Please share symptoms, Get cbc , culture and drug sensitivity of the pus, X ray of back, done and share results, then I can help you further.

Do consult

Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance. Feel free to consult me for further assistance.

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Check sugars

Hello. A psoas abscess draining pus continuously for 4 to 5 years is a serious condition that indicates an unresolved underlying chronic infection (Chronic Psoas Abscess with Sinus Tract). Daily dressings only manage the pus discharge; they do not cure the primary cause. Possible Medical Causes: Spinal Tuberculosis (Pott's Disease): In India, long-standing chronic psoas abscesses with a draining sinus tract on the lower back are most frequently caused by underlying Tuberculous Spondylitis (TB of the spine/vertebrae). Chronic Osteomyelitis / Bone Sequestrum: An untreated dead bone fragment or deep bone infection in the spine/pelvis can act as a continuous source of infection. Atypical or Resistant Bacterial/Fungal Infection: Infections resistant to standard antibiotics or secondary to inflammatory conditions (such as Crohn's disease or deep retroperitoneal sinus formation). Medical Approach: Daily surface dressing is insufficient. A definitive diagnosis requires identifying the exact cause via imaging and pus analysis, followed by appropriate anti-tubercular therapy (ATT) or targeted long-term antimicrobials, often along with surgical management.

Consult a surgeon is the best choice.