Are you having back pain with any of the following?

  • Severe pain, weakness or tingling in your leg(s).
  • Difficulty stopping urination or loss of control of bladder or bowels.
  • Unexplained fever, nausea or vomiting.
  • A history of cancer or unexplained weight loss.

We understand that you are experiencing one or more of the health issues that might be impacting your back pain.

We recommend that you discuss these health issues with your doctor before proceeding with this program.

Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.

Provider photo for Ninad Dabadghav

Ninad Dabadghav, MD

Surgery: General

Welcome to My Doctor Online, a web site that my colleagues and I developed to make it easier for you to take care of your healthcare needs. On this site you will find answers to many of your questions about my clinical practice. Also included are several online features that will allow you to e-mail me, check your laboratory results and refill prescriptions. I hope you find its content informative and useful.

My Offices

Santa Clara Homestead
Appt/Advice: 1-408-851-2000

See all office information »

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Skin lumps and bumps are usually noncancerous (benign). Cancer is rare in the tissues just under the skin and in fat, muscle, or tendons (connective tissue).

The most common types of skin lumps or bumps are:

  • Lipomas, which are lumps in the fat layer below the skin.
  • Epidermal cysts, which are growths filled with waxy oils and dead skin. 

Types of Skin Lumps and Bumps

Lipomas are lumps located in the fat layer below the skin. These lumps:

  • Are almost always noncancerous (benign). 
  • Grow slowly over several years.
  • Rarely get bigger than 1 to 2 inches. 
  • Feel round, rubbery, or firm. 
  • Aren’t dangerous.
  • Can be uncomfortable if they press on a nerve or are irritated by pressure, such as from a belt or bra strap.

Epidermal cysts are formed from blocked ducts. They’re filled with waxy oils and dead skin cells, like acne or a pimple. These cysts: 

  • Form on the skin. 
  • Aren’t dangerous, but can become irritated or infected. 
  • Can occur anywhere, but often form on the back, armpits, or groin. 

Other benign (noncancerous) masses are much less common and not dangerous. Examples are dermatofibroma, hematoma, neurofibroma, and ganglion.


Removing most small lumps and bumps is not medically necessary. It’s usually considered cosmetic surgery.

However, be sure to let us know if you have any of the following:

  • Lumps or cysts larger than 2 inches (the size of an apricot). 
  • Lumps that grow quickly. 
  • Pain in a cyst or lump that won’t go away. 
  • Lumps or cysts that interfere with your ability to perform an activity. 
  • Lumps that are stuck to deeper tissues. 
  • Signs of infection, such as redness, pus, or warm skin.


We will take a medical history and examine the growth. We’ll also ask you the following questions:

  • How long has the bump been there? 
  • Does it hurt? 
  • Is it growing? 
  • What other medical conditions do you have?

We’ll discuss if we should remove the lump or bump, or if you need further testing. 

If it’s not medically necessary to remove the growth, your insurance will likely not cover the cost of removing the lump or bump.

Methods of Surgery

We can usually remove small skin lumps and bumps in our clinic. We may give you medicine to numb the area (local anesthesia).

We may need to remove larger masses in an operating room. 

After Your Surgery

After surgery, you may be sore. To reduce discomfort:

  • Use an ice pack for soreness and swelling in the first few days. 
  • Take acetaminophen (Tylenol) or ibuprofen (Advil or Motrin).

Keep the area clean and dry for the first 2 days. After 2 days, remove the outer bandage. You may then get the area wet in the shower.

  • Don’t soak underwater for 2 weeks. 
  • Don’t remove Steri-strips. They’ll fall off on their own within 1 to 2 weeks.
  • Be gentle with the area for 2 weeks. Avoid activities that put strain or pressure on your incision.
  • Stitches are usually removed within 1 to 2 weeks

Let us know if you have signs of infection, such as:

  • Draining pus 
  • Increasing redness around the incision 
  • Increasing swelling 
  • Increasing pain 
  • Opening of the incision

Your Care with Me

If you are having symptoms that concern you, your first contact will typically be with your personal physician, who will evaluate your health and symptoms. If specialty care is needed, your personal physician will facilitate the process of scheduling an appointment in my department. If appropriate, she or he might call me or one of my colleagues while you are in the office so we can all discuss your care together. If we decide you need an appointment with me after that discussion, we can often schedule it the same day.

When You See Me

During your office visit, we will discuss your medical and family history and I will perform a physical exam. I will explain the findings of your exam and answer any questions or concerns you may have. We will discuss treatment options based on the findings.

Lab resources

We will also discuss the results of any tests ordered by your personal physician. If further tests are needed I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice.

  • When the results are ready, you can view most of them online, along with any comments that I have attached to explain them.
  • If your results are normal, I will also send the results in the mail.
  • If they are outside the normal range, I will call you to discuss the results.
Pharmacy resources

If medications are warranted, I will prescribe them and work with you to minimize side effects. If refills are indicated in the future, you can order them online from my home page or by phone using the pharmacy refill number on your prescription label.

  • You can also arrange to have your refill mailed to you at no extra cost. If no refills remain when you place your order, the pharmacy will contact me regarding your prescription.
  • You can choose to pick up your medications at the pharmacy or have them delivered by mail at no extra cost.
After Visit Summary

At the end of our visit, you will receive a document called the After Visit Summary that will summarize the issues we discussed during your visit. You can also view it online from this site.  The online version is called Past Visits.

  • This summary includes my name and the date and time of your visit, your vital signs, my test orders and your medications or immunizations.
  • It often includes the instructions I have given you during our visit and follow-up information.
  • You can refer to your After Visit Summary if you forget what we discussed, or if you just want to recheck your vital signs and weight.
Coordinating your care

Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology and health education, makes getting your care easier for you. Another major benefit is our comprehensive electronic medical record system in which all of the doctors and clinicians involved in your care can stay connected on your health status and collaborate with each other as appropriate. When every member of the health care team is aware of all aspects of your condition, care is safer and more effective.

Preparing for Surgery

If surgery is indicated, I will ask you to review an online educational program called Preparing for Your Procedure (Emmi). This online program is available on this site. It will help you decide whether surgery is right for you. It will also provide information about how to prepare and what to expect.

If we proceed with surgery, I will have my Surgery Scheduler contact you to determine a surgery date and provide you with additional instructions regarding your procedure. Once your surgery is scheduled, a medical colleague of mine will contact you to conduct a pre-operative medical evaluation that will assure that you are properly prepared for your surgery.

Contacting Me

If you need to talk with me after your visit or procedure, please call my office. You can also e-mail me with nonurgent issues from this website whenever it is convenient for you.

If you have urgent concerns or issues while my office is closed, or need general medical advice, you can call the Appointment and Advice line, available 24 hours a day, 7 days a week. You will be connected with a nurse who can give you immediate advice.

If you are experiencing an emergency, call 911 or go to the nearest Emergency Room.

If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.

This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.

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