Individualised homoeopathic treatment for pilonidal sinus

Abstract

Introduction: Pilonidal sinus is a very common inflammatory disease of the gluteal region. The most common site of occurrence is the natal cleft. It can cause discomfort, absence from work and social embarrassment. There is no single, widely accepted therapy available for this condition. In most cases, the treatment option for this disease is surgical intervention, but recurrences following surgery are common. Case Summary: A 15-year-old male patient reported discharge from the sinus cavity in the natal cleft along with pain and discomfort. Nitric acid, a homoeopathic medicine, was prescribed during the initial consultation and the patient was followed up for four months at regular intervals. The Visual Analog Scale and the Outcome Related to the Impact on Daily Living (ORIDL) scale were used to assess the patient’s subjective improvement. The signs of objective improvement were documented through photographs. The score for Modified Naranjo Criteria for Homoeopathy (MONARCH) was +8, which supports the causal attribution of the individualised homoeopathic medicine Nitric acid to the success of this case.