Main 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:

List of Contributors

1. Epidemiology of Chronic Pain in HIV–Infected Individuals

2. Pathophysiology of Chronic Pain in Individuals with HIV

3. Musculoskeletal Pain in Individuals with HIV

4. Headache in Individuals with HIV

5. HIV and Peripheral Neuropathy

6. Common medical comorbid conditions and chronic pain in HIV

7. Psychiatric Comorbidities among individuals with HIV and chronic pain

8. Comorbid substance use among HIV–infected individuals with chronic pain

9. Treatment of chronic pain syndromes in the HIV–infected person

10. Potential benefit and harm of prescription opioids in HIV

11. Safer opioid prescribing in HIV–infected patients with chronic pain

12. Communicating about chronic pain assessment, diagnostic testing, and management in individuals with HIV

13. The difficult patient with HIV and chronic pain

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

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

16. Disparities and Barriers in Management of Chronic Pain among Vulnerable Populations with HIV Infection

Index