Which are the symptoms of Anterior Cutaneous Nerve Entrapment Syndrome (ACNES)?
See the worst symptoms of affected by Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) here
Symptoms of Anterior Cutaneous Nerve Entrapment Syndrome (ACNES)
Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) is a condition characterized by chronic abdominal pain caused by entrapment or irritation of the anterior cutaneous branches of the lower thoracic intercostal nerves. This condition is often underdiagnosed and can significantly impact a person's quality of life. The symptoms of ACNES can vary in intensity and location, but they typically manifest as:
1. Abdominal Pain:
The most prominent symptom of ACNES is chronic abdominal pain. The pain is usually localized to a specific area of the abdomen, often described as a sharp, stabbing, or burning sensation. The pain may worsen with movement, physical activity, or pressure on the affected area.
2. Tender Trigger Points:
ACNES is characterized by the presence of tender trigger points, which are specific areas on the abdomen that are hypersensitive to touch. These trigger points are usually located along the course of the intercostal nerves and can be identified by palpation.
3. Altered Sensation:
Some individuals with ACNES may experience altered sensation in the affected area. This can include numbness, tingling, or a pins-and-needles sensation. The altered sensation may be intermittent or constant.
4. Localized Muscle Twitching:
In some cases, ACNES can cause localized muscle twitching or fasciculations in the abdominal wall. These involuntary muscle contractions may be visible or palpable and can contribute to the discomfort experienced by individuals with ACNES.
5. Pain Aggravation:
The pain associated with ACNES can be aggravated by certain activities or movements. Common triggers include bending, twisting, coughing, sneezing, or any action that puts strain on the abdominal muscles. The pain may also worsen after prolonged periods of sitting or standing.
6. Absence of Other Pathologies:
It is important to note that ACNES is a diagnosis of exclusion, meaning that other potential causes of abdominal pain should be ruled out before considering ACNES. This may involve various diagnostic tests, such as imaging studies, blood tests, or gastrointestinal evaluations.
Early recognition and accurate diagnosis of ACNES are crucial for effective management and relief of symptoms. If you are experiencing chronic abdominal pain or suspect you may have ACNES, it is recommended to consult with a healthcare professional who can evaluate your symptoms, perform a thorough examination, and determine the most appropriate course of treatment.
* the pain can be pointed out with one finger. Mostly on the right side of your belly button. (Some times also on the left side on a symmetric height)
* you have really heavy pains in your abdominal wall
* your belly/stomach sometimes bloats (that also makes you nauseous and don't want to eat)
* the pain is always there
* the pain is neuropathic pain (because a nerve is blocked in the abdominal wall)
* the pain can feel like a stabbing, irritating pain
Unilateral locoregional pain at the abdominal wall lasting for at least 1 month
The presence of a unilateral tender spot at the abdominal wall (a trigger point of <2 cm2 fingertip area of maximal tenderness, localized at the lateral border of the rectus abdominis)
A positive Carnett’s test
A positive skin pinch test and/or altered skin perception to light touch and/or cold at the area of the most intense pain
Normal laboratory findings with no indication of inflammation or infection, and in the absence of any surgical cause of pain
Negative imaging of the abdominal wall
Temporary positive relief in pain response of at least by 50% after injecting a local anesthetic (usually lidocaine) at the diagnostic trigger point.
Posted Aug 11, 2018 by Hiltje 3770
