What Does Painful Skin Feel Like With Hidradenitis Suppurativa?

Hidradenitis suppurativa affects hair follicles and commonly causes painful nodules beneath the skin. The pain may feel deep, bruised, burning, or throbbing, and friction from walking, sitting, sweating, or clothing can make it worse.

Lumps may soften, drain, and then recur in the same region. Ongoing inflammation can lead to tunnels beneath the skin and scars. Common sites include the armpits, groin, inner thighs, buttocks, and under the breasts, although symptoms can occur elsewhere.

Arrange a dermatology appointment if painful lumps recur, drain, leave scars, or interfere with movement or sleep. Wear loose, breathable clothing, reduce rubbing where possible, and use gentle cleansing. Do not squeeze or lance the lumps, which can worsen tissue injury.

Keep a simple record of flare locations, drainage, triggers, and how long symptoms last. This can help a clinician distinguish a recurring inflammatory pattern from isolated boils and choose a suitable treatment plan.

Seek prompt care for rapidly worsening pain, spreading redness, fever, foul-smelling drainage, or difficulty walking or moving an arm. Urgent assessment is also appropriate if swelling is near the genital area or if you feel significantly unwell.

Could this recurring pattern be hidradenitis suppurativa? How can I protect painful areas during a flare? Which treatment options can reduce new lumps and drainage?