I have had HS for about 12 years now. I have had over 20 surgeries. Doctors have cut the areas open and let them heal by themselves, took out my sweat glands under both armpits and even did skin graphs on areas they could do(In these areas I no longer have problems, bad scars yes, but I'll take it) .
Well, I cannot go in every time it pops up and I am in pain, so what I do is juice ginger and put it on the area with some gauze or sometimes I put aloe, I like to switch them off. Both of those help to pull out the disease and open by itself. This really helps a lot!