Perioperative opioid-minimization approach as a useful protocol in the management of patients with Ehlers-Danlos syndrome-hypermobility type, craniocervical instability and severe chronic pain who are to undergo occipito-cervical fixation.
Ramírez-Paesano, Carlos, Rodiera Clarens, Claudia, Sharp Segovia, Allan et al.·Orphanet journal of rare diseases·2023
Some people with Ehlers-Danlos syndrome (a connective tissue disorder) develop neck instability that causes severe pain and fatigue similar to ME/CFS. This review examines how doctors can better manage pain during and after neck surgery in these patients by using less opioid medication and combining multiple pain-relief strategies instead, because opioids often don't work well and can actually make pain worse in these cases.