Connect
← Return to Has anyone been diagnosed with Abdominal Wall Pain
Discussion
Has anyone been diagnosed with Abdominal Wall Pain
Chronic Pain | Last Active: Mar 14 12:16am | Replies (282)Comment receiving replies
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.
Replies to "I have chronic intermittent severe RLQ pain. The pain was never relieved until I started PT..."
Connect
@bubbleshdr Thank you for the reply! I had a lower hernia repair back in 2001, no real issues until March 2018. My pain is deep and stabbing in and around pelvic area. That came on a year after the navel to xiphoid started in March 2018. The navel up is pain and aching, I do have a diastasis navel to xiphoid but two surgeons didnt really think that was a factor. At the xiphoid level and across the aching is worse. The navel up seems shallow level vs the pelvic which seems deeper. I could have messed up pelvic nerves and muscles as a result of the year of aching up higher. I am trying to get into a new pain mgt doctor while I wait for Mayo to get back. The pain clinic I used at the hospital isn't really investigating hard, I have had two injections in the back and some in the ilioinguinal nerves and genitofemoral. This last week is Unbearable, i'm not a wimp and its an 8 or better now all the time. I slept four hours last night when I awoke to urinate, right after my pain went up a full level, just the bladder working I guess against nerves and muscles. Too much pain and I couldn't fall back asleep. I took a medical thc hit to try and settle it a touch and it didn't dent it. I have used the thc for the last 9 months but now really need it all of the time and I don't really want to do that. Its a slight distraction, doesn't bring pain down to better than a 7 and not long. After sitting up reading phone to try and distract I took a BM two hours later, that boosted it again which sets off even more pain right up under my xiphoid. I have full pain from xiphoid to lower pelvis, I could point to 3-4 trigger areas and the rest of the area is just bad pain too, but wondering if referred.
I just got my primary to send in some gabapentin and ativan, I havent tried the Gabapentin for over a year and also need something to help with a bad mindset, I totally feel trapped. Also got a referral for a psychiatrist, I am at the end of my rope. The pain just keeps getting worse!