprutiva on my right armpit and buttocks line(perineum, anal regions). I’ve abscesses and sinus tracts formed. Please guide me the appropriate treatment for the same in Ayurveda

  • sir maine 16 nov 2016 ko fistula in anus( LA ) ka kshar sutra thrapy krwya hai AIIMS DELHI me prob ye hai ki after toilet pain bhot hota hai ,contipsn rhta hai,,dr ne syp advise kiya,,bt wo v lene ke bad v constipsn rhta hai,,,,please sr im in big prob sr pain untorebl hai,,,,fibr diet v le rha hu ,plenty of fluids v bt sr please help me ,,,mai ghr v ni ja skta,,,next week dr ne bulaya hai,,,kitna week lgega sr,,,mai student hu 22 yr…sr please help me,,,,mai aapka abhari rhunga…..

    • sir maine 16 nov 2016 ko fistula in anus( LA ) ka kshar sutra thrapy krwya hai AIIMS DELHI me prob ye hai ki after toilet pain bhot hota hai ,contipsn rhta hai,,dr ne syp advise kiya,,bt wo v lene ke bad v constipsn rhta hai,,,,please sr im in big prob sr pain untorebl hai,,,,fibr diet v le rha hu ,plenty of fluids v bt sr please help me ,,,mai ghr v ni ja skta,,,next week dr ne bulaya hai,,,kitna week lgega sr,,,mai student hu 22 yr…sr please help me,,,,mai aapka abhari rhunga…..

    • please sr reply me….sr ab aiims ke dr se 24 nov ko hi ml skte hai,,,,tb tk drd kaise km hoga,,,,

    • Dear firoz khan ji !

      You can call on our Helpline no. 07861888100.

      Aap hamare expert Doctor se kabhi bhi is number par call karke bat kar sakte hain.

      Regards!

  • Sir I was operated pilonidal sinus one year back but now it not clear . How to permanent clear this pilonidal sinus (Not surjery).

  • I’m suffering from pain while going to wash room. hope you understood what I mean. it’s completely big pain. I took kshara sutra treatment 4 days ago. Now I’m getting more pain to go to washroom.

    please help me. I didn’t go to letrin from last 4 days.

    • Without check up we can not comment about your problem. You can have sitz bath for relief and stay in touch with the doctor who has done the procedure.

  • Sir i wanted to know that is kshar sutra treatment painful for pilonidal sinus ?

  • Dear sir
    Mene 22 June kshaar sutra se fistula ki surgery karwayee thee ab mujhe us jagah koi problem nhi hai Lekin hip k centre part me swelling as gyee hai pain bhee Bahut h doctor ji se Mila to unhone antibiotics pain killer and swelling Kam karne ki medicine prescription de diya or kaha ki aaram nhi hua to test krwaenge
    Ye pilonidal sinus bhee ho Sakta hai
    Apki Nazar me kya ho Sakta hai swelling ka reason

    • If swelling is like a lump and at anal verge, it can be a sentinel tag or an external hemorrhoid. If it is at some distance from anal verge it can be a small abscess or sinus. Check up is needed to confirm the diagnosis and to suggest the right treatment. You may Call our helpline 9818069989 if you wish to have appointment with our doctor. Thanks.

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