Treatments for pilonidal cyst

Often, after initial healing, the wounds suddenly stop closing.

Therefore, bleeding and discomfort occur again and again.

Often, in this situation, a new elimination is recommended, followed by a new wound healing phase. 

We always try to avoid this and offer painless, non-surgical methods,

which in many cases lead to a safe closure of the wound. 

In addition to the established indications in orthopedics, such as the treatment of calcaneal spurs, tennis elbow or

healing of bone fractures, the shock wave also supports wound healing in chronic wounds or burns.

The shock wave is a new therapeutic option for delayed wound healing after major sinus pilonidalis operations.

A new therapeutic option. 

The process of electromagnetic shock wave generation is based on the physical principle of electromagnetic induction, as used in loudspeakers, for example. The arrangement of coil and diaphragm is optimized in such a way that particularly powerful and short acoustic pulses are generated. 

Originally, these pulses were used in the early 1980s to break up kidney stones, which is called "extracorporeal shock wave therapy" (ESWT).  

In the last 20 years, there has also been a wider therapeutic use in orthopedics, where there is now a wide range of indications for the treatment of musculoskeletal diseases. Here, the costs are also partly covered by the statutory health insurers. 

Treatment with low-energy shock waves leads to blood flow stimulation and also stimulates the formation of new capillary vessels (angiogenesis) through the release of growth factors, which allows the tissue to proliferate and ultimately leads to closure of the defect. 

At the same time, a constant energy level and the large focus zone guarantee safe treatment of the wound without pain. 

Our blood consists of water, white and red blood cells and platelets.

In autologous blood PRP (Platelet Rich Plasma) therapy, a protein-rich concentrate with growth factors is extracted from the platelets and injected with a special syringe into the appropriate part of the body to be treated, such as the wound healing disorder. 

The platelets contain numerous growth factors and cell messengers (cytokines) that serve cell renewal, which is how the PRP treatment gains its regenerative potential and the adjacent tissue is stimulated to grow.

Classic indications for autologous blood therapy are especially orthopedic clinical pictures such as joint diseases (arthroses), tendonitis and the desired accelerated treatment of bone fractures. These treatments have been practiced for years and are widely established.

In addition, autohaemotherapy is increasingly used in the treatment of chronic wound healing disorders or as an anti-aging therapy in aesthetic medicine. A great advantage is that due to the body's own tissue, there are no side effects in the sense of allergic reactions or inflammations. 

A useful application of this therapy is in the administration during surgery to enhance tissue growth from the beginning. 

Important: Unfortunately, Platelet Rich Plasma (PRP) therapy is not covered by public health insurance.

Therefore, if you wish to receive this therapy, we will be happy to provide you with a cost estimate as an IGeL service (according to the German Fee Schedule for Physicians, GOÄ). Private insurance patients please inquire with your insurance company about cost coverage prior to treatment. 

Treatment should not be performed on patients with tumor diseases, pregnancy and therapy with Marcumar or similar blood thinners.