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About Dr. Nisha Jain

Dr. Jain lives in Dallas Metroplex where she works on relieving patients from acute and chronic pain conditions using a multi-disciplinary approach.

Do You Know Weight Gain Can Be Due To Pain Relievers?

Is there any connection between obesity and chronic pain? Yes, people who are suffering from prolonged pain conditions are most likely to gain weight. Studies conducted over the years has validated this statement.

Pain can affect even those who are living a healthy lifestyle. Sometimes pain arises due to aging and at times due to injuries, although the causes of chronic pain are innumerable, but its aftermaths are the same. Any pain can result in fundamental changes in your daily routine, especially the following:

  • Sleep deprivation
  • Inactivity
  • Lack of exercise

The above-mentioned conditions are known to have a direct effect on your body, shape, and weight. When in pain, most people are on this routine – “Eat, Sleep, and Repeat.” You keep on consuming calories without burning any. Ultimately, that’s why you see, an increase on the scale and in your waistline.

How to manage Pain?

When suffering from pain, everyone does one thing visiting physician to get prescriptions for pain treatment and management. However, did you know, your core pain management drug can increase the possibility of weight gain? If you use pain management drugs for a continued period, the likelihood increases.

Other side effects of pain medication include:

  • Nausea
  • Dizziness
  • Skin rash
  • Liver damage
  • Diarrhea/ Stomach upset
  • Anxiety
  • Problem sleeping
  • Heartburn
  • Stomach ulcer
  • Kidney problems
  • Allergies

Seemingly, instead of reducing pain, pain medication if consumed regularly can expose you to many health risks and can bring significant challenges which are hard to overcome.

According to research, about 15% of weight or obesity-related problems occur due to prolonged medication. Some medications escalate your appetite, and a few will decrease it while some give you the energy to keep you energized. When you don’t burn off the calories you consume; or you stay inactive, your chances of weight gain increase.

People suffering from chronic pain are less active, plus, their medication gives them drowsiness with an increase in their appetite thus leading to weight gain.
In addition to pain management medications, prescription drugs for the treatment of obesity, diabetes, depression, anxiety, and high blood pressure causes weight gain. Popping birth control pills also indicate weight gain as per studies.

How to avoid weight gain and reduce pain?

The answer lies in the right approach. At Center for Pain Relief and Rehabilitation (CPR&R), we aim to reduce your pain systematically. Our focus is on identifying the cause of your pain, then create the shortest possible treatment plan – to reduce the side effects of medications and pain.

Whether it is chronic pain, back pain, joint pain, injury pain, arthritis pain or sprains or other pain, we treat all kind of a pain to help you avoid weight gain through extended pain management drugs.

If you are in the DFW area and suffering from pain, then you should visit the Center for Pain Relief and Rehabilitation to see how we can treat your pain naturally or using alternate therapies that work.

Get rid of your pain, because you have the right to Say No to Pain!

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Read also: How To Introduce Behavioral Modifications For Weight Management

Why Lose weight to Relieve Knee Pain

Do You Think Weight Loss Can Alleviate Your Knee Pain?

While walking or doing normal everyday activities, you sometimes experience a throbbing pain in your knees, have you ever thought if it’s related to your excessive weight, No? Give it a thought NOW!

You may find various reasons for knee pain, but the main cord of concern is the exertion caused by weight only.

Here, we are unraveling various aspects of knee pain and how can you alleviate it with weight loss.

How is weight related to knee pain?

“Weight plays a significant role in knee problems as the excessive pressure put stress on joints especially weight-bearing joints like knees and hips,” says Eric Matteson, MD, chair of the rheumatology division at the Mayo Clinic in Rochester, Minn. He also quoted an example. If you are 10 pounds overweight, then it exerts 40 pounds of extra pounds on your knees. The daily exertion on knees causes pre-mature damage which leads to various knee problems.

