Jeep Disease or Pilonidal Cysts


Pilonidal cysts facts


Pilonidal cysts occur along the tailbone near the cleft of the buttocks.

Pilonidal cysts are thought to develop from the penetration of hairs deep into the skin.

Pilonidal cysts can become infected.

An infected pilonidal cyst (pilonidal abscess) requires incision and drainage.

Recurrence of pilonidal cysts is common, and surgery may be required for more definitive management.


What is a pilonidal cyst?


A pilonidal cyst is a fluid-filled sac (cyst) that develops along the tailbone (coccyx) near the cleft of the buttocks. These cysts usually contain hair and skin debris, and sinus tracts may develop. Some individuals with a pilonidal cyst or sinus may not have any symptoms at all, whereas others may develop an inflammation of the cyst that leads to abscess formation with associated pain, redness, and irritation. Despite treatment, recurrence of pilonidal cysts is common.


Pilonidal disease was first described by Herbert Mayo in 1833, with R.M. Hodge coining the term pilonidal in 1880 from the Latin words pilus (hair) and nidus (nest). Extensive work into the treatment and management of pilonidal disease occurred during World War II, when nearly 80,000 U.S. soldiers were treated in U.S. military hospitals for this condition between 1941-1945. Because so many of the affected servicemen rode in Jeeps for prolonged periods of time, the condition also became known as “Jeep disease.”



What causes a pilonidal cyst?


Though there are several theories as to the cause of pilonidal disease, most researchers now believe that pilonidal disease is acquired (rather than congenital) and that it is caused by the penetration of hair into deeper subcutaneous tissues through dilated hair follicles in the skin. In response to this irritation and perceived foreign material, the body produces a local inflammatory reaction, causing a cyst to form around the trapped hair. Excessive pressure, friction, and repetitive trauma to the sacro- coccygeal area are thought to facilitate the entry of hair, thus predisposing individuals to develop pilonidal disease or irritate already existing pilonidal cysts.


Who is at risk for developing a pilonidal cyst?


The incidence of pilonidal disease is approximately 26 cases per 100,000 people. Pilonidal disease generally occurs in people between the ages of 15-24, and it is very uncommon in individuals over the age of 40. Males are more frequently affected than females, and it is more common in white individuals. Other risk factors associated with the development of pilonidal disease include a family history of pilonidal cysts, occupations that require prolonged periods of sitting, local trauma, obesity, hirsute (hairy or having copious hair) individuals, and the presence of a deep cleft between the buttocks.



What are the signs and symptoms of a pilonidal cyst?


Certain individuals with a pilonidal cyst may not have any symptoms at all, and the only finding may be a dimple or an opening in the skin (sinus tract) near the cleft of the buttocks. However, if the pilonidal cyst becomes infected (pilonidal abscess), the following signs and symptoms may develop:

Pain over the lower spine

Redness of the skin

Warmth of the skin

Localized swelling over the lower spine

Drainage of pus from an opening in the skin (sinus tract) over the lower spine

Fever (uncommon)

Though much less common, pilonidal cysts can also develop in other areas of the body, such as the hands.


If you are having any problems and not sure what to do, give us a call and we can probably save you some visits to the wrong doctor.


Health and Wellness Associates

P Carrothers


Foods, Uncategorized

Low Carb : Coconut Macaroons


Lower-Carb Coconut Macaroons Recipe


This Low-Carb and Sugar-Free Coconut Macaroon recipe is very easy to make. There are only four ingredients, which mix up easily, and require only 15 minutes to cook.


The only trick, especially when not using sugar (which attracts moisture), is keeping them from being too dry. Here’s how I do it.



1 large egg white

1 medium banana, mashed

¼ teaspoon pure vanilla extract

¼ teaspoon salt

¼ cup whole almonds

¼ cup sweetened shredded coconut

½ teaspoon unsweetened cocoa powder (optional)


Grind the almonds using a food processor and combine all ingredients in a small bowl. Mix well.


Scoop out 1 tablespoon of batter at a time and place on a sheet lined with parchment paper.  You should get about 15 tablespoon sized macaroons from the ingredients listed above.


Bake at 350F for 12-15 minutes. Let cool before eating.


Makes about 14-15 cookies, but yield will vary based on size of the cookies.



Difference between Macaroons and Macarons

Macaroons: Macaroons are cookies made with a combination of egg whites, usually coconut (although almonds and other variations exist), and vanilla. The cookies are easy to prepare and bake.


Macarons: Macaron cookies are delicate cookies made with almond meal (the same thing as finely ground almond flour), sugar, egg whites sandwiched together with ganache, buttercream, caramel or fruit fillings. The only coconut you might find in a macaron is in the filling.



Health and Wellness Associates



Foods, Uncategorized

Zero Carb 5 Spice Chicken


Zero-Carb Chinese Five Spice Chicken Recipe


This Zero-Carb Chinese Five Spice Chicken recipe is one of our favorites to grill, but it can also be baked. And, yes, it’s true: this recipe has zero carbohydrates.


The five spices are a blend you can get in the supermarket.




3 pounds chicken (any combination — ideal if they are similar sizes — works great for thighs, but I’ve done a variety)


1/3 cup soy sauce

1/4 cup oil, such as light olive oil or peanut oil

1 teaspoon garlic powder (or 2 fresh garlic cloves, pressed)

2 teaspoons five spice powder

1 teaspoon grated fresh ginger

1 tablespoon dry sherry


Make the Marinade


In a small bowl, combine 1/3 cup soy sauce, 1/4 cup oil, such as light olive oil or peanut oil, 1 teaspoon garlic powder or 2 fresh pressed garlic cloves, 2 teaspoons five-spice powder, 1 teaspoon grated fresh ginger and 1 tablespoon dry sherry, and use as a marinade.

Marinate Chicken


In a large plastic or ceramic container with a lid, place the 3 pounds chicken. Pour the marinade over all the pieces, turning until all the pieces are coated evenly. Cover and marinate at least 1 hour, and up to overnight.


Cook Chicken


Bake in a 375-degree F. oven (basting once or twice), or grill, for about 45 minutes or until done.


Health and Wellness Associates