ACNES, Abdominal Cutaneous Nerve Entrapment Syndrome

Posted by leet3415 @leet3415, Mar 28, 2019

Hi. Quick back story. In Nov 2018 I had sharp pain in the top middle of my abdomen right below my sternum. Pain level 10 of 10. They thought it was my gallbladder, had it removed. Still had pain. multiple ER visits, hospitalized 2-3 times for a week each, 20 plus doctor appointments, over 100K spent in medical costs billed to my insurance.
As a last resort, went to Mayo and was diagnosed in under 30 minutes.

In January 2019 had my first trigger point injection, just had my 2nd injection March 2019. Still in a lot of pain. Taking gabapentin as well. **Has anyone else been diagnosed with this AND what are the symptoms & treatments you are receiving? Are you finding any relief?**

Interested in more discussions like this? Go to the Chronic Pain Support Group.

@amandajro

@patsy2222 the member you had wished to connect with is no longer receiving email notifications so I want to bring in a few other members who may be able to share some of their experiences to aid you @rt061069 @sawah3 and @jenniferhunter.

Can you share your feelings on pain medication for reference with other members who may join the conversation?

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I’ve been on all the medications. They have been just basic management and a temporary solutions. I just kept taking more and more and stopped increasing last spring. Now I’m on a small dose of oxycodone to take the edge off. In my situation, the surgical option was the only way to go.

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@wlong

My name is William and my wife suffers from chronic abdominal pain. We have been to ER’s like crazy and when I say a lot I mean easily 300-400 times in the last 4 years. Doctors do nothing run the usual tests and discharge her all while she continues to suffer from pain in the stomach coming from the right upper quadrant. Thru my own research I believe she has A.C.N.E.S What hospital or doctor do you have to go to where they can investigate her abdominal wall and give her this diagnosis. CT scans, MRI’s Ultrasounds, Endoscopies all come up negative. She has nausea and vomiting with this sometimes as well. Any help would be appreciated. We live in the Northern California area

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After a fall bladder removal, I went on a two year journey jumping around from various medical specialties to try and figure out where my pain was coming from. So many ER visits!! I finally found a general surgeon in a neighbouring community who diagnosed me with ACNES. Then I had to find someone to treat. I was able to get nerve blocks done in my own city, acupuncture, various pain killers etc. They have done all the scans and tried all the “things”. The only thing left was a surgical option with neurectomy. In my desperation I have read my fair share of research and found the name of a doctor who is performing the surgery on me in two weeks (Calgary, AB, Canada). I’m beyond thrilled and finally have hope again.

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@saolson

How can I contact the Dr. that performed the surgery? I, too have gone through every strategy mentioned here. Not a single Dr. has had ever heard of AWP or ACNES. A Mayo Dr. named Seth Sweetser wrote a research paper on AWP caused by ACNES. In it he states that if trigger point injections do not adequately reduce the pain level surgery is the best option.

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I’ve also heard good things about a Dr. Tollestrop in Nevada.

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@naadia

I finally found a doctor in Canada by searching up authors of research papers in ACNES lol.

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hi naadia, I thought I had ACNES until I was examined by a neurosurgeon who rulled out ACNES arguing that the spots on my stomach where I feel burning sensation, tintling and needle prickles do not match with ACNES. He told me I have poly-neuropathy.

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@naadia

After a fall bladder removal, I went on a two year journey jumping around from various medical specialties to try and figure out where my pain was coming from. So many ER visits!! I finally found a general surgeon in a neighbouring community who diagnosed me with ACNES. Then I had to find someone to treat. I was able to get nerve blocks done in my own city, acupuncture, various pain killers etc. They have done all the scans and tried all the “things”. The only thing left was a surgical option with neurectomy. In my desperation I have read my fair share of research and found the name of a doctor who is performing the surgery on me in two weeks (Calgary, AB, Canada). I’m beyond thrilled and finally have hope again.

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I wish you all the luck and I hope this puts an end to the long struggle you have had with this sickness.

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Im 45 yrs old male and i was the 23rd patiant in Israel to have this surgery performed in 2022 and now what I feel is just numbness in the area. I'm very satisfied and happy I had the Surgery.

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@jgroudan

You do not need a 10 pt questionnaire!!! What you need is to perform the carnett test on yourself or with Dr who is knowledgeable about ACNES then get trigger point injections in that area to see if there is temporary relief.
It's all on youtube i.e., carnett test, abdominal cutaneous nerve entrapment.

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I believe I have ACNES but at Kaiser in my area there is only one doctor who does the trigger point injection and he decided I don't have it because the injection didn't work. I doubt that I could get them to do it again. Then my PCP decided it's fibromyalgia. To learn more, I went back to the beginning of this forum and read all the posts. I'd like to THANK YOU, jgroudan, for your many posts telling about your experience with Dr. Gillespie, and suggest that anyone new on this forum do the same - go back and read from the beginning. I do have fibromyalgia, chronic fatigue syndrome, chronic lymphocytic leukemia, and long covid, but I believe this awful burning pain on my left side that appeared a year ago is ACNES. I'm currently trying Tramadol for pain but will be changing to gabapentin soon to see if it makes any difference. After that, if no help, I plan to pursue ACNES again and will try to get a diagnosis and then will drive to Phoenix to see Dr. Gillespie if I have to. With every disease/syndrome I have, at the age of 70 I don't need to put up with something that can actually be cured! (Carnett test and pinch test are positive, by the way.)

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@jgroudan

Dr Thomas Gillespie - St Joseph's Medical Center Phoenix, AZ. He performed Robotic Laparoscopic surgery for ACNES on me 9/2/21 cutting the T8, T9 and T10 nerves on right side below rib cage. After 9 months of unbearable pain I left the hospital PAIN FREE - cured and now it's just a distant bad memory. Dr Gillespie is an amazing surgeon and does take new patients.

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Thank you for this info.
I have been suffering for 17 years. As most people note few Drs aware of this condition and most are NOT interested to learn.
My ACNES is so severe I am bedridden/on liquid diet/ severe abdominal/ back pain.
Pray the above Dr will accept me. We need TO ALL GET. TOG. TO BRING AWARENESS...this condition can make living beyond agony. Thank you.

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@naadia

After a fall bladder removal, I went on a two year journey jumping around from various medical specialties to try and figure out where my pain was coming from. So many ER visits!! I finally found a general surgeon in a neighbouring community who diagnosed me with ACNES. Then I had to find someone to treat. I was able to get nerve blocks done in my own city, acupuncture, various pain killers etc. They have done all the scans and tried all the “things”. The only thing left was a surgical option with neurectomy. In my desperation I have read my fair share of research and found the name of a doctor who is performing the surgery on me in two weeks (Calgary, AB, Canada). I’m beyond thrilled and finally have hope again.

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I had a neurectomy two weeks ago. I was diagnosed with ACNES after two years of unexplained abdominal pain and sooo many treatments and procedures. All signs point to healing! I haven’t felt any of the previous pain, only the surgical pain. I’m so hopeful that this journey is over.

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@quasii

hi naadia, I thought I had ACNES until I was examined by a neurosurgeon who rulled out ACNES arguing that the spots on my stomach where I feel burning sensation, tintling and needle prickles do not match with ACNES. He told me I have poly-neuropathy.

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Interesting. Have you had any treatments that have provided relief?

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