Online first
Letter to the Editor
Published online: 2024-06-14

open access

Page views 107
Article views/downloads 49
Get Citation

Connect on Social Media

Connect on Social Media

Anterior cutaneous nerve entrapment syndrome (ACNES) in a Palliative care setting

Devina Juneja1

Abstract

Chronic pain emanating from the abdominal wall is frequently unrecognized or confused with visceral pain, often leading to extensive diagnostic testing before an accurate diagnosis is established. Anterior cutaneous nerve entrapment syndrome (ACNES) is one of the most frequent causes of chronic abdominal wall pain.

Article available in PDF format

View PDF Download PDF file

References

  1. Applegate WV. Abdominal cutaneous nerve entrapment syndrome (ACNES): a commonly overlooked cause of abdominal pain. Perm J. 2002; 6(3): 20–27.
  2. Ari BC, Sahin E. Anterior cutaneous nerve entrapment syndrome: an underestimated diagnosis. Cureus. 2023; 15(11): e48165.
  3. Jacobs MLYE, Janssen L, Stassen LPS, et al. Visceral symptoms in patients with anterior cutaneous nerve entrapment syndrome (ACNES): expression of viscerosomatic reflexes? Hernia. 2024; 28(1): 127–134.
  4. Clarke S, Kanakarajan S. Abdominal cutaneous nerve entrapment syndrome. Cont Edu Anaesth Crit Care Pain. 2015; 15(2): 60–63.
  5. Trescot AM. Cryoanalgesia in interventional pain management. Pain Physician. 2003; 6(3): 345–360.
  6. Hebbard P, Fujiwara Y, Shibata Y, et al. Ultrasound-guided transversus abdominis plane (TAP) block. Anaesth Intensive Care. 2007; 35(4): 616–617.
  7. Sawynok J. Topical and peripherally acting analgesics. Pharmacol Rev. 2003; 55(1): 1–20.
  8. Moore RA, Wiffen PJ, Derry S, et al. Gabapentin for chronic neuropathic pain and fibromyalgia in adults. Cochrane Database Syst Rev. 2011(3): CD007938.
  9. Hayden JA, van Tulder MW, Malmivaara A, et al. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev. 2005; 2005(3): CD000335.
  10. Williams AC, Eccleston C, Morley S. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev. 2012; 11(11): CD007407.
  11. Vickers AJ, Cronin AM, Maschino AC, et al. Acupuncture for chronic pain: individual patient data meta-analysis. Arch Intern Med. 2012; 172(19): 1444–1453.