Chronic Conditions Management

Management of chronic conditions focuses on helping patients effectively control the symptoms of long-term illnesses. The focus is to improve overall health and achieve a higher quality of life.

Long-term health issues, such as diabetes, high blood pressure, and arthritis, are chronic conditions that often develop gradually, can last for years, and require consistent care. If not managed properly, these conditions can affect your daily routine, limit your activities, and lead to serious health complications.

Managing chronic diseases requires consistent care, regular monitoring, and a personalized treatment plan that evolves with your changing needs.

At Internal Medicine & Primary Care of Sebastian (IMPCS), we work closely with you to create practical, sustainable care plans. Our goal is to support your long-term health while helping you manage everyday life with a chronic condition more easily.

Understanding Chronic Health Conditions

Chronic health conditions are long-term illnesses that often progress slowly over time and can significantly impact your daily life. Unlike acute illnesses that resolve quickly with proper treatment, chronic conditions can last for years and require continuous medical care.

Some of the most common chronic diseases include diabetes, hypertension, arthritis, high cholesterol, and thyroid disorders.

These conditions can significantly affect your quality of life and overall health. You might experience persistent symptoms like fatigue, joint pain, dizziness, or shortness of breath, making it harder to keep up with work, exercise, or even routine tasks around the house.

Over time, without proper treatment, these conditions can lead to serious complications involving the heart, kidneys, joints, or other vital systems.

However, with consistent care, appropriate treatment, and proper management, chronic conditions can be stabilized and in many cases, their progression can be slowed. Proper management helps reduce symptoms, prevent complications, and support a more active, independent lifestyle for years to come.

Arthritis

Arthritis is a condition that affects your joints and can make everyday movements, like climbing stairs, walking, or gripping objects, challenging. It occurs when you have inflammation or swelling in the joints, which can gradually lead to decreased mobility, pain, and discomfort that interferes with your daily activities.

There are many types of arthritis, but the most commonly occurring conditions include:

  • Osteoarthritis (OA): This is the most common type of arthritis, often caused by wear and tear of cartilage over time. Cartilage provides protective cushioning between your joints. As it gradually breaks down, due to age, repetitive motion, or previous injuries, bones begin to rub against each other, causing joint inflammation, pain, and stiffness.
  • Rheumatoid Arthritis (RA): RA is an autoimmune disorder where the body’s own immune system mistakenly attacks the lining of your joints. Over time, it can lead to inflammation, swelling, pain, stiffness, and eventually joint damage. It usually affects multiple joints in the body and may come with symptoms like fatigue, low-grade fever, and other systemic effects.
  • Gout: This is a form of arthritis triggered by a buildup of uric acid crystals in the joints. It often starts in the big toe but can also affect other joints. Gout attacks can be sudden and intense, causing sharp pain, swelling, redness, and tenderness.

Managing Arthritis

Treatment for arthritis focuses on reducing pain, improving your mobility, and preventing further joint damage. 

We take a personalized and proactive approach to managing arthritis. Our primary care provider, Dr. Edeck Pierre, works closely with you to create customized care plans based on your specific diagnosis, symptoms, and lifestyle goals.

Our arthritis management services include:

  • Detailed Joint Assessments: We perform thorough physical exams and may order imaging tests, such as X-rays or MRIs, along with blood work, to assess joint inflammation and damage. These insights help determine the best course of treatment for your condition.
  • Pain Management Plans: Based on your symptoms, we may prescribe a combination of pain-relieving and anti-inflammatory medications. In some cases, we may also recommend joint injections to help reduce inflammation and provide longer-lasting relief.
  • Lifestyle Counseling: Living with arthritis means making intentional lifestyle changes to reduce the strain on your joints and minimize flare-ups. Our provider takes time to understand your daily routines, physical limitations, and nutritional habits to develop a plan that supports your long-term joint health. This may include:
    • Regular low-impact exercises to improve flexibility and maintain joint mobility
    • Joint protection techniques, such as proper posture and body mechanics
    • Dietary guidance, especially for gout, to help you avoid certain foods (like red meat, shellfish, and alcohol) that worsen symptoms
  • Assistive Devices: We may recommend braces, splints, or other assistive devices to reduce strain, improve comfort, and help you move more easily.

Since arthritis is a chronic condition, we offer continuous care and monitor your progress over time. If symptoms worsen or you experience flare-ups, we adjust your treatment plan as needed and may refer you to physical therapy when beneficial.

Collaborative Care with a Rheumatologist

In more advanced or complex arthritis cases, we co-manage your condition with a rheumatologist. This collaborative approach allows us to closely monitor disease progression and introduce advanced therapies when needed.

