What is the role of alternative therapies in the treatment of HIV-associated distal painful sensorimotor polyneuropathy?

Updated: Aug 08, 2019
  • Author: Florian P Thomas, MD, PhD, MA, MS; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Answer

Answer

In a phase II, double-blind, placebo-controlled, crossover trial by Ellis et al, adjunctive smoked cannabis was generally well tolerated and effective for refractory pain from HIV-associated distal painful sensorimotor polyneuropathy. [35] Regulatory concerns limit the utility of this approach in many parts of the world.

Brief hypnosis may have a role in painful HIV distal sensory polyneuropathy. [36]

Acupuncture and moxibustion reduced symptoms in a small sample. [20]  Lower extremity night splints also reduce pain. [37, 38]


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