Hot, cold, moist heat, dry heat… When it comes to treating hidradenitis suppurativa (HS) abscesses, choosing the right therapy can make a big difference. Let’s break down the pros and cons of heat and cold so you can find the best option for relief.
Cold Therapy: Tame Inflammation, Ease Pain
Ice packs are your go-to when inflammation strikes. They help reduce swelling, ease pain, and prevent abscesses from worsening—especially those that aren’t ready to drain yet.
Pro Tip: Always place a barrier, like a towel or washcloth, between the ice pack and your skin to prevent frostbite.
Heat Therapy: When It’s Time to Drain
When an abscess is ready to drain, heat therapy comes to the rescue. Moist heat softens the skin and encourages drainage, helping the abscess heal more quickly.
DIY Moist Heat Options
- Towel in Hot Water
- Soak a clean towel in hot (not scalding) water, wring out excess liquid, and fold it into a square.
- Apply to the abscess for up to 20 minutes, reheating as needed.
- Towel in the Oven
- Preheat your oven to 300°F (149°C) and warm a damp towel for 5–10 minutes.
- Wrap the towel in a dry cloth before applying for 15–20 minutes.
- Microwave Method
- Place a wet dishcloth in a microwave-safe freezer bag and heat it in the microwave.
- Wrap it in a towel before applying to the skin for 15–20 minutes.
- Hand Warmers
- Wrap a hand warmer in a cloth before placing it on the affected area. Never apply directly to your skin.
- Rice or Grain Sock
- Fill a clean sock with rice, corn barley, or oatmeal, tie or sew it shut, and microwave for 1–2 minutes.
- Test the sock on your inner arm before use—it should be warm but not hot.
Store-Bought Heat Therapy Options
- Rubber hot water bottles
- Reusable round hot packs
- Microfiber moist heating pads
Caution: Always test the temperature before applying any heat source to avoid burns.
Takeaway: When to Use Each
- Cold Therapy: Best for reducing swelling and pain in early-stage abscesses.
- Heat Therapy: Ideal for softening the skin and encouraging drainage when abscesses are ready to open.
Read more about treatment options: Exploring HS Treatments
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