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Abstract

Objectives: To describe the linkage between pain, and obesity in the context of osteoarthritis. To propose a novel approach to reducing obesity associated with painful osteoarthritis. Methods:A comprehensive literature review covering the years 2000-2014 was conducted using major data bases and key words: behavioral self-management, obesity, osteoarthritis, and pain. Previously collected data were also examined.Results: Obesity is common among osteoarthritis sufferers. Those who are obese experience more pain and disability than those who are normal weight. A possible deterrent to weight loss in obese osteoarthritis cases is pain. A possible solution is a multidimensional self-management program utilizing cognitive behavioral strategies that addresses control of pain as well as dietary behaviors. Conclusion:Obesity is a risk factor for heightened pain and disability among osteoarthritis sufferers. More comprehensive non pharmaceutical behavioral strategies to reduce pain and possible depression in these patients may enable more effective and sustained weight reduction or maintenance than that achieved through standard nutritional interventions alone.