People living with HIV (PLH) may be at increased risk of experiencing both chronic pain and opioid dependence. Physical therapy (PT) has been shown to be effective as a nonpharmacological strategy for mitigating chronic pain in the general population, however, there is gap in research investigating PT to reduce chronic pain and opioid use among PLH. This case series describes the feasibility of an innovative PT intervention to decrease chronic pain and opioid use at a multidisciplinary human immunodeficiency virus (HIV) clinic. Participants (n = 4) were evaluated and given an individualized PT “package” consisting of manual therapy, exercise prescription, Transcutaneous Electrical Nerve Stimulation, and pain coping strategies. Pre- and postintervention outcomes were measured for pain reports, opioid use, and quality-of-life measures. After the intervention, all participants reported decrease or total elimination of both pain measured on the 0–10 numerical rating scale and opioid use measured in morphine milligram equivalents (MME). A paired t-test showed a significant difference (<.05) in the preintervention and postintervention pain scores and MME values. Results of this case series suggest in this sample that the described PT intervention is a feasible approach to mitigating chronic pain and opioid use among PLH and should be implemented on a larger scale for maximal effect.

中文翻译：

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乔治亚州亚特兰大人类免疫缺陷病毒感染者慢性疼痛缓解和阿片类药物使用减少的物理治疗：描述性案例系列。

HIV 感染者 (PLH) 可能面临更大的慢性疼痛和阿片类药物依赖风险。物理治疗 (PT) 已被证明是缓解一般人群慢性疼痛的有效非药物策略，但是，在研究 PT 以减少 PLH 中的慢性疼痛和阿片类药物使用方面存在差距。本案例系列描述了在多学科人类免疫缺陷病毒 (HIV) 诊所进行创新 PT 干预以减少慢性疼痛和阿片类药物使用的可行性。参与者 ( n = 4) 进行评估并给予个性化的 PT“包”，包括手法治疗、运动处方、经皮神经电刺激和疼痛应对策略。测量了疼痛报告、阿片类药物使用和生活质量指标的干预前和干预后结果。干预后，所有参与者都报告说，以 0-10 数字评分量表衡量的疼痛和以吗啡毫克当量 (MME) 衡量的阿片类药物使用均减少或完全消除。一对t- 测试显示干预前和干预后疼痛评分和 MME 值存在显着差异 (<.05)。该案例系列的结果表明，在该样本中，所描述的 PT 干预是减轻 PLH 中慢性疼痛和阿片类药物使用的可行方法，应在更大范围内实施以获得最大效果。