Chronic Disease and Pain Management


Dr Muwanguzi is a general practitioner that has a wide range of medical and surgical knowledge, which includes focusing on preventive medicine and caring for acute and chronic conditions in patients.

After consultation, his team works closely with patients, monitoring and evaluating their progress.

Below just some of the conditions, we treat at Primed Medcentre and help patients manage who suffer from acute or chronic disease or pain.


Widespread muscle pain and tenderness. Fibromyalgia is often accompanied by fatigue and altered sleep, memory and mood. Widespread muscle pain and tenderness are the most common symptoms. Medication, talk therapy and stress reduction may help control symptoms.

Chronic Fatigue Syndrome

A disease characterised by profound fatigue, sleep abnormalities, pain and other symptoms that are made worse by exertion. Chronic fatigue syndrome occurs more commonly in women. The cause of this condition is unknown, but may include environmental or genetic factors. The main symptom is fatigue for over six months. The fatigue often worsens with activity, but doesn’t improve with rest. There is no cure or approved treatment for this condition. However, some symptoms can be treated or managed to provide relief.

Irritable Bowel Syndrome (IBS)

An intestinal disorder causing pain in the stomach, wind, diarrhoea and constipation. The cause of irritable bowel syndrome isn’t well understood. A diagnosis is often made based on symptoms. Symptoms include abdominal pain, bloating, diarrhoea and constipation. Some people can control their symptoms by managing diet, lifestyle and stress. Others will need medication and counselling.

Hypertension (High Blood Pressure)

A condition in which the force of the blood against the artery walls is too high. Usually hypertension is defined as blood pressure above 140/90, and is considered severe if the pressure is above 180/120. High blood pressure often has no symptoms. Over time, if untreated, it can cause health conditions, such as heart disease and stroke. Eating a healthier diet with less salt, exercising regularly and taking medication can help lower blood pressure.

Heart Disease

Heart conditions that include diseased vessels, structural problems and blood clots. Most common types:

  • Coronary heart disease – damage or disease in the hearts major blood vessels.
  • High Blood Pressure, Cardiac Arrest, Stroke – damage to the brain from interruption of its blood supply,
  • Heart Failure – a chronic condition in which the heart doesn’t pump blood as well as it should.
  • Peripheral artery disease – A circulatory condition in which narrowed blood vessels reduce blood flow to the limbs.

Thyroid Disease

Thyroid disorders are conditions that affect the thyroid gland, a butterfly-shaped gland in the front of the neck. The thyroid has important roles to regulate numerous metabolic processes throughout the body. Different types of thyroid disorders affect either its structure or function.

What are the specific kinds of thyroid disorders?

  • Hypothyroidism or Hyperthyroidism
  • Goiter
  • Thyroid nodules
  • Thyroid cancer


Obesity is a complex disease involving an excessive amount of body fat. Obesity isn’t just a cosmetic concern. It is a medical problem that increases your risk of other diseases and health problems, such as heart disease, diabetes, high blood pressure and certain cancers. Obesity often results from taking in more calories than are burned by exercise and normal daily activities. Obesity occurs when a person’s body mass index is 30 or greater. The main symptom is excessive body fat, which increases the risk of serious health problems. The mainstay of treatment is lifestyle changes such as diet and exercise.

Where obesity is caused by a underlying condition, the condition needs to treated along with lifestyle changes, diet and exercise.

Acute and Chronic Infections

The first is an acute infection. An acute infection is one in which symptoms develop rapidly; its course can either be rapid or protracted. The next is a chronic infection. A chronic infection is when symptoms develop gradually, over weeks or months, and are slow to resolve

Chronic Back Pain

Back pain can have causes that aren’t due to underlying disease. Examples include overuse such as working out or lifting too much, prolonged sitting and lying down, sleeping in an uncomfortable position or wearing a poorly fitting backpack.

At Primed Medcentre we assist and treat patients suffering from”

  • Herniated disc(s)
  • Muscle strains (from overuse or poor posture)
  • Muscle injury.
  • Pinched/compressed nerves.
  • Narrowing of the spinal canal (spinal stenosis)
  • Vertebral fracture(s)
  • Osteoporosis
  • The natural processes of aging
  • Spondylitis (a spinal infection that creates inflammation)
  • Scoliosis
  • Tumors
  • Degenerative disc disease

Chronic Headaches

By definition, chronic daily headaches occur 15 days or more a month, for longer than three months. True (primary) chronic daily headaches aren’t caused by another condition. There are short-lasting and long-lasting chronic daily headaches. Long-lasting headaches last more than four hours.

At Primed Medcentre we assist with treating patients suffering from:

  • Migraines
  • Cluster Headaches
  • Tension Headaches
  • Sinus Headaches


Different kinds of diabetes can occur, and managing the condition depends on the type. Not all forms of diabetes stem from a person being overweight or leading an inactive lifestyle. In fact, some are present from childhood. Less common types of diabetes include monogenic diabetes and cystic fibrosis-related diabetes. Three major diabetes types can develop: Type 1, type 2, and gestational diabetes.

Type I diabetes: Also known as juvenile diabetes, this type occurs when the body fails to produce insulin. People with type I diabetes are insulin-dependent, which means they must take artificial insulin daily to stay alive.

Type 1 diabetes is an autoimmune disorder, in which the body’s immune system mistakenly attacks healthy cells in the pancreas. When enough of these cells are destroyed, the body can no longer produce insulin, and glucose starts building up in the blood. Unlike type 2 diabetes, type 1 diabetes can progress very rapidly. Symptoms can come on suddenly and become very severe within weeks or months.

Type 2 diabetes: Type 2 diabetes affects the way the body uses insulin. While the body still makes insulin, unlike in type I, the cells in the body do not respond to it as effectively as they once did. This is the most common type of diabetes, while genetics can be a risk factor for type 2 diabetes, age, diet, and lifestyle also play a role. You’re more likely to develop type 2 diabetes if you have excess weight or are not physically active. You’re also more likely to develop type 2 diabetes later in life, although you can be diagnosed at any age.

Gestational diabetes: This type occurs in women during pregnancy when the body can become less sensitive to insulin. Gestational diabetes does not occur in all women and usually resolves after giving birth.