Patients suffering from HIV/AIDS often experience chronic pain due to the many diseases and infections they pick up as a result of a weakened immune system. It interferes with their quality of life and physical functioning, impacts adherence to antiretroviral therapy and HIV primary care, and is associated with significant psychological/social distress and substance use disorders.
Chronic Pain and HIV addresses all these complex issues that can influence pain care that can influence pain care for the patient with HIV and acts both as a primer and a comprehensive review to define the field of chronic pain management. Using a clear, clinical approach, key topics include the following:
Musculoskeletal pain in individuals in HIV
Headache in individuals with HIV
Psychiatric comorbidities among individuals with HIV and chronic pain
Potential benefit and harm of prescription opioids in HIV
Pain at the end of life in individuals with AIDS
Treatment of chronic pain syndromes in the HIV-infected person.
Edited by an outstanding team with extensive experience in HIV/AIDS and pain/palliative care, every chapter is written by a world-famous expert in their field who provides a thorough review of the relevant literature, including the very latest in management guidelines from the leading international societies.
Perfect for all those in primary care, as well as infectious disease specialists managing patients with HIV/AIDS, Chronic Pain and HIV provides sensible, straightforward clinical advice to ensure the best possible patient management.
Table of 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
