https://www.mdpi.com/2072-6643/12/10/3216/htm
"There seems to be a strong relationship between obesity and pain [4]. Usually, the association between overweight and musculoskeletal pain has been attributed to an increase in the mechanical stress caused by overweight in load bearing joints. However, the literature also shows an association between pain and overweight in joints that do not support load [3,5,6,7,8,9]. For example, associations between overweight and symptomatic osteoarthritis of the hand [5], shoulder and neck pain [6], the number of episodes and intensity of migraine attacks [7,8], even with neuropathic pain [9] have also been described. Thus, the relationship between overweight and musculoskeletal pain appears to be at least, in part, independent of the mechanical overload and probably involves systemic phenomena."
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