Your MRI confirms the presence of an inflammatory pilonidal sinus tract, with some surrounding soft tissue edema, which is typical in early or recurrent pilonidal disease. Starting homeopathic treatment two weeks ago is a reasonable first step for non-surgical management. However, the appearance of a blister or swelling over the mid-buttock may indicate that the sinus tract is trying to drain, or that a secondary abscess or localized infection is forming. This isn't uncommon in pilonidal sinus cases especially when inflammation increases before healing begins.
Next Steps
Do not ignore the blister-like swelling. It may be a sign of pus collection or external drainage about to occur. You should immediately consult your homeopathic physician in person to examine the area and decide whether the process is healing or progressing toward abscess formation. In some cases, mild abscesses can drain spontaneously and resolve with continued treatment, but if it becomes painful, red, or starts discharging foul-smelling fluid, a minor surgical drainage may be needed. Homeopathy can still support healing after that.
Health Tips
Avoid pressure on the area (e.g., sitting for long periods), maintain strict hygiene, and wear loose-fitting cotton clothes. Do not try to squeeze or open the blister yourself. If the swelling becomes larger, painful, or causes fever, donât delay further evaluation. Regular follow-up imaging might be advised to monitor sinus healing over time, especially if the lesion was 2.7 cm deep as noted in your report.