Deccan Multispeciality Hardikar Hospital


Deccan Multispeciality Hardikar Hospital
Medical Blog
1) Skin & hair Diseases
2) Videos
3) Articles
4) Shoulder pain
5) Could I Be Suffering from a Herniated Disc?
6) What is the Sciatic Nerve? What is Sciatica?
7) 3 Things you can do now to prevent future back pain
8) Nasopharyngeal Tonsils


Skin & hair Diseases


Acne also known as acne vulgaris, is a long-term skin disease that occurs when hair follicles are clogged with dead skin cells and oil from the skin. It is characterized by blackheads or whiteheads, pimples, oily skin, and possible scarring. It primarily affects areas of the skin with a relatively high number of oil glands, including the face, upper part of the chest, and back. The resulting appearance can lead to anxiety, reduced self-esteem and, in extreme cases, depression or thoughts of suicide. Genetics is thought to be the primary cause of acne in 80% of cases. The role of diet and cigarette smoking is unclear, and neither cleanliness nor exposure to sunlight appear to play a part. In both sexes, hormones called androgens appear to be part of the underlying mechanism, by causing increased production of sebum. Another frequent factor is excessive growth of the bacterium Propionibacterium acnes, which is normally present on the skin


Many treatment options for acne are available, including lifestyle changes, medications, and medical procedures. Eating fewer simple carbohydrates such as sugar may help. Treatments applied directly to the affected skin, such as azelaic acid, benzoyl peroxide, and salicylic acid, are commonly used. Antibiotics and retinoids are available in formulations that are applied to the skin and taken by mouth for the treatment of acne. However, resistance to antibiotics may develop as a result of antibiotic therapy. Several types of birth control pills help against acne in women. Isotretinoin pills are usually reserved for severe acne due to greater potential side effects. Early and aggressive treatment of acne is advocated by some in the medical community to decrease the overall long-term impact to individuals.

Fungal Skin Diseases

Fungal skin diseases are brought about by various sorts of fungi and are the main reasons behind an irritated skin. Fungi attack and develop in dead keratin, a protein that makes up your skin, hair and nails. The various sorts of fungal diseases are caused by various groups of fungi. Some common fungal skin infections include ringworm, intertrigo, nail infections, Athlete’s foot, etc.

The likelihood of fungal infections increase in the following cases:

1. If you are overweight
2. Not drying your skin completely after a shower or wash
3. Walking barefoot in shower and wet locations
4. In case of a pregnancy
5. If you have a weak immune system
6. If you suffer from diabetes
7. If you come into contact with a person or animal with fungal infections.
8. Due to a recent course of antibiotics

Fungal rashes can at times be mistaken for other skin conditions, for example, psoriasis and eczema. Fungal skin diseases can bring about a number of skin rashes; some of them being red, textured and itchy. The organism can influence only one region, or a few zones of your body. In the event that you get a fungal disease of your scalp, you might lose some hair.


PsoriasisIs Noninfectious Disease. It Is Very Common Chronic Disease Include Both Adult & Child Age Group, There Is Multiple Etiological Factor Include Familial, Hereditary, Genetic, Drug & Idiopathic Factors, Common Site Involvement Are, Trunk, Extensor Aspect Of Limb, Scalp, Nails, There Is Reddish Raised Lesion With Silvery White Scale, , Disease Is Progressive Leads To Fatal Condition, Include Erythroderma Arthritis.It Is Associated DM, HTN, Hypertriglycedemia, Obesity. With Proper Treatment It Control & Improved With Time.


Vitiligo & Leukoderma Is Noninfectious Disease, White Coloured Patches Factor. Vitiligo Has Psychological Impact, Topical Oral Medication, UVB PhototherapyPRPMesotherapy, Sun Light Improve Disease.

Hair loss

Hair loss there is different type of hair loss, male pattern , hair loss, female pattern hair loss, focal hair loss, diffuse hair loss, permanent , temporary , infectious psychological, nutritional. Detail history, examination, investigation are needful. Both topical, systemic medication, mesotherapy, PRP are treatment of option.


