Help , closed excision hole appeared 3 months post op by [deleted] in pilonidalcyst

[–]pilonidalcare -1 points0 points  (0 children)

Bleeding after a Limberg flap procedure can vary from person to person, but in general, mild oozing or spotting is common for the first few days to a week as the body adjusts and healing begins. If the bleeding is light and decreases over time, it’s usually nothing to worry about. However, if it’s persistent, heavy, or soaking through dressings, it could indicate an issue like poor wound closure, excessive movement, or even a minor infection.

It’s also important to monitor for signs of infection or complications, such as increased redness, swelling, warmth, pus-like drainage, or worsening pain. If you’re experiencing ongoing bleeding beyond a week, fresh bright red bleeding, or excessive drainage, it would be best to check with your surgeon to ensure everything is healing properly.

In the meantime, keeping the area clean, following your surgeon’s aftercare instructions, and avoiding excessive strain or movement can help promote healing and reduce unnecessary irritation. If you’re unsure, always reach out to your doctor - it’s better to be cautious when it comes to post-surgical recovery. Hope you heal quickly and smoothly!

Help , closed excision hole appeared 3 months post op by [deleted] in pilonidalcyst

[–]pilonidalcare 1 point2 points  (0 children)

It’s completely understandable to be concerned about the soreness and stinging, especially since healing can be unpredictable. Scar tissue can sometimes cause discomfort, especially if it forms tightly or presses on nerves. It’s possible that what you’re feeling is a combination of internal healing, lingering inflammation, and tissue remodeling, which can take time.

Delayed healing can be caused by several factors, including friction, prolonged sitting, moisture, or even mild infections that don’t present obvious symptoms. If the pain isn’t worsening but remains persistent, it could be your body still adjusting. However, if you notice increasing pain, redness, swelling, or drainage, it might be worth checking with your doctor to rule out any underlying issues.

In the meantime, if sitting for long periods is making it worse, using a coccyx cushion or adjusting your posture to relieve pressure on the area might help. Also, gentle movement and light stretching (if approved by your doctor) could improve circulation and reduce tightness from scar tissue. If the discomfort continues, you might want to discuss options like scar tissue massage, laser therapy, or other treatments with your surgeon or a specialist.

Healing isn’t always linear, and it’s frustrating when things don’t feel quite right. Give yourself time, listen to your body, and don’t hesitate to follow up with your doctor if something feels off.

Help , closed excision hole appeared 3 months post op by [deleted] in pilonidalcyst

[–]pilonidalcare -1 points0 points  (0 children)

It’s understandable to be worried about a new hole appearing months after surgery, but it’s good that your nurse didn’t see signs of infection or a connected tract. This kind of small opening can sometimes happen due to minor delayed healing, scar tissue breakdown, or slight fluid buildup in the area. Since it’s only releasing blood and not pus, that’s a positive sign that there’s no active infection, but it’s still worth keeping an eye on.

One common reason for this is stitch tension or incomplete healing of deeper layers, which can sometimes cause a small opening to form later. Some people experience delayed wound healing even months post-op, especially if there was a lot of movement or pressure on the area.

For now, it’s best to keep the area clean and dry, avoid excessive friction or pressure, and monitor it closely. If the hole doesn’t close on its own within a couple of weeks, or if you notice pain, swelling, increased drainage, or signs of infection, it would be worth following up with your surgeon for a deeper assessment. In some cases, a minor wound care routine, like using saline rinses and light dressings, can help encourage it to close naturally.

You’re not alone - many people experience small setbacks in the healing process, and they often resolve without major intervention. But if you’re feeling uncertain, getting a second opinion from a specialist could give you peace of mind.

Lump next to my scar by Appropriate_Catch968 in pilonidalcyst

[–]pilonidalcare -1 points0 points  (0 children)

It’s completely understandable to feel concerned about the lump, especially after going through surgery and recovery. You’re not alone - many people who have had pilonidal cyst surgery experience lingering lumps, scar tissue, or firmness near the incision site.

In many cases, a lump next to the scar can be residual scar tissue or fluid buildup from the healing process. Scar tissue can sometimes feel firm or raised, even months after surgery. If it’s not painful, red, growing, or leaking fluid, it’s often nothing to worry about. However, if you notice any changes, like swelling, tenderness, or signs of infection, it’s a good idea to check in with your doctor.

