By Dr Irwin Lim, Rheumatologist
We should stop avoiding the elephant in the room.
We need to address the fact that many of our patients are overweight. In fact many are obese.
It's easy to understand that those extra kilos contribute to the pain at your knees and feet.
It's however clear that it's not just the altered biomechanics that count. Fat contributes to inflammation. Fat worsens inflammation.
And importantly, losing fat improve outcomes. Pain as well as inflammation. And in turn, this reduces damage.
At BJC health, it makes sense that we address it given that our team includes physiotherapists, exercise physiologists and dietitians.
Check out this handout that we plan to give to our patients. What are your thoughts? I hope you don't think we're being too harsh.Dr Irwin Lim is a rheumatologist and a director of BJC Health. You should follow him on twitter here. Arthritis requires an integrated approach. We call this, Connected Care. Contact us.