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How do I know if I have Anterior Cutaneous Nerve Entrapment Syndrome (ACNES)?

What signs or symptoms may make you suspect you may have Anterior Cutaneous Nerve Entrapment Syndrome (ACNES). People who have experience in Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) offer advice of what things may make you suspicious and which doctor you should go to to receive treatment

Do I have Anterior Cutaneous Nerve Entrapment Syndrome (ACNES)?
2 answers
The symptoms for this syndrome are:
* 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
There are questionnaires patients can fill out with specific questions. The most notable symptoms are- a positive Carnett's sign. The pain can be pinpointed within a small area usually within a couple of centimeters in size. The pain is always in the same spot. Pain is increased when the pain area is pushed on. The pain is moderate to severe.

Posted Jun 22, 2020 by Samantha 1350

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