Management of a Gluteal Abscess through Kshara Taila Gauze Packing: A Case Report

Intramuscular injections can sometimes lead to serious complications, such as abscess formation, particularly in the gluteal region. A 27-year-old female presented with a gluteal abscess at the injection site, exhibiting pain, swelling, and pus discharge. Standard treatments, such as Incision and Drainage (I&D), often cause significant pain and carry a risk of recurrence. In the present case, a novel Ayurvedic approach was employed, involving irrigation of the abscess with Kshara Jala (an alkaline solution) and packing with Kshara Taila, a medicated sesame oil infused with alkaline herbal extracts. Over a 28-day treatment period, the patient demonstrated complete symptom resolution: pain decreased by day 8, pus discharge ceased by day 9, granulation tissue formed by day 7, and full healing was achieved by day 28. No recurrence was noted on follow-up, suggesting that Kshara Taila may be an effective alternative for managing postoperative abscesses with less pain and discomfort.