While Dr. Pierre continues to oversee your overall health and guide day-to-day symptom management, the rheumatologist provides specialized insight on immune-modulating treatments and helps fine-tune medications that target the underlying disease process.

By working together, we ensure you stay on track with a unified care plan that supports both symptom relief and long-term joint health.

Diabetes

Diabetes is a chronic metabolic condition that affects how your body processes blood sugar (glucose).

Glucose is the primary source of energy in the body and is regulated by insulin, a hormone produced by the pancreas. Insulin helps glucose in the bloodstream to enter the body’s cells, where it can be used for energy.

When you have diabetes, your body either does not produce enough insulin or can not use it effectively, leading to elevated blood sugar levels.

Over time, uncontrolled blood sugar can damage your blood vessels, nerves, kidneys, eyes, and other vital organs. Diabetes can lead to symptoms like fatigue, increased thirst, frequent urination, and blurry vision.

If not managed properly, diabetes can lead to serious complications, such as nerve damage, kidney disease, heart problems, and vision problems. That is why early detection and management are key to preventing complications.

Types of Diabetes

Here are the various types of diabetes:

  • Type 1 Diabetes: This is an autoimmune condition in which the body’s immune system mistakenly attacks the insulin-producing cells in the pancreas. As a result, people with Type 1 diabetes need lifelong insulin therapy. 
  • Type 2 Diabetes: The more common form, Type 2, occurs when the body becomes resistant to insulin or does not produce enough. It is often linked to lifestyle factors, such as excess weight, poor diet, and physical inactivity. Type 2 diabetes can often be managed, or even reversed, with proper lifestyle changes and medical care.
  • Prediabetes: This is when blood sugar levels are higher than normal but not high enough for a diabetes diagnosis. Prediabetes is a warning sign and an opportunity to prevent or delay the onset of Type 2 diabetes through diet, exercise, and weight management.

Managing Diabetes

We take a proactive approach to diabetes care. Whether you are newly diagnosed or have been managing the condition for years, we help you maintain stable blood sugar levels and lower your risk of complications.

Diabetes management may include:

  • Regular Monitoring: We perform regular exams and lab tests, including A1C, fasting glucose, and cholesterol panels, to evaluate your metabolic health. 
  • Medication Management: Depending on your blood sugar levels, we may prescribe oral medications, injectable therapies, or insulin. We work with you to find the most effective medication plan with the fewest side effects.
  • Dietary & Lifestyle Guidance: We provide personalized guidance, including meal planning, carbohydrate management, and physical activity strategies to help you maintain steady blood sugar levels.

Hypertension

Hypertension, also known as high blood pressure, is a common yet serious condition in which the force of blood pushing against the walls of your arteries remains consistently too high. 

One of the most challenging aspects of hypertension is that it often has no noticeable symptoms until damage has already occurred. Over time, high blood pressure can damage blood vessels and increase your risk of heart disease, stroke, and other serious health complications.

While hypertension can affect anyone, certain factors increase your risk, including:

  • Family history of high blood pressure
  • Being overweight or obese
  • Sedentary lifestyle
  • High-sodium or low-potassium diet
  • Excessive alcohol consumption
  • Smoking
  • Chronic stress
  • Underlying conditions like diabetes, high cholesterol, and thyroid disorders

Managing Hypertension

We provide personalized care to help you manage hypertension effectively and address the contributing risk factors. Our approach to managing hypertension includes:

  • Routine Blood Pressure Monitoring: We conduct in-office blood pressure checks and may recommend home monitoring to track trends. We may also order additional lab tests, such as cholesterol panels to assess your overall cardiovascular health.
  • Lifestyle Counseling: Making lasting changes to your daily habits can significantly impact your blood pressure. We provide personalized guidance on:
    • Reducing sodium intake
    • Eating a heart-healthy diet 
    • Increasing physical activity
    • Reducing alcohol and quitting smoking
    • Stress-reduction techniques like mindfulness and relaxation exercises
  • Medication Management: If lifestyle changes are not enough, we may prescribe blood pressure medications. We work with you to find the most effective treatment with the fewest side effects, adjusting your plan as needed to keep your readings in a healthy range.

High blood pressure often goes hand-in-hand with other health issues. We also help manage co-existing conditions, such as diabetes, high cholesterol, and thyroid disorders, to provide you with a well-rounded and effective treatment plan.

High-Cholesterol

Cholesterol is a waxy, fat-like substance that your body needs to build healthy cells, produce hormones, and aid in digestion.

