Neuropathy: An HIV-Related Pain Problem

Today's post from paulchristomd.com (see link below) looks at the remarkably high incidence of neuropathy associated with HIV infection. The article mentions a figure of 30% of all people living with HIV, also contracting neuropathy but you will find many experts quoting figures of up to 45% and 50%. Neuropathy can arise from the virus itself attacking the nervous system; or long-term HIV drug use, or any of the other 100 causes that affect the rest of the population. Whatever the accuracy of the statistics, it is clearly a problem for HIV patients and one that is widely underestimated and often poorly treated. Worth a read.
 

Peripheral Neuropathy and HIV-Associated Nerve Pain 
Pain Medicine Specialist, Dr. Paul Christo 2015
 
Most people in the U.S. are aware that HIV (human immunodeficiency virus) causes AIDS, but many might not know that the condition itself and medications associated with HIV/AIDS can end up causing severe pain for those who suffer from it. According to AVERT, a UK-based HIV and AIDS charity, neuropathic pain affects approximately 30 percent of people with AIDS.

Like other serious health issues, such as cancer and diabetes, HIV can cause damage to the peripheral nerves of the body. Symptoms are usually felt in both feet or both hands and can progress up the body in a “stocking and glove” pattern. Minor everyday injuries like a paper cut or sunburn injure these nerves in healthy people. However with a condition like HIV, this nerve damage can lead to burning pain, numbness, or even paralysis. Patients may also feel numbness, tightness, or clumsiness. According to The Peripheral Nerve Center at Johns Hopkins, peripheral neuropathy is one of the most frequent neurological complications of an HIV infection.

On a past episode of Aches and Gains, I spoke with Hotchkiss Brain Institute neurologist and neuroscientist, Dr. Douglas Zochodne. He is a pioneer in the field of nerve regeneration whose work centers around stimulating nerve re-growth in an effort to restore sensory and motor function, as well as ease pain. It’s the work of Dr. Zochodne and other medical pioneers that may give patients who suffer from neuropathic pain of various types some relief and the ability to live a fuller life.

GBS is a condition that can be associated with HIV (and Lupus); it attacks the nervous system and can cause painful, stinging, needle-like sensations along with numbness and weakness. GBS is also referred to as Chronic Acute Inflammatory Demyelinating Polyneuropathy (CIDP) and Landry’s Ascending Paralysis. The cause of GBS/CIDP is unknown, but those with HIV-associated GBS are typically treated similarly to other GBS patients.

Treatment of HIV/AIDS-associated neuropathy varies greatly depending on the level and type of pain. Often, doctors use medicines like gabapentin (Neurontin), pregabalin (lyrica), or duloxetine (cymbalta) and see pain improvement. Peripheral neuropathy caused by certain medications is often treated by reducing the dosage of the drug or completely eliminating it. Though in some cases the damage may be permanent, many patients start to feel less neuropathic pain within a few weeks or months after stopping the medication.

The month of June features two annual observances of HIV/AIDS awareness: National Caribbean-American HIV/AIDS Awareness Day on June 8 and National HIV Testing Day on June 27. For more information on HIV/AIDS neuropathy, visit The Foundation for Peripheral Neuropathy website.

Learn more about nerve pain by listening to podcasts from previous Aches and Gains episodes:
The Mystery of Chronic Inflammatory Demyelinating Polyneuropathy (CIPD)
The Miracle of Nerve Restoration
Painful Diabetic Neuropathy

Each week on Aches and Gains radio show, I outline a new pain source, what causes it, who can be affected, and most importantly, how it can be treated or managed. Visit the radio show page for a complete list of podcasts for past episodes. Tune into Aches and Gains every Saturday at 5 p.m. and 5:30 p.m. on SiriusXM Family Talk Radio Channel 131.

http://www.paulchristomd.com/peripheral-neuropathy-and-hiv-associated-nerve-pain/