Dr. Sachin Nagapurkar
Artificial Knee Joint Replacement Understanding & Misunderstanding

Dr. Onkar Lande
Hip Joint Replacement Surgery Procedure

Dr. Tushar Pisal
Back pain/backache, sciatica & PIVD

Dr. Piyush Nashikkar
Sports related ligament injury & arthritis (geriatric)


Deccan Multispeciality Hardikar Hospital
Deccan Multispeciality Hardikar Hospital
Deccan Multispeciality Hardikar Hospital
Deccan Multispeciality Hardikar Hospital
Deccan Multispeciality Hardikar Hospital
Deccan Multispeciality Hardikar Hospital
Deccan Multispeciality Hardikar Hospital
Deccan Multispeciality Hardikar Hospital
Deccan Multispeciality Hardikar Hospital
Deccan Multispeciality Hardikar Hospital
Deccan Multispeciality Hardikar Hospital

Shoulder pain

Shoulder pain is all too common. A few of you have shoulder pain following a fall. Many more suffer from shoulder pain due to repetitive stress, and the majority of simply woke up with shoulder pain and have no idea how you injured yourself.

Many of you can't sleep at night, yet others only have pain when they exercise. A few of you might be worried that your shoulder will dislocate at night.

There are many structures in the shoulder which can become injured and lead to shoulder pain. The 5 most common causes of shoulder pain we see include:

• Labral Tears
• Rotator Cuff Tendinosis
• Rotator Cuff Tears
• Calcific Tendonitis
• AC Joint (Separations and Arthritis)
• Stress Fractures

The cause of your shoulder pain has a lot to do with what age group you are in. Different problems arise in the shoulder and cause pain as we age. In each grouping I provide links which go into more detail on the specific diagnosis which is mentioned.

Causes of Shoulder Pain

Age 14-20:

In the pediatric population most of you have shoulder pain due to a traumatic event, a fall, a tackle or a tumble off your new hoverboard. Shoulder dislocations are one of the leading causes of shoulder pain in this age group.

Labral tears are a very common source of shoulder pain in the pediatric athlete. The labrum is a cartilage disk that helps maintain stability of the shoulder. Pitchers and overhead athletes can develop a labral tear from repetitive stress. Football, soccer and other contact sports can produce a dislocation which leads to a different type of labral tear.

Stress fractures arise in this age group because their bones might still be growing. The "growth plate" will start to fail with the chronic repetitive stress of pitching in excess.

Age 20-35:

Labral tears are still very high on the list of possible causes of shoulder pain, particularly if you are under 30.

The AC Joint: Especially in the heavy weight lifter and football players the AC Joint — or that little bump above your shoulder can start to wear out from the constant weight training. Following a severe fall you might also suffer an AC Separation where the bump on top of the shoulder becomes much more prominent.

Rotator Cuff Tendonitis: This is the first group where the rotator cuff can start to become a cause of shoulder pain. In these instances, you were likely working out heavily and now the front or side of your shoulder is very sore with minimal activity. It is very easy to exceed what the rotator cuff is capable of handling. If you exercise the larger muscles around the shoulder and do not pay attention to exercising the rotator cuff the the cuff might simply remind you by causing a deep dull ache on the side of the shoulder for a few weeks.

Age 35-50:

The rotator cuff starts to become the number one source of shoulder pain. The most common cause of rotator cuff related pain is a process we call rotator cuff tendinosis. That is a process where your rotator cuff is starting to show its age and it is starting to wear out. Early in the process of wearing out, the rotator cuff doesn't actually start tearing … it simply starts hurting.

If the rotator cuff wears out enough then it may develop into something we call a partial thickness rotator cuff tear. Partial tears are very common… even in people without shoulder pain. Again, this is part of the aging process. Some of your tendons will start to degenerate at a younger age than others … and some of you will have more pain than someone else with a partial rotator cuff tear.

Full thickness rotator cuff tears can occur following a significant injury. Unfortunately the majority of you have a full tear simply because your tendon wore out. This post goes into detail on the causes of rotator cuff tears. Many rotator cuff tears are small. You can have very severe shoulder pain and have no tear or just a small tear. This is one of those moments when size doesn't matter. The amount of pain that you have will not correlate with the size of your rotator cuff tear. The treatments of rotator cuff tears vary depending on many factors.

Calcific tendonitis causes very severe shoulder pain. In calcific tendonitis you develop a calcium deposit in the middle of your rotator cuff tendon. When your body is trying to reabsorb or take back the calcium it sets off a series of events which leads to severe pain. The treatment is usually straight forward and doesn't involves surgery. This post goes into more detail about calcific tendonitis.

Age 50+:

The rotator cuff remains the most common cause of pain.

