How can a pilonidal cyst be treated?
Patient: I have been diagnosed with neuropathy, Parkinson s and after seven MRI s my neurologist tells me that I have something wrong, but he does not know what it is. Now I have a sympton that I think may be a clue. For years I have had a cyst or fistula on my lower spine that opens and drains periodically. A few days ago, it opened and my symptoms began to subside and improved. The doctors so not see a connection here because I guess nothing has shown upon the MRI s. It as been called a palodinal (sp) cyst, but there is no hair or other debree noticeable -- just clear or pink fluid. I have moved w/in the past couple of years and have not found the right doctors. There seems to be no team effort w/in the system that I am using. I do not think the doctors talk to each other at all! The new internist told me that I need to see a surgeon, but suggested that I go back to the one I used who is 130 miles away. I am not able to drive that far because I can hardly walk w/out a cane or walker. Doctor: Hi, I had gone through your question and understand your concerns. A pilonidal cyst or sinus is a cyst in the lowest part of column or in tailbone area. It may contain inside hair or skin remnants. Treatment is surgery under local anesthesia. Usualy there is no connection between the cyst and neurological symptoms. However there are isolated cases reported of sacral or lumbar osteomyelitis and epidural abscess  as a complication of pilonidal cyst. I suggest you to discus with your Doctor the possibility of plain radiographs of your lumbosacral column. I also suggest to treat the cyst surgically, it is a simple procedure under local anesthesia. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.