Moreover, the fat accumulated in the active tissues produces inflammation-causing chemicals which affects your daily routine and life. In a recent study, 1 in 5 Americans has been diagnosed with arthritis, but according to the Centers for Disease Control and Prevention (CDC), that number jumps to more than 1 in 3 among obese people – and 2 out of 3 Americans are either overweight or obese. So, you know what to do, Right?

Why weight loss is necessary?

Shed those extra pounds to reduce the exertion on your knees, it will also ease your pain and reduce the chances of surgery later. In fact, weight loss is an excellent substitute for knee surgery for people suffering from knee pain.

How to lose weight without getting hurt?

Weight loss exercises can be excruciating if you are suffering from knee pain or osteoarthrosis. Your knees hurt when while exercising which is just like standing between the devil and deep blue sea. Each pound roughly counts for 3500 calories, and you can burn 125 calories a day and eat 125 fewer calories in the diet to make it 250 a day. Simple, Isn’t it?

You can try the following exercise to get rid of excessive weight.

Water Therapy

Water lighten up your body weight which reduces the pressure on knees when you engage in water exercise like swimming, water aerobics, walking laps and more. Also, water provides resistance to your muscles which burns more calories. Read fun exercise to lose weight.

Weight Loss Cardio Exercises

You can try walking, elliptical trainer or exercise like up and downs, hamstring stretch, calf raises, calf stretch, straight leg raises, hamstring curls, knee rolls. Such activities are soft on your knees and are a great help in burning calories.

Right Nutrition

You might not believe this, but nutrition has the power to reduce your knee pain as it helps in weight loss. The right food can bring more energy to your exercise routine and can strengthen your knees as well. You can talk to an expert nutritionist to know how diet can bring more strength to your knees.

Strength and Resistance training

Doing training two to three times a week using free weights or resistance bands stabilizes knee joints and burn calories as well. The muscles are denser than fat, a program of resistance exercise can help you lose inches. In addition to that, it could lessen your risk of osteoporosis.

Slimming studios can help you in losing weight with a range of non-invasive procedures and nutrition counselling. Drop into our centre to know more.

Stay tuned for more and follow us on Facebook, Twitter & Instagram to stay connected with our updates, tips, and tricks.

Read also: Chronic Pain & Weight Gain

World Heart Day: The Effects Of Obesity On Heart Health

Obesity puts a lot of pressure on your body. When you are overweight you feel tired easily even in a few steps. But that isn’t the only effect of obesity. In our earlier blogs on Slimming Studios and CPRR, we have frequently mentioned some of the stern side effects of obesity that include back and body pain, joint disarrays, increased insulin resistance, hypertension, and high cholesterol. Do you know that you could be at a greater risk of heart diseases because of long-term obesity? Yes, that’s true. Studies in medical science have tabled many pieces of evidence to bring this fact into the light.

In this blog, I attempt to enlighten my readers about the effects of obesity and overweight conditions on your heart.

There is no denying that obesity drags you closer to several severe health conditions. While some of these conditions make people’s life difficult, there are many that, if unaddressed, could even cause death. The human heart is a soft, important, and vulnerable organ. It is straight-forwardly affected by the lifestyle you lead. If your lifestyle is moderate, your heart’s health is moderately healthy.

Obesity is a prevalent problem in the United States as well as in the world. About 70% of the US adults are overweight. Obesity, at times, is an outcome of unregulated, undisciplined lifestyle. However, it develops into a disease, an incorrigible and difficult-to-treat disease over time.

Effects of obesity are plenty, including different types of diabetes; cardiovascular and artery diseases; cancer; depression; and abnormalities in lung and cognitive functions. Strokes and other heart-related disorders are also common among overweight individuals.

The relationship between heart and adiposity is complicated. Until the last decade, the connection between obesity and heart diseases were considered indirect. A fourteen-year-long, in-depth study conducted by the American Heart Association shows that women between 40 to 50 age group with a BMI between 23 and 25 are 50% more exposed to coronary heart diseases. The study also hints that men in 40 to 60 age-group with a BMI between 25 and 29 have 72% more chances of coronary heart diseases.