Cause of rotator cuff tears

Treatment of rotator cuff tears

Can small rotator cuff tears become larger?

Labral tears are rarely a cause of shoulder pain after 50. We all have them… but they are not the reason why our shoulder hurts. The labrum frays and wears out like your favorite pair of blue jeans. Labral tears are a very uncommon cause of shoulder pain after the age of 50.

Osteoarthritis: After 50 and beyond the cartilage which covers the bones can start to wear thin and degenerate. This is the definition of osteoarthritis. Your symptoms start with a dull ache after activities and sometimes the shoulder starts to click and catch when the osteoarthritis is more severe.

Could I Be Suffering from a Herniated Disc?

Deccan Multispeciality Hardikar Hospital

Lower back pain has been found to be the number one cause of disability around the world. Though many conditions can cause back pain, a herniated disc is a common cause. Discs are the soft, rubber-like pads that fit between the bones (vertebrae) of the spinal column and cushion it. The discs allow the back to flex and bend and absorb shock. Herniated discs, which can also be called slipped or ruptured discs, are caused when all or part of the disc is forced through a weakened part of it, which places pressure on the nearby nerve and/or spinal cord, causing numbness, and most commonly, pain. Herniated discs can occur both in the lumbar spine (lumbar herniated disc) and the cervical spine (cervical herniated disc).

This can happen when the disc moves out of place (herniates) or breaks open (ruptures) due to injury or strain. It is most commonly found to happen in the lower back, but can also affect the neck's discs, or, even more rarely, the discs in the upper-to-middle back.

Herniated Disc Risk Factors

If you're not sure if a herniated disc is causing your pain, Orthopedic Surgeons point out a few factors that can put you more at risk:

Usually, herniated discs are caused by the natural aging of your spine. When we're young, our discs have a high water content, making them spongy. When we age, they begin to dry out, becoming weaker and narrowing the spaces between our vertebrae. This is called disc degeneration.

Men between 30-50 are more likely to have a herniated disc

Jobs or tasks that require you to repeatedly lift heavy objects can put you at risk, especially if you are lifting with your back and not your legs, or if you are twisting while you lift.

Being overweight can add stress on the discs of your lower back

If you are frequently in the car, staying seated for long periods of time along with the vibrations of the car, can put pressure on your spine and discs Staying sedentary can cause herniated discs

Smoking can reduce the amount of oxygen reaching your discs to cause more rapid degeneration

Herniated Disc Symptoms

For most people suffering from a herniated disc, lower back pain is the first symptom. The pain may come and go, but can eventually lead to leg pain, numbness or weakness. These sensations can reach all the way below the knee, to the ankle and foot.

Additionally, the symptoms can be all or one of the following:

• Back pain
• Leg and/or foot pain (sciatica)
• Numbness or tingling in the leg and/or foot
• Weakness in the leg and/or foot

If you feel like you may be suffering from a herniated disc, see your orthopedist for a physical examination or MRI scan, so they can make sure that it's the cause of your back pain. Due to a wide range of non-surgical and surgical treatments available, most patients are free from their symptoms in 3-4 months!

What is the Sciatic Nerve? What is Sciatica?

Deccan Multispeciality Hardikar Hospital

Over 85 million Indians suffer from back pain. In fact, according to the National Institute of Neurological Disorders, back pain is a leading cause of missed work and the most common cause of job – related disability. Many times, pain in the lower back could be caused by a condition called sciatica. Sciatica is a condition often caused by a ruptured or herniated disk that irritates the sciatic nerve. The sciatic nerve is formed from the nerve roots coming out of the spinal cord into the lower back. When the nerve is irritated it can cause debilitating pain, numbness or a tingling sensation down the leg and occasionally all the way to the foot. At times, the pain is so severe that the pain sufferer may lose control over the leg.

Causes of sciatica

• Piriformis syndrome
• Spinal Stenosis
• Pregnancy

Treatments for sciatica

Depending on the cause of the sciatica, it can take weeks to years to relieve the pain from the condition. Research has not shown that low activity versus high activity and physical therapy will help the symptoms. Although medications do not always relieve the pain in the sciatic nerve, medications are typically the first line treatment option. If medications don't work, the physician will work with the patient to determine the next steps which could include surgery, epidural injection or alternative medicines.

