Has anyone been diagnosed with Abdominal Wall Pain

qball2019--can you tell me how your problem was solved? I've been to urologists, gastroenterologist, orthopedic, nephrologists and finally the pain management dr. came up with the diagnosis of ABDOMINAL WALL NERVE ENTRAPMENT. This past week I have had a little bit of relief so maybe the tap block shot is kicking in.

The pain I've been experiencing for the last 5 years has not been solved. We are going to revisit Sphincter of Oddi as a cause. Glad to hear you've found relief. I wish you well.

If you were diagnosed with ACNES, why have the doctors not tried a neurectomy? What type of physician did you see for the diagnosis of ACNES....GI, neurologist, pain specialist?? Lisa

I saw a pain specialist who suggested ACNES. Since then I have had a diagnostic ab lap where adhesions were found in the area where the gallbladder had been. Surgeon took down the adhesions which were very thick. I also received TAP. Blocks. It all helped tremendously with the RUQ ab pain I had been experiencing.

The GI doctor I had at the time was doing an endoscopy on me when she asked if she could inject my abdominal wall with lidocaine. The pain went away right away. The doctor had just read a case study about ACNES. Unfortunately I think this is a new medical condition to many doctors. The trigger point injections work for me now. If this changes, I will pursue a possible neurectomy.

Was your gall bladder surgery done via open incision or lap
surgery? My scarring has happened after 2 lap surgeries.

It was taken out laprascopically. Am glad the trigger point injections worked for you. They worked for me too but only lasted a few days. It was time to find out what was causing the pain. Fortunately the Lysis of adhesions has made a big difference.

Thank you!!!

Abd pain started after I split a load of firewood. Thought it was an abd muscle tear or pull and let it go for 2 months. Pain bad enough I went to the ER in Sept 2017. Tests all negative, scans all negative, I had the works to rule out gastroenterologic problem. It is now 21 months later after having been prescribed 21 meds and have been brushed off by 17 physicians. I hit the internet doing research and found Carnett's description so I have essentially had to diagnose myself with abdominal cutaneous nerve entrapment pain. After reading Mayo's Dr. Seth Sweetser's CME posted in Mayo Clinic Proceedings, I tried again for an appointment. Mayo sent me a form letter stating, in part, "we do not believe a visit to the Mayo Clinic would add to the care you have already received." Since I have received NO CARE AT ALL, other than pain meds, Mayo's response makes no sense--based on Dr. Sweetser's detailed post of Feb 2019, there ARE more options for treatment other than pain meds (which I DO NOT want). Thanks a lot Mayo for nothing.

@juliepm Hi, I could be totally wrong but perhaps you tension in internal nerve plexus that is affecting nerve functions / producing pain. Think about how it feels to get punched in the solar plex (or for men kicked in the crotch; for ladies menstrual cramps). Tension internally on a nerve can make it malfunction and that causes a viscious cycle of pain.

It depends on where the plexus or nerve is and where the pain is. It wasn't clear from your description. Myofascial tissue / muscles clamping on nerves is a common source of pain and there is no test / no imaging and meds don't help it much, either. Stretching and exercise just might.

If so, extremely deep breathing (especially inspiration) and stretching of the psoas – which attaches to diaphragm- might help. If possible, search for psoas stretches (sometimes called hip flexors). Include very deep breathing with those stretches. For the solar plex stretch grab a taller table and crouch over it pulling Google pandiculation) you’ll get an idea what to do while pulling and stretching the solar plexus (celiac plexus) region. See if that helps. That really could be the issue that drives your pain. That caused my back pain and sciatica - without a doubt. It took me a while as I had chains of trigger points- and I firmly believe I had digestive issues from a tight nerve plexus somewhere (for me it was psoas for sure and I believe my sitting pain was from tightness near the pelvic plexus (right near the sitbones from the hypogastric nerves and others)). For me, DDD drives the process, I think. I've had great luck with intense stretching and exercise (including TRX core work - I haven't had a backache in months since I tried that). I still have a little sitting pain and I know at least some to most of that is myofascial tension. Try the pandiculation and deep breathing and find some stretches / exercises. It’s worth a try. See if that helps. Best of luck, Rich