Dorsal Root Ganglion Stimulation for Patients with Refractory Pain Due to Anterior Cutaneous Nerve Entrapment Syndrome: A Case Series.

Pain Practice ◽  
2021 ◽  
Author(s):  
Philippe Bral ◽  
Iris Smet ◽  
Ali Jerjir ◽  
Marieke Devos ◽  
Jean‐Pierre Van Buyten
Keyword(s):  
Dorsal Root Ganglion ◽  
Dorsal Root ◽  
Case Series ◽  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Entrapment Syndrome ◽  
Refractory Pain ◽  
Nerve Entrapment Syndrome

scholarly journals Use of Targeted Transversus Abdominus Plane Blocks in Pediatric Patients with Anterior Cutaneous Nerve Entrapment Syndrome

2014 ◽  
Vol 5;17 (5;9) ◽  
pp. E623-E627
Author(s):  
Padma Gulur
Keyword(s):  
Chronic Pain ◽  
Abdominal Pain ◽  
Pediatric Patients ◽  
Case Series ◽  
Rectus Sheath ◽  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Entrapment Syndrome ◽  
Transversus Abdominus Plane ◽  
Nerve Entrapment Syndrome

Anterior cutaneous nerve entrapment syndrome (ACNES) is a commonly overlooked source of chronic abdominal wall pain. A diagnosis of ACNES should be considered in cases of severe, localized abdominal pain that is accentuated by physical activity. Providers should consider diagnosing ACNES once a patient has both a positive result from a Carnett’s test and precise localization of pain. We describe the use of transversus abdominus plane (TAP) blocks to treat ACNES in the pediatric patient population. TAP blocks are a treatment modality which have been described less frequently in the management of this syndrome, with rectus sheath blocks being used more commonly. TAP blocks can be used effectively for ACNES by targeting the site of maximal tenderness, which was identified using ultrasound guidance. Moreover, TAP blocks are an attractive procedure option for ACNES as they are less invasive than other commonly used techniques. We present 3 case series reports of pediatric patients evaluated at our institution for severe abdominal pain to describe the clinical manifestations, sequelae, and outcome of ACNES. Though the exact incidence of ACNES in the pediatric population is unknown, this condition has significant implications from chronic pain. Chronic pain can lead to significant emotional and social impacts on these pediatric patients, as well as their on their families. Further, the extensive utilization of health care resources is impacted when children with undiagnosed ACNES undergo invasive treatments when ACNES is not in the early differential. The purpose of this case series report is to prompt better recognition of the condition ACNES, and to highlight the efficacy of TAP blocks as a management strategy. Key words: TAP block, pediatric patients, abdominal pain, ACNES

scholarly journals Misdiagnosing Abdominal Myofascial Pain Syndrome as Anterior Cutaneous Nerve Entrapment Syndrome: Are we Failing Patients with Nonspecific Abdominal Pain?

2019 ◽  
pp. 91-97
Author(s):  
Niraj G
Keyword(s):  
Abdominal Pain ◽  
Myofascial Pain ◽  
Trigger Point ◽  
Case Series ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Entrapment Syndrome ◽  
Nerve Entrapment Syndrome

Background: Chronic abdominal wall pain (CAWP) is often undiagnosed and results in significant health care use as well as patient suffering. There are two main types: abdominal myofascial pain syndrome (AMPS) and anterior cutaneous nerve entrapment syndrome (ACNES). Although the 2 conditions share clinical similarities, they have subtly distinct unique features. Objectives: To highlight the current practice, elucidate the characteristics of the 2 types of CAWP, and direct the spotlight on abdominal myofascial pain. Study Design: Prospective case series. Setting: Tertiary pain medicine clinic in a university hospital. Methods: As a part of a prospective audit of management of chronic abdominal pain, patients completed brief pain inventory-short form questionnaires at baseline and at 3 months posttrigger point treatment. Results: All 3 patients were misdiagnosed with ACNES. Patient 1 was attending the emergency department once every 5 days prior to being correctly diagnosed with AMPS. Following trigger point treatment, there was a significant reduction in emergency department attendance. Patient 2, with a 10-year history of lower abdominal pain that resulted in severe disability, was able to mobilize following trigger point treatment. Patient 3, with a high opioid use (360 mg per day), was able to discontinue opioids following ultrasound-guided trigger point injection with depot steroids. Limitations: Open label case series in a small cohort. Conclusions: AMPS is as common as the various visceral inflammatory diseases. Lack of awareness, ignoring its existence, and misdiagnosing it may not benefit patients with chronic abdominal pain. Key words: Chronic abdominal wall pain, abdominal myofascial pain syndrome, anterior cutaneous nerve entrapment syndrome, viscerosomatic convergence

Lateral cutaneous nerve entrapment syndrome (LACNES)

2021 ◽  
Author(s):  
Kosuke Ishizuka ◽  
Daiki Yokokawa ◽  
Takahiro Mori ◽  
Tomonori Kato ◽  
Masatomi Ikusaka
Keyword(s):  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Entrapment Syndrome ◽  
Lateral Cutaneous Nerve ◽  
Nerve Entrapment Syndrome
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