While cholesterol is essential for your health, too much of it in your bloodstream can pose serious risks. High cholesterol can lead to the buildup of plaque in your arteries, narrowing them and restricting blood flow. 

This condition, called atherosclerosis, can increase your risk of heart attack, stroke, and peripheral artery disease.

Cholesterol travels through the blood attached to proteins, forming what are called lipoproteins. Cholesterol is often classified as “good” or “bad” based on the type of lipoprotein it is attached to. 

High-density lipoprotein (HDL) is considered good cholesterol, while low-density lipoprotein (LDL) is considered bad cholesterol.

  • LDL contributes to the buildup of plaque in your arteries. Over time, high levels of LDL can cause arteries to narrow and harden, reducing blood flow and increasing the risk of heart disease and stroke.
  • HDL, on the other hand, helps remove excess cholesterol from the bloodstream and carries it back to the liver for processing. 

Maintaining a healthy HDL level is important for keeping your cholesterol in balance and reducing your cardiovascular risk. High cholesterol usually develops silently, without any clear symptoms. That is why many people do not realize they have high cholesterol until it is detected through a blood test.

Managing High Cholesterol

We take a proactive and preventative approach to managing cholesterol and supporting long-term heart health. Our treatment plans often include:

  • Cholesterol Testing: Routine blood work (like a lipid panel) is used to assess your total cholesterol, LDL, HDL, and triglyceride levels. 
  • Nutrition Counseling: We provide personalized guidance on adopting a heart-healthy eating plan rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. We also recommend limiting saturated fats, trans fats, cholesterol-rich foods, and processed snacks.
  • Exercise Recommendations: Regular physical activity can raise HDL, lower LDL, and promote weight loss. We will help you create a safe and effective fitness plan based on your goals and health status.
  • Medication Management: If lifestyle changes are not enough to control your cholesterol levels, we may prescribe lipid-lowering medications.

Thyroid Disorders

The thyroid is a small, butterfly-shaped gland located in the front of your neck. Despite its size, it plays an important role in regulating many of the body’s functions. 

Thyroid gland produces hormones, primarily thyroxine (T4) and triiodothyronine (T3), that control your metabolism, energy levels, body temperature, heart rate, and even how your body uses nutrients.

When the thyroid does not function properly, it can lead to a range of health issues. The most common thyroid disorders include:

  • Hypothyroidism (Underactive thyroid): In hypothyroidism, the thyroid gland does not produce enough thyroid hormones. This slows down your body’s metabolism and can lead to symptoms such as:
    • Fatigue
    • Weight gain
    • Cold sensitivity
    • Memory issues
  • Hyperthyroidism (Overactive thyroid): Hyperthyroidism occurs when there is excess thyroid production, causing the body’s metabolism to speed up. Symptoms may include:
    • Unintended weight loss (despite normal or increased appetite)
    • Anxiety or irritability
    • Rapid heartbeat or palpitations
    • Heat intolerance
    • Sweating
    • Difficulty sleeping
  • Goiter: A goiter is an abnormal enlargement of the thyroid gland. It may be caused by iodine deficiency, thyroid inflammation, or thyroid dysfunction.
  • Thyroid nodules: Thyroid nodules are abnormal growths or lumps that form within the thyroid gland. While these nodules are usually benign and do not pose a threat, getting a medical confirmation on their status is always a good idea.

Diagnosing & Managing Thyroid Disorders

We use a combination of clinical evaluation, physical exam, blood tests, and imaging tests to diagnose thyroid issues. Depending on your diagnosis, treatment may include prescription medications to regulate thyroid hormone levels and manage symptoms effectively.

In some cases, we may also provide dietary and lifestyle counseling to support overall thyroid health. If specialized care is required, such as surgical evaluation or referral to an endocrinologist, Dr. Pierre ensures a smooth and well-coordinated approach to managing your condition.

Manage Chronic Conditions in Sebastian, FL

At Internal Medicine & Primary Care of Sebastian, we understand the importance of personalized and ongoing care in effectively managing chronic conditions. With the right medical support, consistent monitoring, and coordinated care, you can take control of your health and maintain a better quality of life.

To schedule a consultation, please call (772) 783-2436 or book an appointment online today.

If you experience symptoms requiring immediate attention, we also provide acute care appointments within 48 hours to ensure you receive prompt evaluation and treatment.

7955 Bay St Suite 2
Sebastian, FL 32958

Monday - Friday | 9:00 AM - 5:00 PM
Saturday | Available by Appointment

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