Pain by no sign of infection

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Hi, just wondering if anyone can answer a question for me? I have had a pilonidal sinus op about 8 years ago and been fine since. However for about 6 months now been having severe pain in that area when sitting or even laying but there is no sign of infection. I did have a flare up a but double dose of antibiotics got rid of that. Has anyone else had pain but no infection? The doctor says that it would only hurt if there were visible signs. That doesnt help as I am in pain for no apparent reason. Would be grateful for any feedback from anyone else that may have experienced similar pain.  

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Thanks for your help!

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