3 Things you can do now to prevent future back pain

Deccan Multispeciality Hardikar Hospital

At some point in our lives, most of us struggle with lower back pain. The good news is it's never too late to make positive changes in your lifestyle. Preventive steps now can help keep your back healthier down the road. These three things may make the difference between future suffering and living pain free:

1) Get active

Staying active may be the single most important thing you can do to maintain a healthy back. When you don't get enough exercise, the muscle tone in your lower back can weaken, which may cause the pelvis to tilt too far forward, causing back pain. Regular exercise helps prevent back pain by strengthening your back and abdominal muscles. Just 30 minutes a day of a low-impact exercise like swimming, walking, or stationary cycling can increase muscle strength and flexibility. Yoga is also great for stretching and strengthening muscles and improving posture. If you're already experiencing back pain, you may want to meet with an physical therapist, who can customize an exercise plan for you.

2) Lose weight

If you're overweight or obese, chances are you already experience back pain. One of the best things you can do now to ease pain and prevent future back pain is to lose weight. Being overweight or obese affects not only the cardiovascular and endocrine systems but the skeletal system. The skeletal system is made to support a healthy weight. Obesity puts an extra strain on all your weight-bearing joints, such as the hips and knees, but also on the spinal column. The resulting poor posture can cause chronic back pain.

3) Stop smoking

If you're a smoker, you already know it's not healthy. But you may not have realized it can contribute to back problems, not just later in life, but now. Many of the chemicals in cigarettes, including nicotine, have been shown to be toxic to spinal disc cells in laboratory experiments. Also, the carbon monoxide in cigarettes decreases the amount of oxygen in the blood. Because spinal discs have no capillaries, they rely on osmosis for oxygen delivery. Without oxygen-rich blood, the discs don't get the nutrients they need, making them brittle and at risk for rupture.

Nasopharyngeal Tonsils

If you notice that your child or yourself getting repeated complaints of ear discharge or is having continuous running nose or wet bubbly nose or is a continued mouth breather or has snoring problems during sleep or gets awakened during sleep with a spell of the arrest of respiration which is also called apnoea then surely get a consultation with your nearest ENT surgeon (Otorhinolaryngologists) for the diagnosis of the adenoids which is also called as nasopharyngeal tonsils or in simple terminology nasal tonsil

We have routinely heard Tonsils are seen in our oral cavity, yes same are seen on the backside of our nose in the area which is called Nasopharynx.

Deccan Multispeciality Hardikar Hospital

Tonsils are present by birth which function in our body as a defence. By the age of 5 years, there is a physiological (natural) enlargement of the nasal tonsils but after 5 years of the age, they start regressing in the size and by the 12-14 years they disappear.

But due to repeated infections getting to your child or yourself make them pathologically remain at a place in spite of the regression and with more increase in size.

Henceforth enlarged nasal tonsil/adenoids have various other impacts on the body like repeated upper respiratory tract infection which include sore throat, rhinitis, blocked nose, running nose which may have bad impact on the reduced work productivity of the child in the academics and school by multiple absences.

Enlarged nasal tonsils may provoke in sinusitis headache,

Deccan Multispeciality Hardikar Hospital
Deccan Multispeciality Hardikar Hospital

Also enlarged nasal tonsil may block the Eustachian tube ( tube connecting the nose with our middle part of the ear for ventilation) which may result in repeated episodes of ear pain, ear itching, repeated ear discharge, hearing loss, and otitis media

Deccan Multispeciality Hardikar Hospital
Deccan Multispeciality Hardikar Hospital

Enlarged nasal tonsil may make your child mouth breather with snoring and may complicate into obstructive sleep apnea

Deccan Multispeciality Hardikar Hospital

Very important is long-standing enlarged adenoids may change your child’s facial expression and facial contour giving specific adenoids facies

Collectively these all symptoms can disturb the concentration of your child, may have a bad impact on his IQ.

Adenoids as being pathologically enlarged with storage of all infectious microorganisms may give rise to serious lung infections.

Need not to worry with today’s advancement we have recent radiological digital X-ray’s and size-specific endoscopic examination units to have a proper diagnosis and measure its size to calculate to its gradings

All symptomatic and asymptotic cases with a proper evaluation with its size and its grading can be operated with recent advanced microberider and coblator which are effectively very safe with minimal blood loss in the aspect of complications with a technique which is been used in European countries.


Monday Wednesday Saturday 11 am to 01 pm.


Dr. Faiz
MS (Otorhinolaryngology)


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