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Musculoskeletal Pain in People Aging With HIV: A Global Narrative Review
Stacey M Cahoon1,2,3,4,5, Julie Bobitt1,2,3,4,5, Kathleen M Weber1,2,3,4,5
1Stacey M. Cahoon, PhD, is a Postdoctoral Fellow, Department of Anatomy & Cell Biology, Rush University Medical Center, Chicago, Illinois, USA.
Musculoskeletal (MSK) pain is common in aging people with HIV (PWH). More research is needed to understand HIV
Area of Science:
- Rheumatology
- Infectious Diseases
- Pain Management
Background:
- Musculoskeletal (MSK) pain is a prevalent, age-related condition.
- People with HIV (PWH) experience high rates of chronic pain, with MSK pain being the most common source and joints the most frequent site.
- As the PWH population ages, MSK pain presents a growing clinical and quality of life challenge.
Purpose of the Study:
- To review current knowledge on MSK pain in PWH.
- To identify critical knowledge gaps in understanding and managing MSK pain in this population.
Main Methods:
- Literature review of existing studies on MSK pain in PWH.
- Analysis of risk factors for MSK pain, considering their prevalence in PWH.
- Assessment of the limited comparative studies examining the effects of HIV and antiretroviral therapy (ART) on MSK pain.
Main Results:
- Established risk factors for MSK pain are frequently observed in PWH.
- Few studies specifically address MSK pain in PWH, and most lack adequate comparison groups.
- The direct impact of HIV and ART on MSK pain remains poorly understood.
Conclusions:
- MSK pain is a significant concern for aging PWH.
- Further research is essential to elucidate the role of HIV and ART in MSK pain.
- Understanding the interplay of biopsychosocial factors is crucial for developing effective pain management strategies.
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