I am not at all surprised that weight has been since around puberty, but it is excellent that it is considerably lower than when it was at its highest. Lowering it as much as possible (even 1 pound a week or every week) is better than gaining 1 pound a month. And staying at 350 is better than going up at all.
So while I know you aren't going to drop to 180 lbs, the more you do to keep your weight down or even maintained the better. Set reasonable goals, and don't think that just because you lose 5 pounds in 1 months that it has no effect. Just remember that fat is not very dense so losing 5 pounds can make a difference. Gaining 5 pounds can also make a difference - so just try to keep that in mind.
Your doctor should have checked your thyroid by doing a blood test. It might be worth having it checked by an endocrinologist as there are some subtle changes that can occur with the thyroid (including causing it to be too slow) that can only be detected by doing more sophisticated tests than the usual thyroid function tests done by internists.
In fact, if your thyroid hormone is low or your testosterone level is low (which can happen in obese men because fat tissue tends to make estrogen which can inhibit the production of testosterone) you may need to take medication for either of these problems which can lead to weight gain and decreased muscle mass.
Regarding the pain you are experiencing, you need to see a neurologist to have it properly diagnosed and treated. This is the best chance you have of finding an answer and getting better.
Good luck,
Dr. Michael
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