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What is Anterior Cutaneous Nerve Entrapment Syndrome (ACNES)
Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) description. Find out what Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) is and know more about it.
Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) is a condition characterized by chronic abdominal pain caused by entrapment or irritation of the anterior cutaneous nerves. These nerves are located in the abdominal wall and can become compressed or trapped, leading to localized pain. ACNES is often underdiagnosed or misdiagnosed due to its similarity to other abdominal conditions.
Symptoms of ACNES typically include a sharp or burning pain in the abdominal area, which may worsen with movement or pressure. The pain is usually localized to a specific area and can be accompanied by tenderness or sensitivity to touch. It may also radiate to the back or groin.
Diagnosis of ACNES involves a thorough medical history, physical examination, and ruling out other potential causes of abdominal pain. The Carnett's test, where the patient tenses their abdominal muscles while the doctor palpates the painful area, can help differentiate ACNES from other conditions.
Treatment options for ACNES include conservative measures such as rest, physical therapy, and pain management techniques. In some cases, nerve blocks or surgical interventions may be considered if conservative measures fail to provide relief.
If you are experiencing chronic abdominal pain, it is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment.
Diseasemaps
Anterior cutaneous nerve entrapment syndrome (ACNES) is a commonly underdiagnosed and undertreated chronic state of pain. This syndrome is characterized by the entrapment of the cutaneous branches of the lower thoracoabdominal intercostal nerves at the lateral border of the rectus abdominis muscle, which causes severe, often refractory, chronic pain. This narrative review aims to identify the possible therapeutic strategies for the management of the syndrome. Seventeen studies about ACNES therapy were reviewed; of them, 15 were case–control studies, case series, or case reports, and two were randomized controlled trials. The presently available management strategies for ACNES include trigger point injections (diagnostic and therapeutic), ultrasound-guided blocks, chemical neurolysis, and surgical neurectomy, in combination with systemic medication, as well as some emerging techniques, such as radiofrequency ablation and neuromodulation.
Posted Aug 11, 2018 by Hiltje 3770
