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Recovery After Pilonidal Sinus Surgery: Timeline, Diet, & Exercises

Recovery is crucial in assisting patients in regaining their strength and health and enabling them to return to everyday life. It also plays an essential role in pain management. Doctors at Pristyn Care perform surgery for the pilonidal sinus with great precision and safety to ensure patients receive the best possible care. In addition, we offer free follow-up consultations and instructions, including dietary tips, to every patient to ensure they have a stress-free recovery.

Recovery is crucial in assisting patients in regaining their strength and health and ... Read More

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    Dr. Ramesh Das (gJjDWhfO8B)

    Dr. Ramesh Das

    MBBS, MS-General Surgery
    27 Yrs.Exp.

    4.7/5

    27 Years Experience

    location icon The Curesta House, Deepatoli, Jai Prakash Nagar, Ranchi, Jharkhand 834009
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    6366-421-435
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    Dr. Chethan Kishanchand  (8ZzAAFolsr)

    Dr. Chethan Kishanchand

    MBBS, MS-General Surgery
    26 Yrs.Exp.

    4.8/5

    26 Years Experience

    location icon 4M-403 2nd Floor, TRINE House, Kammanahalli Main Rd, HRBR Layout 3rd Block, HRBR Layout, Kalyan Nagar, Bengaluru, Karnataka 560043
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    6366-528-013
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    Dr. Milind Joshi (g3GJCwdAAB)

    Dr. Milind Joshi

    MBBS, MS - General Surgery
    26 Yrs.Exp.

    4.9/5

    26 Years Experience

    location icon Kimaya Clinic, 501B, 5th floor, One Place, SN 61/1/1, 61/1/3, near Salunke Vihar Road, Oxford Village, Wanowrie, Pune, Maharashtra 411040
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    6366-528-292
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    Dr. Amol Gosavi (Y3amsNWUyD)

    Dr. Amol Gosavi

    MBBS, MS - General Surgery
    26 Yrs.Exp.

    4.7/5

    26 Years Experience

    location icon 1st floor, GM House, next to hotel Lerida, Majiwada, Thane, Maharashtra 400601
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Recovery After Pilonidal Sinus Surgery

The time a patient needs to recover after pilonidal sinus surgery depends on the kind of surgical treatment performed and whether the surgeon decides to close the wound or leave it open. Typically, conventional pilonidal sinus surgery recovery takes between 1 to 3 months. However, with pilonidal sinus laser surgery, the recovery period significantly reduces. It takes around 30 to 50 days to recover after pilonidal laser surgery. After surgery, most people can resume their normal activities in about two to four weeks.

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Post-Operative Care After Pilonidal Sinus Surgery

Some of the tips to follow post your pilonidal sinus surgery include the following:

  • You will be given a prescription for pain medication. Follow the directions strictly given by your doctor for taking this medication. To avoid an upset stomach, take the pain medication as prescribed with food in your stomach. Never take more than the recommended dose. If the medications are not working, consult your doctor immediately.
  • Some people experience dizziness, drowsiness, lightheadedness, or a false sense of well-being after taking prescribed pain medications. Therefore, anyone who takes these medications should not drive, use heavy equipment, or do anything else that might be harmful. 
  • Don’t lift anything heavier than 12 pounds until your doctor says it is okay.
  • Take off from work/school for at least one to three weeks following your surgery. Your doctor will give you more guidance on returning to routine activities.
  • If you have trouble sitting after your surgery, use a doughnut cushion.
  • Avoid constipation:
    • Eat fruits, vegetables, and whole grains.
    • Drink 8 to 10 glasses of water daily unless otherwise instructed by your doctor.
    • Use a stool softener and a fiber supplement twice a day. 

Are you going through any of these symptoms?

How To Take Care of the Wound After Surgery?

Wound care is one of the most important parts of post-operative care. To reduce pain, take pain medication before dressing. In addition, the best way to take care of the wound is to clean the wound twice a day and reinsert fresh gauze after a shower. Some of the tips to take care of the wound include the following:

  • Clean your wound using a hand-held shower. Let the water clean the area thoroughly.
  • Wrap a thin, clean washcloth or 4Ă—4 cotton gauze around your finger and clean the inner surface of the wound thoroughly.
  • After a shower, pat the skin around the wound edges dry.
  • Moisten a fresh 4Ă—4 inch plain cotton gauze with tap water and squeeze out excess water. Pack the wound gently with moist gauze. Use a Q-tip or your finger to make sure that the gauze reaches the bottom of the wound and place it so that all inner wound surfaces are in touch with the moist gauze.

