Acnes Surgery**
Overview
Acnes (anterior cutaneous nerve entrapment syndrome) is a painful condition that develops when nerves within the abdominal wall become trapped or pinched within the abdominal wall muscle. This can cause significant chronic abdominal pain, often described as sharp, sharp or stinging. It can affect people of all age groups but is more common in adults.
Symptoms
The primary symptom of acnes surgery is chronic abdominal pain, typically described as tenderness or aching in a specific area of the abdomen. This pain can be localized to a small area, often less than 2 centimeters in diameter, and may be worsened by certain movements or activities that increase abdominal muscle tension.
Causes
Acnes surgery can be caused by several factors, including:
- Muscle Tears: Injuries that heal with internal scars can lead to muscle tears, which can trap nearby nerves.
- Abdominal Wall Scars: Prior surgeries can leave abdominal walls with scars that may pinch or entrap nerves.
- Overly Flexible Cartilage: In some cases, overly flexible cartilage can bunch up and press on nearby nerves.
- Clothing or Belts: Wearing tight clothing or belts around the abdomen that rubs on the area can also contribute to entrapment.
Diagnosis
Diagnosing acnes surgery typically involves a physical examination and a variety of diagnostic tests. Your healthcare provider may look for specific signs and symptoms, such as:
- A consistent spot in the skin that is sensitive to light touch or cold temperatures.
- Pain with pinching the skin in that spot, but not in other places.
- Pain and tenderness with tapping and pressing on that spot, but not in other places.
- A positive Carnett's sign, which is tenderness to pressing that worsens when your child tenses their abdomen by either lifting their head and shoulders or legs.
- Pain relief following injections of a local anesthetic drug or steroids where the pain is most intense.
Treatment
Treatment for acnes surgery typically focuses on providing immediate and long-lasting pain relief. Your healthcare provider may recommend trigger point injections, chemical neurolysis, pulsed radio frequency (PRF), or surgery. A small incision is made just at the point of the pain to divide the nerves that pierce the abdominal wall to supply the overlying skin. This procedure is generally performed under general anesthesia and is considered an outpatient procedure.
Recovery and Rehabilitation
Recovery from acnes surgery may take several weeks to months. Your healthcare provider will provide you with specific recovery instructions, which may include:
- Avoiding certain activities that may exacerbate pain.
- Using pain medication as directed.
- Attend physical therapy to address any weakness or limitation in movement.
- Follow up with your healthcare provider for regular check-ins and follow-up visits.
##Acnes surgery is a safe and effective treatment for chronic abdominal pain due to anterior cutaneous nerve entrapment syndrome. With proper diagnosis and treatment, most people experience significant relief from their symptoms and are able to return to their normal activities.
