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Fibromyalgia and Hysterectomy Recovery

From the Hysterectomy Recovery Articles List

Fitness and Wellness after hysterectomyAny hysterectomy and recovery tips for those with fibromyalgia?


The following techniques have been used with success for preventing and easing what FMS patients recognize as a “fibro-flare” after a hysterectomy. Surgery, trauma, stress, and lack of sleep are all factors that can trigger a flare. A hysterectomy and its effects on the body can cause an already pain-sensitive patient to go into overload. The following suggestions can help FMS make their operation and recovery time easier for hysterectomy patients:
  • If you are to be intubated, request that you wear a soft neck collar and that neck hyperextension be minimized.

  • Ask to be administered a pre-op opioid pain medication, about 1-1/2 hours before surgery. Opioids are morphine or morphine-related drugs. The reason for pre-op use is to minimize central sensitization as this inevitably worsens the widespread pain that you are already experiencing.

  • As a fibromyalgia patient you will need more, and usually a longer-acting, post-op pain medication. In most cases this medication should be given on a timely schedule or self-administered with a PCA (patient controlled analgesia) pump.

  • Ask to have a long-acting local anesthetic infiltrated into your incision. Even though you are under sedation, this can minimize pain impulses reaching the spinal cord and brain.

  • Request that your arm with the IV line be kept close to your body, not away and not over your head.

  • Most fibromyalgia patients require a longer duration of post-op convalescence, which may include physical therapy in many cases.

When you get home, you will need to monitor your pain carefully. Make sure to talk to your medical team about all medications you will be taking for surgical pain and fibromyalgia symptoms. Make sure you will have adequate pain control without overmedicating. Also, be on the alert for any symptoms signifying that you may have an infection so you and your doctor can treat it quickly.

When released to do so, be sure to walk as a light form of exercise. Staying in one position too long could cause you to stiffen, increasing your fibromyalgia symptoms. Moving about the house a bit and changing positions can be helpful, as long as you don't overdo it. As always, drink plenty of fluids and follow a balanced diet to keep your body as healthy as possible.

For some fibromyalgia patients, physical therapy is a helpful part of recovery. This can help keep your muscles from tightening during your extended recovery time.

You, your surgeon, and the doctor who manages your fibromyalgia will need to be a team during your hysterectomy journey. It is your responsibility to communicate openly with both doctors so they can quickly pinpoint and treat any issues that may arise.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

05-08-2003 - 12:27 PM


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