Doctor Suggests Extreme Weight Loss for Severe Pain

Went to a pain management doctor for severe leg and back pain to the point I can barely walk at times. He suggested "extreme weight loss". I tried to explain that I have lost alot and am still loosing because I diet and exercise. He told me people use excersise as a crutch to eat a cupcake that its about dieting. Once again I am too "something" to help. I am too young for knee replacement and even if I were the right age I weigh too much. I wish I was worth helping to doctors but sadly it seems I never am and never will be.I work my A$$ off exercising and diet, I've lost over 60lbs in less than a year and my pain is getting worse not better and all they ever say is loose weight. I just want my pain to end.