Therefore, maintaining a below 25 BMI is always recommendable during adulthood i.e. the late twenties and throughout thirties and forties. That goes for men and women both. Additionally, regulated diet and exercise plan should be practiced to obviate such possibilities.

Increased Risk of Heart Diseases

Now let’s talk about how obesity creates a chaos in the functions of your heart and sets your body on the path of critical heart diseases. It is evident that obesity is a common cause of many health conditions such as inactivity, hypertension, dyslipidemia, inadequate cholesterol levels, reduced glucose tolerance, and diabetes. According to medical science, these conditions are typically found during the early stages of coronary heart diseases. The severity and the risk on your heart increase with each point rise in your BMI.

Further, Left Ventricular Hypertrophy (LVH) also translates into a bigger problem. The muscle wall of your heart’s left pumping chamber, technically known as Ventricle, thickens owing to prolonged overweight conditions. The increased ventricular volume and the tension on the chamber’s wall magnify the stroke volume and cardiac output – a full-of-risk juncture of heart disorders. The changes in the wall tension and volume may even cause sudden death.

Hypertension is also a well-known health condition for people suffering from obesity. In fact, obese individuals are three times more likely to have hypertension. There is simple mathematics behind it. With your BMI, your blood pressure rises.

The left chamber of the heart is not the only part to become a victim of long-term obesity. The right part of the heart, too, gets adversely affected because of obesity. Dilatation, progressive dysfunction and ultimately, heart failure are a few conditions in the right pumping chamber of your heart encouraged by long-term overweight conditions.

In conclusion, I want to mention that it is possible to reduce the chances of heart disorder by controlling your weightbody fat, and shape. For that, noteworthy lifestyle changes would be required. Sometimes, a surgery may be required to cut the excess body fat out from your body.

Limiting or restricting sodium intakes can be greatly helpful. Both these practices can increase ventricle functions and oxygenation in an obese person’s body system. Studies indicate that taking a medical or surgical weight loss procedure could reduce the risk of mortality due to cardiovascular and heart-related diseases.

weight loss treatment should be determined only after assessing the medical condition and severity of obesity of an individual. In addition to that, we focus on treating other comorbidities that proceed or are proceeded by overweight conditions to ascend the effectiveness of weight loss efforts.

Healthy lifestyle modifications are imperative. These changes do include a healthy diet that is free from harmful elements and is low on the calorie count. Following a healthy lifestyle also require you to follow a training program that increases your everyday physical activity.

Let’s take a pledge on September 29, which is the World Heart Day, to get rid of obesity and cancel the chances of heart diseases!

Fighting Obesity in Old Age

Obesity In Old Age: Weight Struggles And Remedies For Seniors

Believe it or not, the world is gradually getting old. With old age comes an array of disorders and deformities including obesity. When old age and obesity knock your doors at the same time, there is a great risk on your health, leading towards many serious health conditions.

According to a study, “About 71% of Americans above 60 or older are either obese or overweight.” Meaning, they have higher (BMI ≥ 25 kg/m2) than the standard Body Mass Index.

If that was shocking, consider this fact from the same study, “The prevalence of obesity among seniors (of and above 75 years) went up from 20% in 1988 to 32% in 2000 in the United States.”

Aging is a natural process and a universal factor that can be neither denied nor reversed. However, the progression of human scientific development has given a boost to our lifestyle. Because of that, the life expectancy (the number of years one lives) has increased to an all-time high.

This factor has nothing to do with disease-free lifestyle, though. As you grow old, your body becomes home to countless diseases and weakened bones, muscles, and energy. These are not actually diseases, rather conditions or side-effects of aging.

Various bodily changes will surface as you reach 30. Your eating habits, appetite, food preferences, and how your body consumes and burns energy – everything changes significantly after thirty years of age.

