Pilonidal Sinus is a disease commonly seen in the people with hairy skin. Disease presents as a small nodular swelling in the lower spinal region with off and on blood mixed pus and watery discharges. This sinus is formed because of underlying hairs which are impacted beneath the skin and act as a source of infection. Once the pus is formed; it creates a passage to come out on the skin; thus a sinus is formed.This disease is usually not curable by oral medication like anti biotics etc., Ayurvedic as well as homeopathic oral medication is also of not much help. 

Now a days; pilonidal sinus patients are treated with surgery/ Z plasty. With these surgical procedure; chances of recurrence are as high as 15 %. 

How ever in Ayurveda; Pilonidal Sinus can be very effectively and very conveniently treated by Graded Ksharsutra. In this procedure; first the sinus tract is defined with respect to its depth, direction  and branching pattern with careful probing and sinogram. Once the sinus tract has been precisely defined; medicated Ksharsutra is placed in the tract with the help of certain instruments.  Now from this medicated thread; medicine is gradually released in the tract. This medicine (Kshara) induces a potent debridement effect on the sinus tract as a result all the unhealthy fibrogranulomatous tissue, pus pockets and accumulated hairs etc. are cleared from the tract. The medicinal coating on the thread gets dissolved hence the thread has to be replaced by a new thread with in a week or two. 

The sinus tract heals at the rate of 0.5 to 1 cm per sitting. Thus a small sinus tract which is around 4-5 cm long may take around 8-10 sittings  to heal completely. The chances of recurrence of Sinus tract after Ksharsutra treatment are predictably ZERO. 

The treatment is far better than surgery as- 

  1. No hospitalization or bed rest required
  2. Patient can continue his normal routine activities
  3. Chances of recurrence are predictably ZERO
  4. No shaving of hairs or laser treatment for hair removal required

At Sushruta Anorectal Institute Rohini; New Delhi; under supervision of Dr SK Singh we have treated more than 3,000 patients suffering from Pilonidal Sinus. Many of these patients were operated first at some hospital. Since there was recurrence of Sinus; so these patients were finally cured by Graded Ksharsutra Therapy.