 

What Foods To Consume To Help Promote Healing After Pilonidal Sinus Surgery?

If you’ve had pilonidal sinus surgery, the foods you consume in the days, weeks, and months after your surgery can affect your healing and recovery. Eating the right foods and avoiding the wrong foods can keep you healthy while preventing any risks and complications. In addition, certain foods can be helpful after the surgery to assist in recovery and healing. As a general rule of thumb, know that you will need more calories, protein, fluids, vitamins, and minerals during the recovery process after your pilonidal sinus surgery.

Consider including the following in your diet:

Protein-rich food

Eating adequate protein after surgery is vital as your body needs more protein for wound healing. Protein also helps to build muscles and enhance the immune system. Examples of protein sources include:

  • Lean meat, fish
  • Egg
  • Soy and soy products like tofu, fortified soy milk
  • Milk and dairy products like yogurt, custard, cream, butter, etc
  • Beans and lentils
  • Nuts

Whole grains

Carbohydrates are a huge source of energy for the body. Whole grains are a huge source of carbohydrates as they are rich in fiber, help prevent constipation, and provide essential nutrients that enhance post-surgical wound healing. Examples of whole grains include:

  • Oatmeal
  • Cereals
  • Whole wheat bread
  • Brown rice
  • Whole wheat noodles 

Fruits

In addition to fiber, fruits contain essential nutrients like vitamin C for reconstructing collagen and soft tissues. They also help in improving wound recovery. Fruits that are high in vitamin C include:

  • Orange
  • Apple
  • Papaya
  • Guava
  • Peaches
  • Banana
  • Berries (e.g., strawberries, blueberries)

Vegetables

Rich in vitamins and minerals, vegetables are also an important source of fiber, which is required to prevent constipation. Examples of high-fiber vegetables include:

  • Green leafy vegetables
  • Carrots
  • Broccoli
  • Bell peppers
  • Brussel sprouts
  • Sweet potatoes

Healthy fats

Like carbohydrates, fats are another excellent source of energy. It is advised by doctors to consume an adequate amount of healthy fats after surgery. Healthier options for fats include:

  • Olive oil
  • Canola oil
  • Peanut oil
  • Sunflower oil
  • Sesame oil

Water

Staying hydrated after your pilonidal sinus surgery is important, as your body will require more fluid during wound healing. Dehydration can cause the skin to be more susceptible to breakdown. Consider drinking more:

  • Water
  • Milk
  • Fortified soy beverages
  • Soup
  • Fruit/vegetable juice

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What Foods To Avoid After Pilonidal Sinus Surgery?

Here are certain foods to avoid to ensure a stress-free recovery after your pilonidal sinus surgery:

Sugary food

Blood sugar levels may increase after your surgery, so it is better to avoid foods that are high in refined sugar, like cakes, cookies, chocolate, sweetened drinks, and soft drinks.

Alcohol

Alcohol should be avoided because it can interact with prescribed pain medications and decrease the potency of the medicine. Alcohol can also lead to dehydration and impaired wound healing.

Highly-processed food

Most processed food has low fiber, vitamins, minerals, and nutrients. They may also have high preservatives, sodium, fat, and sugar levels. Therefore, you should avoid processed food like fast food, chips, sausage rolls, and fries.

Exercises/Asanas To Do For A Better Recovery

Exercise is good for maintaining your overall health after your pilonidal sinus surgery. Being active and keeping the body weight in a healthy range are some of the best ways to enhance recovery. Depending on the condition, your doctor may recommend some light exercises to promote physical stimulation. These exercises, when done regularly, may reduce the chances of constipation and enhance blood circulation for a healthy body. These exercises can help in proper recovery after your surgery.

Paripurna navasana 

This exercise, also called the boat pose, is highly effective for your pilonidal sinus recovery. Practicing this exercise post your surgery will strengthen your hip muscles and tone the entire lower body. It also enhances blood supply throughout the body.

