Chronic Pain and HIV: A Practical Approach

by Angela G. Giovanniello, Jessica S. Merlin (Editor), Peter A. Selwyn (Editor), Glenn J. Treisman (Editor)

Overview

CHRONIC PAIN AND HIV:
a practical approach

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 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 with 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.

Product Details

ISBN-13:	9781118777411
Publisher:	Wiley
Publication date:	05/19/2025
Pages:	192
Product dimensions:	6.60(w) x 9.70(h) x 0.60(d)

About the Author

Jessica S. Merlin, MD, MBA, Assistant Professor, Department of Medicine, Division of Infectious Diseases, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham

Peter A. Selwyn, MD, MPH, Professor, Department of Family and Social Medicine, Professor, Department of Internal Medicine, Professor, Department of Epidemiology and Population Health, Albert Einstein College of Medicine

Glenn J. Treisman, MD, PhD, Professor, Department of Psychiatry and Behavioral Sciences, Professor, Department of Internal Medicine, Johns Hopkins University School of Medicine

Angela G. Giovanniello, PharmD, AAHIVP, Department of Family and Social Medicine, Albert Einstein College of Medicine

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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

HIV97

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

 

Editorial Reviews

"This book provides an excellent summary of the current literature on advances in the treatment of pain associated with HIV. Although a number of books address HIV/AIDS or pain management, Chronic Pain and HIV: A Practical Approach achieves the objective of addressing pain management in the context of patients with HIV...I believe this book should be required reading for every pain physician, researcher, resident, certainly every medical student, and even patients with HIV-related pain." (Anesthesia & Analgesia journal June 2017)

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