What are the best treatments for Anterior Cutaneous Nerve Entrapment Syndrome (ACNES)?

The most common treatment for ACNES are (lidocaïne) injections after a positive Carnets test, finger pinch and cotton swab test. If the injection works within 15 minutes than you officially will get, most of the time, the diagnosis for ACNES. If the injection has a long time effect you will get them multiple times. If not, you will get prescriped a TENS (Transcutane Electric Nerve Stimulator) and maybe even medication (amitriptyline, gabapentine, lyrica, oxycodone, oxynorm, etc). If that doesn't has the effect you and the doctor hoped for than you will get PRF (Pulsed Radio Frequency), during this treatment they will locate the nerve that is hurting you. They to this is with test pulses and when they are in the right spot they will treat the nerve for about 2,5 to 3 minutes at ta higher frequency. If PRF doesn't has the effect that is wished for than they will do surgery. That will be front neurectomy. Than they will make a little incision in your stomach and follow the belly muscle. Than they cut a little piece out of the nerve that is blocked and than the pain signal will be gone and you won't feel pain again. Afterwards you can feel phantompain for about three months and some times longer. If this first surgery doesn't work you will get some times a second surgery, that is a backwards neurectomy. Than they will also make an incision in your stomach or use the incision you already have and lift up the belly muscle and cut a piece out of the nerve that is blocked. When you have POCNES (Posterior Cutaneous Nerve Entrapment Syndrome) than they will do this same procedure through your back though, but not with ACNES.