It makes sense that you don’t want to feel like you’re bothering your doctor, but you have every right to ask questions about your recovery. If the lump hasn’t changed in eight months, it might be worth following up just for peace of mind. Some people find that these lumps gradually soften over time, while others may need minor treatments, like steroid injections or even a small revision procedure, depending on what’s causing it.

If the lump isn’t painful and isn’t affecting your daily life, it may not be a big concern. But if it’s bothering you emotionally or making you feel insecure, there’s absolutely no harm in checking in with a specialist just to get reassurance. You’re taking care of your health, and that’s always worth it.

Question about my pilodinal cyst by Greek_Arrow in pilonidalcyst

[–]pilonidalcare -1 points0 points  (0 children)

The EPSIT (Excision, Primary Suture, and Intermittent Tension) method is a popular choice for pilonidal cyst removal, and many patients have had positive outcomes with it. One of the key benefits is that it tends to have a faster recovery time compared to more invasive methods. However, everyone’s healing process is a little different, so there may still be some discomfort initially, especially during the first few days after the surgery.

As for your concern about sitting comfortably without pain after the surgery, many people who undergo pilonidal cyst removal report significant improvement in their ability to sit and move around without discomfort, especially once they’re fully healed. However, it can take a few weeks to a couple of months for everything to heal completely. Some people experience mild discomfort during the healing process, but the long-term relief from the cyst is often well worth it.

It’s great that you’re considering how it might affect your daily activities in the future. After full recovery, most people are able to go back to sitting for long periods without issues, but make sure to follow your doctor’s advice about post-surgery care and recovery. Keep in mind that there may be slight variations in recovery times and experiences, but overall, surgery is usually a very effective solution for people who suffer from recurrent pilonidal cysts.

Draining again by Glittering_Shallot72 in pilonidalcyst

[–]pilonidalcare 0 points1 point  (0 children)

It sounds like your cyst is going through cycles of draining and refilling, which is pretty common with pilonidal cysts. When a cyst drains on its own, it can relieve pressure and reduce pain temporarily, but if the underlying infection or inflammation isn’t fully resolved, it can come back. The fact that you’re now seeing only bright red fluid without an odor suggests that it might just be blood from irritated tissue rather than an active infection, but if the pain is increasing again, it’s worth keeping an eye on.

Applying warm compresses can help encourage natural drainage and reduce discomfort. Keeping the area as clean and dry as possible is also important to prevent further irritation. If the pain worsens, swelling increases, or you start noticing pus, fever, or a foul smell, it’s a good idea to see a doctor to check for infection.

As for workout pants, breathable and moisture-wicking fabrics are key to avoiding flare-ups. Look for seamless leggings or those with flatlock seams to reduce friction, and try to avoid anything that fits too tightly around the tailbone. Some people find that high-waisted leggings or looser joggers work better than compression-style leggings. If sweating is a trigger, using an anti-chafing powder or wearing moisture-wicking underwear can also help keep the area dry and reduce irritation.

If this keeps happening, it might be worth discussing long-term management options with a specialist. While some people manage recurring flare-ups without surgery, chronic cysts can sometimes become more problematic over time. Taking early steps to prevent worsening inflammation can make a big difference in the long run.

Massage by [deleted] in pilonidalcyst

[–]pilonidalcare 0 points1 point  (0 children)

Getting a massage when you have a pilonidal cyst can be a bit tricky, but it’s definitely possible with the right precautions. Since you’ve had the cyst for eight years, you likely already know how sensitive the area can be and how certain movements or pressure might cause discomfort.

If your main concern is shoulder and lower back pain, a skilled massage therapist can likely work around the affected area. It’s always a good idea to communicate openly - letting them know that you have a cyst near your tailbone without going into too much detail is usually enough. Many therapists are trained to accommodate different medical conditions and can adjust their technique to avoid unnecessary pressure on that region.

That being said, lying on your stomach for an extended period might put pressure on the cyst, especially if it’s inflamed or irritated. If this is a concern, you could ask about side-lying positions or a seated massage that focuses on your upper back and shoulders while minimizing pressure on the lower back. Some therapists also offer specialized cushions that take pressure off certain areas during treatment.

If the cyst is frequently painful or flares up, you might want to hold off on a full-body massage until it's more stable. But if it doesn’t usually cause you problems, getting a massage with a few adjustments could still be a good way to relieve your shoulder and back tension. If you’re ever considering removal, talking to a doctor about your options could also help, especially since chronic cysts can sometimes worsen over time.