Kapalbhati

Kapalbhati is a popular pranayam that can work wonders for your health and help improve your recovery after surgery. It has numerous health benefits and must be practiced regularly. Kapalbhati helps enhance blood circulation and enables optimal functioning of the body organs.

Anulom vilom

This is another pranayam that has positive results for a person recovering from pilonidal sinus surgery. Anulom Vilom effectively reduces weight and may reduce the chances of pilonidal sinus infection.

Bhujangasana Cobra Pose

The Cobra Pose results in smoother bowel movements and prevents constipation, which is good for recovery as it reduces strain and the chances of an infection. 

 

Do’s And Don’ts To Follow After Pilonidal Sinus Surgery

Do’s

  1. Maintain good hygiene. It is vital to wear comfortable clothes.
  2. Regularly wash your hands and body. 
  3. Take sitz baths. Sitz baths are shallow baths that allow you to soak the buttocks and hips in warm water. 
  4. Apply hot compresses to the affected area, and use creams as your doctor prescribes.

Don’ts

  1. For a better recovery after pilonidal sinus surgery, it is crucial to take steps to relieve pressure on the buttocks and prevent the affected area from becoming infected. To do this, avoid sitting for long periods in one position and avoid activities that put pressure on the buttocks, like lifting heavy objects or engaging in strenuous exercise. 
  2. It is also essential not to try to rub the affected area, as this can increase the risk of infection.

Common FAQs Around Pilonidal Sinus Surgery Recovery

Can I shower after my pilonidal sinus surgery?

After a week or two, patients can take showers. However, you must keep the surgical site dry. Pat the wound dry after a shower.

How painful is recovery from pilonidal sinus surgery?

Pilonidal sinus surgery is less painful than other surgical procedures for anorectal conditions. However, some patients may experience pain after their surgery. In such cases, doctors suggest pain medications. In addition, patients can apply an ice pack to relieve their pain.

How do you sleep after pilonidal sinus surgery?

After your pilonidal sinus surgery, you can either sleep on your stomach or your side. Either of these sleeping styles can help relieve the strain on your back and buttocks. However, when lying on your side, be careful not to curl into a position that stretches the lower back.

How do you sit after a pilonidal sinus surgery?

Use a coccyx cushion if sitting is uncomfortable. This type of cushion keeps pressure off the tailbone (coccyx) while sitting. 

Which surgery is best for the pilonidal sinus?

Laser surgery is one of the best surgical techniques for pilonidal sinus treatment. This surgery significantly reduces the recovery period and provides an easy and smooth recovery. Other reasons to choose laser surgery for pilonidal sinus include:

  • No Pain
  • No cuts & stitches
  • No Bleeding
  • Fast recovery 
  • Go home the same day
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Medically Reviewed By
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Dr. Ramesh Das
27 Years Experience Overall
Last Updated : February 22, 2025

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  • C

    charan

    5/5

    Recently my Son undergone Philodinal Sinus surgery which was coordinated by Pristyn care. Doctor Mr. Raja was very friendly and treatment and care taken was excellent. Post surgery dressing also done by doctor only for almost two weeks. Pristyn care took responsibilty of selection of hospital, Doctor, admission, discharge and cashless medical claim. Really satisfied with the service rendered.

    City : BANGALORE
    Doctor : Dr. Raja H
  • IR

    Irshad

    5/5

    The pristyn care coordination staff are very supportive and helpful, highly recommended

    City : KOZHIKODE
  • DK

    Danish Khan

    5/5

    Great experience, minimal time and no post surgery complications

    City : MUMBAI
  • AD

    Anurag Daniel

    5/5

    My Son had Pilondial sinus and was in a bad stage. We wanted Laser surgery as this was a told to be a painless affair. We were asked to meet Dr.Abdul Mohammed. We are very happy that , such a kind hearted and Experienced Doctor, who has lots of patience,care and experience in available in Hyderabad. Operation using Laser is highly recommended, and after constant post operative care and frequent reviews, we are now happy. Words can't express our heartfelt gratitude to such an excellent Doctor.

    City : HYDERABAD
  • DD

    DIXIT DUDHAT

    4/5

    I had pilonidal sinus which was treated by them. The doctor was fine. I got relief.

    City : AHMEDABAD
  • GH

    Gunanidhi hegde

    3/5

    I had complications during recovery and getting in touch with the doctor was also difficult. Not very happy with post-op care.

    City : MYSORE