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Has anyone been diagnosed with Abdominal Wall Pain

Chronic Pain | Last Active: Mar 14 12:16am | Replies (282)

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@rt061069

@bubbleshdr , did you have pain non stop before they figured out the injections. How many total injection areas do they hit, from reading once the needle is in they can drop 3-4 times, do you get 4-8 spots hit? My pain mgt doctor has focused only on the illoinguinal and illohypogstic nerve areas. Also had an mri lumbar spine and thoracic epi injection. I haven't had anything in my upper rectus abdominis or around umbilical region. I have a lot pain and pressure from navel up that pushes pain all they way to the xiphoid and rib cage area and down to lower pelvis. You push in and around xiphoid or from outside stomach wall pushing toward middle and pain shoots down to pelvis area. I now have level 8 pain 24/7, its unbearable. Any thoughts you have would be appreciated, I just can't find pain mgt doctor who has some focus on ab pain and trigger points. This is trial and error for relief we are looking for, thats hard to find in a doctor.

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Replies to "@bubbleshdr , did you have pain non stop before they figured out the injections. How many..."

I have chronic intermittent severe RLQ pain. The pain was never relieved until I started PT for abdominal scar mobilization and then it was still severe when I had a flare. My GI doctor was doing an endoscopy when she told me she had read a case study on abdominal cutaneous nerve entrapment. She asked if she could give me a lidocaine injection into my abdomen. The injection relieved the pain I had at that moment. I have had triamcinolone/lidocaine injections every 2 months since 2015. I have had 25+ PT sessions for scar mobilization.

My GI doctor would do 2-3 injections with a spinal needle. She told me she knew when she felt a “pop” she was in the right spot. I felt like she moved the needle in and out in a spiral pattern. I know it sounds crazy but I got used to the sensation and I didn’t mind having the injections. Unfortunately she retired and I was assigned to a new PA. I really like my PA but she does injections differently. I don’t think she is doing the injections wrong but it is a different procedure. My PA doesn’t go in as deep and she doesn’t do more than a single puncture in one area and she goes directly down into the scar with no spiral injection. She also uses topical numbing which was a pleasant surprise.

If my bowel gets full, I get RLQ pain. The abdominal pain isn’t my focus most days as I also have chronic pelvic pain that has been more difficult to treat. Did you have surgery that lead to your abdominal pain or another source? PT has helped me the most but I’m a PT junkie as I have significant arthritis. I didn’t find narcotics to be really helpful as it just made me more constipated. I’m really sorry you are dealing with this horrible pain. I have a really good pain doctor but I think I’m staying with my GI PA until GI no longer offers this service.