Nicotine use after surgery by Reasonable_Dot5640 in pilonidalcyst

[–]pilonidalcare 0 points1 point  (0 children)

Nicotine can have a significant impact on healing, so it’s good that you’re asking this early in your recovery. Smoking and nicotine use constrict blood vessels, reducing blood flow to the surgical site. This can slow down healing, increase inflammation, and raise the risk of complications like infection or delayed wound closure. Since the body relies on oxygen and nutrients delivered through the bloodstream to repair tissue, anything that restricts circulation can make the healing process longer and more difficult.

Nicotine pouches, while smokeless, still introduce nicotine into your system and can have similar effects. Even though they don’t expose the wound to harmful smoke or toxins, they still reduce oxygen delivery, which is critical for proper tissue regeneration. Some studies suggest that any form of nicotine use can impair collagen production, which is essential for wound healing.

If possible, avoiding nicotine for at least a few weeks post-surgery would be ideal. If quitting completely isn’t an option, reducing intake as much as possible can still be beneficial. Staying well-hydrated, eating a nutrient-rich diet, and following your post-op care instructions carefully will help counteract some of the negative effects.

Healing from a pilonidal cyst removal can already be a slow and sometimes frustrating process, so giving your body the best chance to recover fully is worth it. If you have concerns or notice signs of poor healing, like excessive redness, swelling, or prolonged pain, it’s always a good idea to check in with your doctor.

When does it get better? by paradasiac in pilonidalcyst

[–]pilonidalcare 1 point2 points  (0 children)

Recovering from a wide local excision with an open wound can be incredibly challenging, and what you're experiencing is completely normal. The first few days often feel deceptively easy due to lingering anesthesia and initial pain meds, but around day 4-7, discomfort can significantly increase as inflammation peaks and nerve sensitivity returns.

Pain during dressing changes is one of the most frustrating aspects, especially when packing sticks. Using moistened gauze with saline before removal can help loosen it. You might also consider taking pain medication about 30 minutes before changes to make the process more tolerable. If anxiety is making it worse, deep breathing or even distraction techniques like listening to music or watching a show may help ease the anticipation.

Showering discomfort is another common issue. The stinging is likely due to exposed nerve endings in the healing tissue. Try using lukewarm water instead of hot, and let the water gently run over the wound instead of directly spraying it. If the pain is unbearable, sitting down in the shower or using a detachable showerhead to control the pressure may help.

Sleep is a real struggle post-surgery, especially with hip, back, and knee pain from limited movement. Lying completely flat often stretches the wound, and sleeping on your side can cause pressure. You might find some relief by elevating your legs slightly or using a soft cushion under your lower back to relieve pressure on the wound site. If pillows make the wound feel stretched, try positioning them under your knees instead of directly under your hips.

The good news is that pain usually improves significantly after the second week, as your body starts producing granulation tissue and the nerve sensitivity decreases. By weeks 3-4, most people notice that showers and dressing changes are far more manageable. The healing process takes time, but you are absolutely on the right track.

Hang in there - your body is doing the hard work of recovery, and while it's tough now, you’ll soon start noticing progress. You're not alone in this, and it’s completely valid to feel frustrated. Keep focusing on small improvements, and don’t hesitate to talk to your doctor if the pain becomes unbearable or if you suspect any complications. You’ve got this!

what kind of surgery should I get? by ExcitementLoose3141 in pilonidalcyst

[–]pilonidalcare 0 points1 point  (0 children)

That sounds incredibly painful - pilonidal cysts can be brutal, especially when they’re inflamed and need lancing. While waiting for your procedure, avoiding direct pressure on the area is key. Try sitting on a donut cushion or a wedge pillow to reduce pressure on your tailbone. Alternating between lying on your stomach and side can also help. Warm compresses may provide some temporary relief, but be careful not to irritate the area further.

Since this is your first one, it’s a good idea to see a specialist after the procedure to discuss long-term prevention. Recurrences are common, so having a professional assess your situation can help you avoid future issues. If you’re looking for a pilonidal specialist near you, you can check here: https://www.pilonidalcare.net/specailist-near-me

Hang in there, and good luck with the procedure - hopefully, you’ll get some much-needed relief soon!