
How to Prevent Pilonidal Cysts

A pilonidal cyst is a foreign body reaction to hair in the crease between the buttocks, known as the gluteal cleft. These cysts trigger pain, discomfort, and can have an impact on your day-to-day life. If you’ve had a pilonidal cyst in the past, it’s understandable to want to prevent it from recurring.
Board-certified surgeon Scott A. deVilleneuve, MD, FACS, is at the helm here at Surgical Associates of North Texas, providing patients with advanced treatment options for issues such as pilonidal cysts for nearly two decades.
Pilonidal cyst overview
A pilonidal cyst usually shows up right above the tailbone. Often starting as an ingrown hair, the hair can burrow deeper under the skin. Over time, this can trigger inflammation, infection, and eventually a pocket that fills with fluid or pus.
Some cysts may drain on their own, but many grow larger and more painful, indicating that medical care is needed. Left untreated, pilonidal cysts can lead to abscesses or recurring infections that are difficult to manage without surgery.
Why do pilonidal cysts form?
Certain risk factors increase the likelihood of developing pilonidal cysts. Factors that boost your risk include:
- Sitting for long periods of time
- Having coarse or excessive body hair
- Being male (though women can also get them)
- Struggling with excess weight
- Wearing tight clothing that creates friction
These factors increase pressure, sweat, and irritation in the tailbone area, which can set the stage for cysts to form.
Healthy habits that help prevent cysts
You can’t always control whether a pilonidal cyst develops, but lifestyle changes can make a difference.
Keep the area clean and dry
Sweat and bacteria make it easier for cysts to form. Regularly wash the lower back and buttock crease, and dry thoroughly after showers, workouts, or swimming.
Choose clothing wisely
Tight jeans or leggings can rub and trap heat, encouraging irritation. Instead, opt for breathable, looser-fitting fabrics that reduce friction.
Manage hair growth safely
Shaving and plucking can lead to ingrown hairs, but options such as depilatory creams or even laser hair removal can, for some people, help reduce the risk in the long term.
Take breaks from sitting
If you spend hours at a desk or driving, stand up and move around every hour. Even short breaks help ease pressure on the tailbone and improve circulation.
Maintain a healthy weight
Excess weight increases friction and pressure in the area. Shedding even a few pounds can significantly lower your risk of recurring cysts.
When prevention isn’t enough
Despite your best efforts, pilonidal cysts can still occur. If one does, it’s crucial not to ignore it or hope it goes away on its own. Infected cysts can be painful and may spread infection if left untreated.
Dr. deVilleneuve provides surgical solutions tailored to each patient. For many, surgical removal of the cyst provides the most reliable way to stop the cycle of recurrence and restore long-term comfort.
Freedom from pilonidal cysts recurrence
Preventing the recurrence of pilonidal cysts can free you from the cycle of pain and discomfort. Dr. deVilleneuve carefully evaluates each patient to determine if surgical removal is the right option for you.
Having a trusted specialist ready to help makes all the difference. To learn more and to request an appointment, call our McKinney, Texas, practice today.
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