The Causes of Obesity in Old Age –

The main reason why it is so easy for older people to gain fat and weight is, the energy burned is lower than the energy consumed by them. Physical activity increasingly decreases. That encourages the accumulation of fat aka obesity. Some other causes of old age obesity are –

  • Genetics
  • Environment and society
  • Lifestyle
  • Eating habits
  • Activity level (workouts and physical activities)

What Obesity Brings in Old Age?

Obesity is considered one of the reasons for various diseases in old age. These diseases include diabetes, hypertension, hypotension, arthritis, and different types of urinary and cardiovascular diseases, and even cancer. The following subsections highlight various health problems and abnormalities that happen to an elderly with obesity –


Tips to avoid obesity in old ageDiabetes:

Fasting Plasma Glucose and Postprandial Glucose levels climb up in the human body after 30. These two factors are responsible for diabetes, says medical science.

Metabolic Syndrome: 

Technically, it is a type of diabetes (to be specific: Noninsulin-Dependent Diabetes or Adult-Onset Diabetes). According to doctors at Slimming Studios, it is the strongest and strangest disease caused by extra body fat and mass. The chances of this disease are high in the obese elderly due to age-related physiological mechanisms.

Low/High Blood Pressure:

Hypotension and hypertension are very common in people suffering from obesity. When senescence and obesity come combined, it is no less than a curse to live with. Most obese elderly face ups and downs in their blood pressure levels.


Arthritis is an inflammation of joint(s) resulting in severe pain and limited functions of the body parts involved. Older people often have arthritis. The reason why they get this is somewhere behind their transformed lifestyle, eating habits, nutrient intakes, and digestive system. Due to suppressed appetite, most people feel full even in small meal portions. In that condition, nutrient supply to the body gets completely or partially blocked. Then, it becomes difficult for the body to bear the weight of the bones and muscles. Consequently, bones and joints become weaker and that’s how arthritis starts developing.

Cardiovascular Diseases:

The main reason for cardiovascular diseases (CAD) is inactivity. (Inactivity is also a cause of arthritis, by the way.) Studies suggest that obesity increases the hours of inactivity in an obese and elderly individual, which sooner or later prepares a solid ground for a range of cardiovascular diseases, coronary heart disease, and fatal and nonfatal infarctions.

Urinary Incontinency:

With the escalating BMI, urinary complications mount in older men and women both. Urinary incontinence is an exasperating diseased condition which is quite painful. It takes time to restore the urinary normalcy in older people.

Now you know the extent and intensity of problems that may occur in old as a consequence of obesity. In that picture, it becomes very important to make efforts starting from the early thirties and forties to outperform the possibilities of surplus body weight and fat conditions. Slimming Studios has specific programs available for weight loss and fat reduction for the elderly. You can reach us anytime to know more about weight management plans available specifically for you.

Before we conclude this blog, here are a few tips from Dr. Nisha Jain, Chief Medical Officer, at Slimming Studios, to help you avoid obesity in old and middle age –

  • Exercise regularly
  • Take healthy meals
  • Increase your nutrition intakes
  • Walk and grow your strength
  • Avoid overeating
  • Drink a lot of water

This blog was created in the wake of Senior Citizens Day which falls on August 21, 2017. Slimming Studios want to spread awareness and encourage the elderly, or those in 30-40 age group, suffering from obesity to make a move and get rid of it for a painless, disease-free life.

Connection between obesity and pain

Obesity and Pain: Is There A Connection?

The pain of being obese has no match. It drags downs an individual’s confidence level. A large number of people suffering from obesity also suffer from hardships at work and in relationships. And that’s a pain of its kind. But, pain because of being obese or overweight is an alarming situation. In this post, I’m going to talk about pain and obesity, to be specific, chronic pain!

Did you know, obesity and pain have a close connection? Here, I’m not talking about the pain that most obese people face because of lack of confidence. Rather, it is about the aching they go through because of their bulky and weighty body.

Yes, that’s true. Extra pounds do cause body pain. This is because your bones and joints aren’t strong enough to bear that load. In some people, the amount of pain is unbearable.

