Pilonidal Sinus :: Lack Of Healing


Dec 23, 2008

I had an operation to remove a pilonidal sinus on 24th july. 5 months on and I don't really feel any better off. I didn't say anything when I first discovered the problem as I didn't think anything of it. I only said something once I found out my brother had the same problem! I must have had the sinus for around 2 years before I had the operation, something which I deeply regret now. The wound was a very deep one and I was expecting it to be a long while before it had fully healed, but not this long! I was told by the nurses about 2 months ago that it was only a few weeks away from being fully healed, but it got infected and has set me back a long way. I have to say I do feel a little let down by the nurses I have been seeing. Fair enough they have a tough job but I have questioned quite a few of their decisions during this recovery period. Surely they should be able to see an infection developing on a nearly recovered wound. The fact I was the one who had to push for antibiotics to cure the problem is worrying. I feel I have been palmed off in other ways too. Since the infection, there seems to be little or no healing, and despite persistence from myself to either see the surgeon again or visit a wound clinic they have been very reluctant to do anything. The inconsistency with the nurses has also been a major concern of mine. One day I will see a nurse who says it's not looking great, and the next, I will see someone who hasn't seen it for months, which gives me no idea of how it's doing.

In the last few weeks, I have discovered a lump at the base of my spine, and looking at information on the internet, I'm pretty sure it's a cyst. The annoying thing is that I have told the nurses 3 times about this lump and they either say they don't think it's anything to worry about or they simply don't know what it is. I need closure on this issue and have booked another appointment with the doctor to get to the bottom of it. (I saw him 3 weeks ago with the nurse and he said the wound was looking ok, and that I should give it another few weeks to see if there has been any improvement). There is also a pretty strong odour which is embarrassing. I've got to do something to try and cure the problem. It's driving me crazy and I can't see an end to the problem right now. I'm going to request either being referred back to the surgeon or to a wound clinic. Have any of you been to wound clinics that you would recommend? What are the processes involved? Are they effective?

This problem has kept me from doing some of the things I love, such as playing football, for almost half a year now and will inevitably be longer. There's only so many jokes you can make about it before the depression and annoyance kicks in. It's really getting me down at the minute. Luckily I'm taking a gap year this year and will be going to uni next year, which will hopefully give me time to recover from this nightmare. (Hopefully being the major word!!)

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I broke my 5th metatarsal on 16 December, it is now 23 February.  Someone came down on it very heavily in high heels and broke it, spiral fracture, slightly displaced.  I didn't realise it was broken at first, just thought it was swollen and bruised...and boy was it bruised!  Never seen anything like it! Anyway, did the usual, rest, elevation, compression and ice and kept hobbling about, using the opposite side of my foot to hobble round the house...after all it was Christmas and I didn't have time to rest! Luckily could stay pretty much in the house so didn't do massive amount of walking...and couldn't get a shoe on anyway! Did mention it to a locum doctor on 23 Dec, but had gone about something else, and he dismissed it without looking at it, just telling me to RICE it..which I already was.

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A week later, as soon as I could (bank holidays delayed information getting to doctor and hence consultation) I saw my doctor who phoned the hospital after reading the letter to make me an urgent appointment with the consultant for the following Monday (this was Friday)

I went and saw him and to my shock he was very, to me , pessimistic and not a little rushed.  Told me it was a nasty fracture, difficult to heal, and I might very likely end up having two operations, one to put pins and plates in and one to take them out.  Oh..and the plate would stick out of my (slim) foot and there was a high risk of infection etc as we were operating on bone.  However, he told me I could still go to work, drive (this was my clutch foot) as long as it wasn't for long (work is 10 minutes drive away) and elevated and rested foot at every opportunity....and it might be an idea if I used crutches and didn't put weight on it BUT he didn't put it in an air boot or cast. (which concerned me a little)

This I did, but no real improvement, in fact it got worse, swelling up, pins and needles in toes and very sore and swollen behind toes, on ball of foot.  Went back again to hospital, saw a different doctor, who told me I should be off work, not driving, moving as little as possible and keeping foot above heart level. For at least a MONTH!

So...I have done that.  Googled the injury to death, scaring myself and becoming depressed over what I have read.  Rested completely, didn't put any weight on it , crawled and used a pair of crutches at all times, slept with it elevated, sat with it elevated, compression bandage at times, rubbed comfrey oil on it twice a day , used epsom salt baths (used to lose the circulation and it also helped a little with swelling), tried to keep my leg muscled with scissor action exercise etc  Wore hiking/timberland boots (still doing this)  It was still sore and swollen however behind the toes, so much so I wondered if there was other damage, but have now realised this was a result of not using my foot on the floor at all.

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