Editorial Commentary: When Global Pain Meets Local Repair: Fibromyalgia and Hip Arthroscopy Demands Multimodal Care.

Abstract

Hip arthroscopy has proven to be beneficial for numerous patient populations. The currently limited literature regarding hip arthroscopy in patients with fibromyalgia shows promising early outcomes, suggesting that patients with fibromyalgia attain benefit from hip arthroscopy. Therefore, a diagnosis of fibromyalgia does not directly contraindicate hip arthroscopy. However, this does not negate the necessity for careful planning and expectation setting in patients with fibromyalgia. A multidisciplinary approach may provide substantial benefit to this population, as pain regiments require careful curation and the possibility of complex pharmacotherapy. Although findings in the short-term are positive, more studies confirming these findings and longer-term studies are required to attain a comprehensive understanding regarding optimizing outcomes of hip arthroscopy in the setting of fibromyalgia.