Evaluation of a Patient with Fibromyalgia Prior to Elective Orthopedic Surgery

Patient selection: elective orthopedic surgery in a patient with fibromyalgia

The patient may be at increased risk for:

(1) greater pain

(2) prolonged opioid use

(3) more difficult rehabilitation

(4) lower satisfaction

(5) impaired sleep

(6) medical and/or surgical complications

The patient should:

(1) be informed of possible problems following surgery

(2) have alternative nonsurgical methods of therapy tried if possible

(3) be encouraged to have prehabilitation prior to surgery

(4) have aggressive rehabilitation after surgery