A pilonidal cyst is a fluid-filled sac located in the crease of the buttocks, typically near the tailbone. While a pilonidal cyst may not always cause symptoms, an infected cyst can lead to significant discomfort and pain, particularly when sitting. This pain occurs because sitting places direct pressure on the cyst.
Optimal Sitting Positions
Adjusting your sitting posture can significantly reduce pressure on a pilonidal cyst and alleviate discomfort. Leaning forward slightly while seated helps shift weight away from the tailbone and the affected area.
Shifting your weight to one hip, rather than sitting squarely on both buttocks, is another effective strategy. Reclining slightly can also help, as it changes the angle of pressure on the lower back and tailbone. These positions aim to offload the area directly over the cyst, promoting comfort and potentially aiding healing by reducing irritation.
Supportive Aids for Sitting
Cushions specifically designed to alleviate pressure on the tailbone are particularly beneficial. Donut cushions, characterized by a hole in the center, are intended to suspend the affected area, preventing direct contact with the seating surface.
Coccyx cushions, which often feature a U-shaped cutout at the back, also work by removing pressure from the tailbone. These cushions can elevate the hips and encourage a slight forward lean, further reducing contact with the cyst. While both types aim to reduce pressure, some users find coccyx cushions more effective than donut cushions for pilonidal cysts, as donut cushions are sometimes designed more for hemorrhoids and can create an an unstable surface. Considerations for these aids include materials like memory foam or gel, which offer varying levels of support and comfort.
Sitting Habits to Avoid
Certain sitting habits can worsen pain and potentially aggravate a pilonidal cyst. Prolonged sitting, especially without breaks, increases continuous pressure on the lower spine and buttocks, which can irritate the cyst and slow healing. It is advisable to avoid remaining seated for extended periods, particularly on hard surfaces, as this intensifies pressure and friction on the affected area.
Slouching, or maintaining poor posture while sitting, should also be avoided. This posture can strain the tailbone and lower back, potentially leading to increased inflammation of the cyst. Additionally, sitting on uneven surfaces or crossing legs in a way that puts asymmetrical pressure on the tailbone can exacerbate discomfort. These habits increase friction and pressure, which can push hair into the skin pits, further irritating the condition.