Blog Archive

Mother with Pilonidal Cyst May 30th, 2019

I recently met with a young mother.  She had been dealing with the emotional toll of living with an open wound for 3 years after 5 failed pilonidal operations.  Here’s what she initially wrote to me: “Hi! I am in desperate need of help and feel this may be my...

Pilonidal Cysts – The Don’ts and Dos May 21st, 2019

Well you can read lots about what to do about pilonidal cysts (by the way it’s not really a cyst, which is the term that thrown around the most, it’s just an infection under the surface of the midline skin of the natal cleft (the skin covering the valley between...

The Most Common Condition you Never Heard of, Until You’ve Got it! Apr 26th, 2019

Have you ever heard of a pilonidal cyst (really should be termed pilonidal disease as it’s just an infection and is not caused by a cyst) until you or a loved one were diagnosed with one?  The prevalence of pilonidal cysts in the population is reported as low (<< 1%...

Pilonidal Cyst Surgery Mar 28th, 2019

I was a freshman in college and spent long hours in the library studying.  The chairs were wooden and not comfortable, but they kept me awake. Near the end of my first semester, I began having a pain back there.  It was a pain in my ass. I had never...

Another Tragic Story of Failed Surgery for Pilonidal Disease (Pilonidal Cysts) Mar 12th, 2019

I received an email from a patient’s mother last week: I’m hoping to get an appointment for my son who has been suffering for over 2 years, first from pilonidal disease, and now from the consequences of failed surgery that made his problem far worse. I’m just perplexed that surgery...

I'm a Woman. I can't have Pilonidal Cyst, right? Jan 21st, 2019

Do I have a Pilonidal Cyst?  I’m a woman. I thought that only guys got pilonidal cysts. Do I have a pilonidal cyst or sinus?  What is this draining sore on my backside and how do I get it fixed?  Is the surgery going to make my rear end look...

Pilonidal Cyst: Symptoms, Causes, Diagnosis, Treatment, Surgery Dec 12th, 2018

The notion of a pilonidal cyst is incorrect.  It’s not a pilonidal cyst, it’s a pilonidal infection.  If there’s a tract that drains intermittently or always it’s correctly termed a pilonidal sinus.  Put more simply and inclusively, all pilonidal problems can be lumped together as pilonidal disease. The symptoms may...

A Mother’s Plea Oct 23rd, 2018

I received an email in the recent past from a mother who told the story of her teen age son and the emotional toll his failed pilonidal treatments had taken on him and his family.  Bill went through high school dealing with the annoying drainage, smell, and embarrassing staining. After...

The Story of a College Football Star and a Pilonidal Cyst Sep 20th, 2018

The Story of a College Football Star and a Pilonidal Cyst:Let’s call him Tony, is a star tight end for a California College football team, not far from San Francisco.  He tolerated his nuisance pilonidal abscess (also called a pilonidal cyst) throughout the football season and school year, waiting until...

Hey- I thought that was a saddle sore! Jul 20th, 2018

Hey – I thought that was a saddle sore, or a sore tailbone, but my doctor told me it’s a pilonidal cyst.  What do I do now??? Help!My family and I recently attended the Jackson Wyoming Rodeo.  What a hoot! My 4 yo boy and 7 yo girl (in a...

The Truth about Pilonidal Cysts Jul 1st, 2018

The Truth About Pilonidal Cysts“What’s that bump on my tailbone that my doctor just called a cyst?  Is it tailbone pain? Is it an infection? Was I born with it? Do I need surgery?”Well for one thing, if you’ve been told that you have a pilonidal cyst, there is no...

What is wrong with so much pilonidal care? Jun 18th, 2018

What is wrong with so much pilonidal care:This is a critique of the care that Daniel received in the previous blog: “A story that demonstrates how much of our medical community fails in properly treating pilonidal disease”.Daniel was first treated with antibiotics for his pilonidal disease (also called a pilonidal...

Improper medical treatment for pilonidal disease Jun 17th, 2018

A story that demonstrates how much of our medical community fails in properly treating pilonidal disease:Daniel is a 17-year-old patient with pilonidal disease (often called a pilonidal cyst).  He developed his first pilonidal abscess at age 16. He was treated with antibiotics and was in terrible pain for a week,...

Why it may be important to travel for your pilonidal surgery May 1st, 2018

Why it may be important to travel for your pilonidal surgeryMost people plan to have their medical care locally.  Sometimes, however, seemingly simple problems require the care of a specialist and that specialist may not be close by.  And, for some medical conditions, only a handful of national specialists exist....

Looking for Pilonidal Surgery/Pilonidal Cyst Surgery on the East Coast Apr 6th, 2018

Maybe you have already had an operation for your pilonidal disease/cyst and it didn’t quite work out as well as anticipated, so you’re searching for a solution.  Maybe you have a pilonidal abscess or sinus (often termed a cyst) and you’ve never had an operation, and you want to be...

Another Pilonidal Cyst Operation Gone Bad Jan 29th, 2018

While I see around 5 or more new patients with pilonidal issues a week, and around 40% of those patients travel from outside of the Bay Area to meet with me because they have complex pilonidal issues, a young patient who I evaluated this week stands out.  He’s a high...

For Pilonidal patients in Hawaii, Hong Kong, China, Taiwan, Singapore or other Pacific Rim Nations Jan 22nd, 2018

For Pilonidal patients in Hawaii, Hong Kong, China, Taiwan, Singapore, the Philippines, Malaysia, or other Pacific Rim nations:If you live in Hawaii, Hong Kong, China, Taiwan, Singapore, the Philippines, or Malaysia and you’ve been diagnosed with a pilonidal cyst/disease and need surgery, or suspect that you have a pilonidal cyst/disease...

Why Is a Pilonidal Cyst Not Really a Cyst? Dec 14th, 2017

Why is a pilonidal cyst not really a cyst?A cyst is an epithelial lined sac (like your skin or inside your cheek) that has been present since you were an embryo.  Pilonidal disease is not pilonidal cyst disease because it’s an acquired condition.  Pilonidal disease (AKA pilonidal cysts) are not...

Why is writing about pilonidal cyst disease important? Dec 4th, 2017

Have you been diagnosed with a pilonidal problem (commonly referred to as a pilonidal cyst)?  Maybe your primary doctor or pediatrician told you that the swelling near your tailbone is a pilonidal cyst.  Maybe you were referred to a local surgeon.  If you are contemplating surgery, please educate yourself and...