Successful Treatment and Prevention of Pilonidal Sinus Recurrence Through Integrative Approach
Pilonidal sinus (PNS) is considered an acquired, infective condition often involving foreign body reaction, which closely resembles Shalyajanya Nadi vrana as per Acharya Sushruta. It commonly afflicts individuals in their 2nd and 3rd decades of life and notably prevalent among heavy motor vehicle dr...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Indian Journal of Ayurveda and Integrative Medicine KLEU |
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| Online Access: | https://journals.lww.com/10.4103/ijaim.ijaim_27_24 |
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| author | Ravi Choukikar P. Sreenadh Pashmina B. Joshi Tukaram S. Dudhamal R. S. Virani |
| author_facet | Ravi Choukikar P. Sreenadh Pashmina B. Joshi Tukaram S. Dudhamal R. S. Virani |
| author_sort | Ravi Choukikar |
| collection | DOAJ |
| description | Pilonidal sinus (PNS) is considered an acquired, infective condition often involving foreign body reaction, which closely resembles Shalyajanya Nadi vrana as per Acharya Sushruta. It commonly afflicts individuals in their 2nd and 3rd decades of life and notably prevalent among heavy motor vehicle drivers. The optimal treatment remains excision of the sinus tract; however, recurrence is frequent due to incomplete identification and drainage of the sinus tract, residual hair, or inadequate post-operative care. Here, we are reporting the case of a 22-year-old male with a 2-year history of pain, swelling, and intermittent pus discharge from the lower back (Natal cleft). He was diagnosed with a case of Shalyaja Nadivrana (PNS). He was managed using an integrative approach combining Chedana (excision) of Nadivrana (sinus) and regular post-operative wound care with Panchvalkal Kwath and Panchvalkal Malhara for topical application. Complete healing was observed within 45 days, and no recurrence was noted in 1 year follow-up period. This case highlights the effectiveness of an integrative approach in managing Shalyaja Nadivrana and in preventing its recurrence. |
| format | Article |
| id | doaj-art-5b79e95f0c8f42d38b73164cfe6b7d28 |
| institution | DOAJ |
| issn | 2772-6010 2772-6029 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ayurveda and Integrative Medicine KLEU |
| spelling | doaj-art-5b79e95f0c8f42d38b73164cfe6b7d282025-08-20T02:58:07ZengWolters Kluwer Medknow PublicationsIndian Journal of Ayurveda and Integrative Medicine KLEU2772-60102772-60292025-01-0161586210.4103/ijaim.ijaim_27_24Successful Treatment and Prevention of Pilonidal Sinus Recurrence Through Integrative ApproachRavi ChoukikarP. SreenadhPashmina B. JoshiTukaram S. DudhamalR. S. ViraniPilonidal sinus (PNS) is considered an acquired, infective condition often involving foreign body reaction, which closely resembles Shalyajanya Nadi vrana as per Acharya Sushruta. It commonly afflicts individuals in their 2nd and 3rd decades of life and notably prevalent among heavy motor vehicle drivers. The optimal treatment remains excision of the sinus tract; however, recurrence is frequent due to incomplete identification and drainage of the sinus tract, residual hair, or inadequate post-operative care. Here, we are reporting the case of a 22-year-old male with a 2-year history of pain, swelling, and intermittent pus discharge from the lower back (Natal cleft). He was diagnosed with a case of Shalyaja Nadivrana (PNS). He was managed using an integrative approach combining Chedana (excision) of Nadivrana (sinus) and regular post-operative wound care with Panchvalkal Kwath and Panchvalkal Malhara for topical application. Complete healing was observed within 45 days, and no recurrence was noted in 1 year follow-up period. This case highlights the effectiveness of an integrative approach in managing Shalyaja Nadivrana and in preventing its recurrence.https://journals.lww.com/10.4103/ijaim.ijaim_27_24case reportpanchvalkal kwathpanchvalkal malharapilonidal sinusshalyajanya nadivrana |
| spellingShingle | Ravi Choukikar P. Sreenadh Pashmina B. Joshi Tukaram S. Dudhamal R. S. Virani Successful Treatment and Prevention of Pilonidal Sinus Recurrence Through Integrative Approach Indian Journal of Ayurveda and Integrative Medicine KLEU case report panchvalkal kwath panchvalkal malhara pilonidal sinus shalyajanya nadivrana |
| title | Successful Treatment and Prevention of Pilonidal Sinus Recurrence Through Integrative Approach |
| title_full | Successful Treatment and Prevention of Pilonidal Sinus Recurrence Through Integrative Approach |
| title_fullStr | Successful Treatment and Prevention of Pilonidal Sinus Recurrence Through Integrative Approach |
| title_full_unstemmed | Successful Treatment and Prevention of Pilonidal Sinus Recurrence Through Integrative Approach |
| title_short | Successful Treatment and Prevention of Pilonidal Sinus Recurrence Through Integrative Approach |
| title_sort | successful treatment and prevention of pilonidal sinus recurrence through integrative approach |
| topic | case report panchvalkal kwath panchvalkal malhara pilonidal sinus shalyajanya nadivrana |
| url | https://journals.lww.com/10.4103/ijaim.ijaim_27_24 |
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