Abstract
The abdominal wall is frequently overlooked as a potential source of chronic abdominal pain. In anterior cutaneous nerve entrapment syndrome (ACNES), irritated intercostal nerves cause severe abdominal pain. Current textbooks fail to acknowledge ACNES. Aim of the present review is to provide detailed information on patient history, physical examination, and a three-step treatment protocol including abdominal wall injections and a localized removal of terminal branches of intercostal nerves.
Keywords:
Abdominal wall; Nerve entrapment; Neurectomy; Neuropathic pain.
Publication types
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Historical Article
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Review
MeSH terms
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Abdominal Pain / etiology
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Abdominal Pain / therapy
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Abdominal Wall / innervation*
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Chronic Pain / etiology
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Chronic Pain / therapy
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History, 19th Century
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History, 20th Century
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History, 21st Century
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Humans
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Intercostal Nerves / anatomy & histology*
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Intercostal Nerves / drug effects
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Intercostal Nerves / surgery
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Nerve Compression Syndromes / complications
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Nerve Compression Syndromes / diagnosis*
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Nerve Compression Syndromes / history
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Nerve Compression Syndromes / therapy
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Neuralgia / diagnosis*
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Neuralgia / etiology
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Neuralgia / history
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Neuralgia / therapy
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Pain Measurement