 [ Symptoms ] diagnosis  hidradenitis suppurativa  large and painful boils in the groin area considering injections success rate  this condition started 2 years ago and exacerbated with shaving it is extremely painful cannot be improved with excessive hygiene is embarrassing has resulted in multiple scars and had a psychological effect on me also i am considering the injections my dr said it is botox but i read that it is antibiotic i just want it to go away sometimes the boils last 2 3 weeks can it be permanently cured or go into a remission period it is so gross [ Disease ] i am sorry to hear you are dealing with this as a plastic and reconstructive surgery nurse i have worked with many hidradenitis patients so i understand how painful and embarrassing it can be i am afraid in general i do not have good news for you hidradenitis suppurativa is a difficult insidious disease it basically is an infection of the apocrine sweat glands and only occurs where these glands are located in the skin the armpits groin perineal area perianal area and areola area around the nipple hidradenitis in not curable in general patients go through mild outbreaks that are treated with antibiotics or other therapies in my experience hidradenitis almost always recurs however the only permanent solution to the problem is surgery surgery is usually reserved for intractable cases where the lesions will not heal and stay open and oozing for weeks or even months i am not sure what your doctor is planning to inject you with botox botulinum toxin is not indicated for hidradenitis and there is no evidence it would be useful botox is used to treat excessive sweating which is called hyperhidrosis it is possible your doctor is planning to inject corticosteroids into the lesions because this is a fairly common treatment when the disease is in the milder stage in general hidradenitis patients should focus on keeping the apocrine gland areas very clean with gentle daily washing using an antibacterial cleanser and cleansing only with bare fingers it is helpful to avoid any sort of skin trauma in susceptible areas and even washing with a washcloth can possibly trigger an outbreak i wish you all the best with this condition