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Living with Hidradenitis Suppurativa (HS) can be challenging, but with the right treatment plan and management strategies, it’s possible to alleviate symptoms and enhance quality of life. In this blog post, we’ll delve into various options for treating and managing HS, covering individualized treatment plans, flare strategies, and additional support.

While I am not a doctor, I’ve developed a keen interest in HS treatment options through my work as a licensed aesthetician. My specialized training enables me to offer adjunct or supportive therapies to those working with Integrative Dermatologists who specialize in HS. These therapies should complement, rather than replace, professional medical care.

Recently, I attended a virtual round table where Dr. Daveluy, an integrative doctor in Detroit, MI, specializes in HS approaches. Through my exploration of this topic, it’s evident that while all Dermatologists can treat HS, not all specialize in it. Many individuals with HS have had challenging experiences, navigating through a scarcity of information and support. However, managing this disorder often involves multiple therapies addressing different aspects. Whether it’s acute relief, long-term management, flare prevention, dietary considerations, or corrective treatments, a comprehensive approach is necessary.

This blog aims to provide readers with information about their treatment options. With delays in appointments and a shortage of doctors, being prepared for medical appointments is crucial. I advocate for proactive engagement with medical providers, understanding available options to facilitate smoother appointments. Education empowers individuals to take control of their health, especially in today’s world where getting an appointment can be time-consuming.

Treatment Options

Understanding HS and Treatment Options

HS, also known as Hidradenitis Suppurativa, is a chronic inflammatory skin condition characterized by painful nodules, abscesses, and sinus tracts in areas with sweat glands. Treatment varies based on severity and individual factors.

Individualized Treatment Plan and Flare Options

Tailoring a treatment plan to each patient’s needs is crucial. This may involve medication, lifestyle changes, and other therapies. Effective flare management is also essential.

Types of Medications often prescribed:

  • Benzoyl Peroxide 10% wash
  • Clindamycin 1% Solution
  • Adalimumab

Flare Treatments Medications:

  • Doxycycline, Minocycline, Clindamycin/Rifampin, Prednisone

Adjunct Treatments:

  • Vitamin D Glucagonate, Dapsone, Metformin, Finasteride, Low Dose Prednisone

Controller Treatments:

  • Submicrobial Doxycycline/Minocycline, Contraceptives, Biologic medications

Bridge Treatments:

  • Metro/Moxi, Rifampin, Ertapenem

Surgical Options

For severe cases, surgical intervention may be necessary, along with laser hair removal and de-roofing of tunnels.

Mental Health Support

Living with a cronic medical condition is not for the faint of hearts. Being thrust into figuring out painfulAddressing mental health is necessary to HS can impact mental health, and addressing this is crucial.

Holistic Options

As a licensed aesthetician specializing in holistic skin revision, I offer treatments that can complement medical care, including Epilfree Permanent Hair Reduction & DMK Body Treatments with Alkaline. Additionally, I have utizlied a scar revision program by DMK, which aids in dissolving the hair follicle within the abscess/nodules, providing relief.

Dietary Considerations

Some dietary changes, such as the Mediterranean diet and intermittent fasting, may benefit HS patients. Brewer’s yeast may exacerbate symptoms in some cases, and an antibody test can help identify triggers. See the article below called Nutrician Education Toolbox for Hidrandenitis Suuppurativa.


Managing HS requires a comprehensive approach. By collaborating with healthcare providers, addressing mental health needs, and exploring various therapies, individuals can find relief and improve their quality of life. Remember, it’s a journey, but with patience, persistence, and support, effective management is achievable.

Supportive Websites

Daveluy, S. (2024, January 30). Hidradenitis Suppurativa: Case-based Management. DCIE Roundtable: Hidradenitis Suppurativa. Presented at 05:00 PM Pacific Time (US and Canada).

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