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“Obesity and chronic pain are directly correlated,” said Anila Chadha, MD, family physician and obesity medicine physician at Dignity Health Medical Group in Bakersfield, California, in a recent interview with 

“There was a study done in the United States from 2008 to 2010 which clearly showed that there is increasing reporting of pain in patients with increasing BMI. So as the severity of obesity increases, the reporting of pain increases.”

Dr Chadha discusses the correlation between chronic pain and obesity, including the long-term effects of pain conditions for patients with obesity, common types of pain conditions associated with obesity, and how primary care clinicians should go about addressing pain with patients with obesity.

Anila Chadha, MD, is also obesity medicine director at Mercy Weight Loss Surgery Program in Bakersfield, CA.

 podcast features informative conversations with health care experts, opinion leaders, and practicing physicians, about what impacts primary care medicine today. 

 to subscribe on your favorite streaming service.

Podcasts

In our latest episode, an obesity medicine physician explains the importance of a comprehensive plan to manage chronic pain in patients with obesity. 

Obesity & Pain Management: A Primary Viewpoints Podcast

The Primary Viewpoints podcast features informative conversations with health care experts, opinion leaders, and practicing physicians, about what impacts primary care medicine today.

In episode 19, Lynn R. Webster, MD, chief medical officer of PainScript™ and past president of the American Academy of Pain Medicine, discusses findings he recently presented at PAINWeek 2022 from a large observational study he coauthored that suggested the PainScript mobile health platform can lead to better outcomes outcomes for patients with chronic pain. 

Lynn R. Webster, MD, chief medical officer, PainScript™; senior fellow, Center for US Policy; past president, American Academy of Pain Medicine

 to subscribe to the Primary Viewpoints podcast. Be sure to leave a rating and review for the show. Thanks for listening!

"Primary Viewpoints," a podcast from Patient Care Online, brings you an exclusive interview with Lynn Webster, MD, past president of the American Academy of Pain Medicine.

Primary Viewpoints Episode 19: Mobile Health Technology for Chronic Pain Management

Listen to our newest podcast episode where the lead author of a recent meta-analysis shares his findings on the safety and efficacy of antidepressant medications to treat back and osteoarthritis pain. 

Primary Viewpoints Episode 7: Antidepressants for Back Pain, Osteoarthritis Pain

Liza Leal, MD knows something about pain, both professionally and personally as a patient. She lives with rheumatoid arthritis. Her personal experiences provide a unique perspective that strengthens her professional commitment to treat patients with compassion, understanding, and education.

In this podcast, Dr. Leal addresses these questions:

What are some effective strategies when you think your patient with chronic pain is misusing his medications?

Are there alternatives to urine drug screens?

What are the options for patients who are opioid-dependent and who want to stop or decrease medications?

What are the advantages of treatments such as buprenorphine, Butrans, Tramadol ER, compounded creams, counseling?

What are the options for managing an intervention if a family or provider feels a patient may be misusing opioid medication?

, which she created as a tool for patients and physicians to better communicate with each other regarding chronic pain. Her website is 

An MD with RA Speaks on Chronic Pain Rx

Many people with arthritis also have depression; this has been known for many years. Now it has been established that anxiety is even more common than depression among arthritis patients, in a study published in 

by authors from the Centers for Disease Control and Prevention. In this podcast, Dr. Elizabeth Lin (who was not involved with the CDC study, but has focused on comorbid depression and pain for many years) discusses  why and how the mental health problem  as well as the physical symptoms need to be addressed and resolved. 

Dr. Lin is a family medicine physician at Group Health Institute and clinical professor of psychiatry at University of Washington Medical School in Seattle.



 1. What's new about this study?
 2. Could you tell us a little bit about how the study was done and what you think of the results?
 3. What do you think doctors should do to assess their patients who have arthritis or anxiety or depression or both?
 4. What about the risk of interactions between the two drugs? Isn't it difficult to treat patients with drugs that affect their mood as well as drugs that affect their pain?
 5. Do you think that when it comes to treating these mood disorders it would be wise to refer to a mental health professional?
 6. What about followup? How frequently should a patient who has this comordibity be seen in the office?  

Arthritis, Anxiety, and Depression: Managing a Common Comorbidity

Anxiety is more common than depression among US adults with arthritis 

Generalized Anxiety Disorder 7-item scale (GAD-7)  

Effect of improving depression care on pain and function among older adults with arthritis: A randomized controlled study. 

Pharmacotherapy of pain in depressed older adults. 

Arthritis pain and disability:  Response to collaborative depressive care. 

Anxiety is even more common than depression among people who have arthritis, a new study has shown. Here to discuss the implications for diagnosis and treatment is  Eilzabeth Lin MD, a family medicine physician who is a longstanding researcher in the field of depression and pain.

Podcast:  Arthritis, Anxiety, and Depression: Managing a Common Comorbidity

That's the question we put to Dr. Leigh Callahan, and in the next 10 minutes, she will address this important issue. Dr. Callahan has over 20 years of experience in arthritis and health outcomes research, and she was an arthritis epidemiologist at the CDC. She is associate professor in the departments of medicine and social medicine and adjunct associate professor in the department of epidemiology at the University of North Carolina at Chapel Hill. She is also director of methology at the Thurston Arthritis Research Center, also in Chapel Hill.

What Role Does Physical Activity Play in the Management of Arthritis?

CDC Division of Nutrition, Physical Activity and Obesity – Physical Activity for Everyone

National Institute of Aging –Your Every Day Guide to Exercise and Physical Activity

American College of Rheumatology – Exercise and Arthritis 

Arthritis Foundation – Introduction to Exercise

Arthritis Foundation and Ad Council Campaign

Let’s Move Together – Arthritis Foundation

Let’s Move Together – Arthritis Foundation (video)

Active Living Every Day (ALED) (featured courses)

Arthritis Foundation Aquatics Program (AFAP) 

Arthritis Foundation Exercise Program (AFEP)

That's the question we put to Dr. Leigh Callahan, and in the next 10 minutes, she will address this important issue. Dr. Callahan has over 20 years of experience in arthritis and health outcomes research, and she was an arthritis epidemiologist at the CDC.

Pain Management

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