Hello there. I’m Dr. Nisha Jain, M.D. and Chief Medical Officer at Pain Center and Slimming Studios. I have seen people coming to us seeking treatment for backpain and joint pain. In a majority of cases, the root cause of body pain is their weight, which surpasses the standard BMI level.

Obesity and Pain

Many studies have evidenced that people who are overweight and obese often report acute body pain. However, the weight and size aren’t always the reason for pain.

Bulky and massy people are an easy target of an array of medical conditions that may lead to body and back pain. Diseases like arthritis and diabetes type 2 are also common among people putting up with obese and overweight body.
According to a research done by WHO on a large sample, “39% and 19% of young adults worldwide are overweight and obese, respectively.”

In the US, 69%, the data presented was even more shocking. “Out of 9000 survey participants, 69% adults were either overweight or obese.” Among those sixty-nine percent people, most suffered from diabetes, cardiovascular diseases, and many related medical problems, and evidently, chronic pain.
Pain conditions and pain complaints are common in people with obesity. The likelihood of pain complaint in morbidly obese adults, teens and children is four times high. The pain they get is not just limited to backpain. Headache, neck pain, fibromyalgia, abdominal pain, and muscle pain are the most commonly reported complaints by obese individuals. The intensity of pain rises as the BMI goes up.

Osteoarthritis, put simply, joint pain, is also a prevalent condition that haunts obese people. As per the National Center for Biotechnology Informationwebsite, there are over 27 million patients of osteoarthritis in the United States. Many studies document that there is a connection between joint pain and obesity. In fact, it is one of the major reasons behind the rising number of knee replacement in US. Meaning, increasing weight not only causes pain, but also weakens your joints.

Pain too causes Obesity!

Presenting a contradiction, some researches also evidence that long-term pain conditions can also cause obesity. Pain without a doubt is a stressful condition. And that there’s no denying that most individuals tend to eat more in stress. Pain is also a cause of lack of sleep, inactive lifestyle, and medicinal side-effects – that altogether may lead to weight and fat gain.

Reduced Pain Sensitivity

Reports indicate that obesity decreases pain sensitivity, specifically in abdominal area, arms, and fingers. What does that mean? Well, decrement of pain sensitivity connotes some serious damage to body structure happening and you have no idea about that, because you don’t sense any pain or you feel a slight pain that you ignore it.

Factors That Connect Obesity and Pain-

Rise in BMI or load on joints (bones) is a key factor that causes pain in obese or turning obese people, alongside increasing the risk of disk compression.

Depression:- Depression leads to overeating and inactivity, which cause obesity.

Sleep Deprivation:- This also is an outcome of depression. We have a brilliant article on Slimming Studios – Sleep Helps in Weight Loss! Here’s How – that talks about how getting good sleep helps prevent obesity. Lack of sleep causes obesity and sleep is often deprived due to pain (whether physical or emotional). Sleep is a very important factor in pain rehabilitation. So, the most important thing that needs to be fixed is your sleeping routine.

Lifestyle:- Inactivity is a prominent reason of pain and obesity. Teens follow a weird lifestyle – Eat, Sleep, Repeat – these days. Their physical activities are limited to school and college mostly. This lifestyle one way or another prepares a solid ground for obesity starting from teenage, young adulthood, and thirties and so on. Significance of active lifestyle is undeniable. Sedentary or no activity blocks or hinders the activity of joints – leading to chronic backpain in even in an early age.

As you can see, lifestyle habits are mainly responsible for setting your life in motion. Inactivity, overeating, and sleep deprivation have a huge impact on your body shape and weight. However, genetics too plays a crucial role in your shape and size, but it is up to you to maintain your BMI and avoid such situations from signifying into an incorrigible condition.

Pain can be rehabilitated, but the side-effects medications have on you are beyond repair. Similarly, good sleep is achievable with pills. However, what these pills will do in long term is unequivocally painful. Therefore, I always insist on natural ways and sources to rehabilitate pain and reduce weight.

Diabetes and obesity


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