Tag Archives: Dr. Leslie Greenberg

Canker sores. What are they? How to treat them?

Canker sores.  What are they? How to treat them? Ugh.  Canker sores are the most common ulcerative condition in the mouth. Most ulcers are considered mild with lesions less than 1 cm in diameter.  These lesions are usually present for … Continue reading

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What contraception is right for you?

What contraception is right for you?  There are sooooo many choices. Consider how often you want to think of contraception: Choose what is right for you right now.  You can be seen at a local clinic, FQHC or Planned Parenthood.  … Continue reading

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Toenail fungus

What is the prognosis of onychomycosis (fungal infection of your toenails)? And, how to prevent recurrence?  There is effective treatment to rid the majority of patients of onychomycosis.  But the relapse rate is nearly 25% within 2 years (even AFTER … Continue reading

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Does exercise during pregnancy decrease high blood pressure?

Does exercise during pregnancy decrease maternal risk of developing high blood pressure during pregnancy?  Yes, and here is how to do it.  If you are already an exerciser, continue!… although modifications may be needed.   If you are new to exercising, … Continue reading

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How tight of control over diabetes should older patients have?

How tight of control over diabetes should older patients have?  Not that tight.  The risks of treating type 2 diabetic patients over the age of 70 with insulin or sulfonylurea drugs AND having the patient maintain a hemoglobin A1c less … Continue reading

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How concerned should you be about a diagnosis of “pre-diabetes?”

How concerned should you be about a diagnosis of “pre-diabetes?”  Research estimated the likelihood of older adults converting from prediabetes to diabetes over a 6 ½ year study…. as very low.  More than 90% of older adults will NOT progress … Continue reading

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Should you read your spine MRI report?

Should you read your spine MRI report?  I would suggest against it.  In the era of transparency and patient access to their entire electronic medical record, you CAN look at your spine MRI report.  And, yet, do you know what … Continue reading

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What intervention gives sustained improvement in chronic back pain?

What intervention gives sustained improvement in long-standing back pain?  The intervention that showed a greater than 30% reduction in back pain was exercise.  Patients may have trialed opioids or non-steroidal anti-inflammatory pills, but those are routinely not given for long.  … Continue reading

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Which OTC medications are best for treating chronic constipation?

Which OTC medications are effective at treating chronic constipation?  Lots of products are effective at treating chronic constipation.  First-line therapy to treat chronic constipation is polyethylene glycol (Miralax) or senna. Other good products are stimulant laxatives, fiber supplementation or magnesium-based … Continue reading

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Should you take full-dose aspirin or a baby dose?

Should you take full-dose aspirin (325mg) or a baby aspirin dose (81 mg)?  Recent research has showed that there is no advantage to taking a full dose for patients with established cardiovascular disease compared to the lower dose.  Of course, … Continue reading

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