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HIV and Chronic Pain: The Emerging Role of Physical Therapy

HIV and Chronic Pain: The Emerging Role of Physical Therapy RESEARCH ROUND-UP HIV and Chronic Pain: The Emerging Role of Physical Therapy Sara D. Pullen, DPT, MPH, CHES Associate Professor, Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA Human imimunodeficiency virus (HIV) has been Prescription opioid misuse appears to be higher shown to increase the risk for chronic pain, affecting among PWH than in the general population. The rea- an estimated 39% to 85% of people living with HIV son for this is likely multifactorial, including the inter- (PWH) compared with approximately 11% of the general action of antiretroviral and opioid medications, increased 1-4 population. Chronic pain etiology among PWH is incidence of pain among PWH, and adverse psychologi- 5-7 multifactorial, resulting from disease progression, chronic cal histories such as trauma, depression, and anxiety. inflammation, nerve damage, and side effects from Some antiretroviral medications can interact with opioid antiretroviral therapy (ART). Chronic pain has emerged pain medication, leading to lower effective dose and un- as a treatment priority for PWH and is associated with treated pain. PWH with a history of drug use are more psychological and functional morbidity, decreased use likely to present clinically with pain and—even when pre- of ART, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Rehabilitation Oncology Wolters Kluwer Health

HIV and Chronic Pain: The Emerging Role of Physical Therapy

Pullen, Sara D.
Rehabilitation Oncology , Volume 38 (2) – Apr 1, 2020
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References (16)

Publisher
Wolters Kluwer Health
Copyright
© 2020 Academy of Oncologic Physical Therapy, APTA.
ISSN
2168-3808
eISSN
2381-2427
DOI
10.1097/01.REO.0000000000000212
Publisher site
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Abstract

RESEARCH ROUND-UP HIV and Chronic Pain: The Emerging Role of Physical Therapy Sara D. Pullen, DPT, MPH, CHES Associate Professor, Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA Human imimunodeficiency virus (HIV) has been Prescription opioid misuse appears to be higher shown to increase the risk for chronic pain, affecting among PWH than in the general population. The rea- an estimated 39% to 85% of people living with HIV son for this is likely multifactorial, including the inter- (PWH) compared with approximately 11% of the general action of antiretroviral and opioid medications, increased 1-4 population. Chronic pain etiology among PWH is incidence of pain among PWH, and adverse psychologi- 5-7 multifactorial, resulting from disease progression, chronic cal histories such as trauma, depression, and anxiety. inflammation, nerve damage, and side effects from Some antiretroviral medications can interact with opioid antiretroviral therapy (ART). Chronic pain has emerged pain medication, leading to lower effective dose and un- as a treatment priority for PWH and is associated with treated pain. PWH with a history of drug use are more psychological and functional morbidity, decreased use likely to present clinically with pain and—even when pre- of ART,

Journal

Rehabilitation Oncology – Wolters Kluwer Health

Published: Apr 1, 2020

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