Chronic Pain and HIV. A Practical Approach

Description

Chronic pain pain that lasts for more than 3 months, beyond the period of normal tissue injury is common in individuals with HIV. Chronic pain significantly impacts physical function, quality of life, and HIV health behaviors such as adherence to antiretroviral therapy and retention in HIV primary care, and is associated with significant psychological/social distress and substance use disorders.

Chronic Pain and HIV: A Practical Approach is a guide to diagnosis, evaluation, and management of the individual with HIV and chronic pain. Key topics include:

– Pathophysiology of chronic pain in individuals with HIV
– Musculoskeletal pain in individuals with HIV
– Psychiatric and substance use comorbidities among individuals with HIV and chronic pain
– Treatment of chronic pain syndromes in the HIV–infected person
– Potential benefit and harm of prescription opioids in HIV, including safer opioid prescribing practices
– Communicating about chronic pain assessment, diagnostic testing, and management in individuals with HIV
– The difficult patient with HIV and chronic pain
– Pain at the end of life in individuals with AIDS

Edited by an outstanding team with extensive experience with HIV, chronic pain, and palliative care, every chapter is written by an expert in their chosen topic who provides a thorough review of the relevant literature, and practical strategies relevant to the front–line clinician.

Contents

Foreword vii

About the editors ix

List of contributors xi

1 Epidemiology of chronic pain in HIV-infected individuals 1

2 Pathophysiology of chronic pain in individuals with HIV 7

3 Chronic pain assessment, diagnostic testing, and management, with an emphasis on communication about these topics to individuals with HIV 16

4 HIV and chronic pain: musculoskeletal pain 27

5 Headache in HIV 38

6 HIV and peripheral neuropathy 51

7 Common medical comorbid conditions and chronic pain in HIV 63

8 Psychiatric comorbidities among individuals with HIV and chronic pain 71

9 Comorbid substance use among persons with HIV and chronic pain 78

10 Pharmacologic and Non-Pharmacologic treatment approaches to chronic pain in individuals with HIV 97

11 Potential benefits and harms of prescription opioids in HIV 113

12 Safer opioid prescribing in HIV-infected patients with chronic pain 123

13 The “difficult patient” with HIV and chronic pain, 137

14 HIV-related pain in low- and middle-income countries with reference to sub-Saharan Africa 150

15 Pain at the end of life in individuals with AIDS 157

16 Disparities and barriers in management of chronic pain among vulnerable populations with HIV infection 165

Index 177