Anterior Cutaneus Branch Of Intercostal Nerve Block

Anterior Cutaneus Branch Of Intercostal Nerve Block

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GoczewskiAnterior Cutaneus Branch Of Intercostal Nerve Block

According to the literature 20% of cases of chronic abdominal pain are due to abdominal wall disease.

It is often the entrapment of the anterior cutaneous branch of the intercostal nerve (ACNES). 75% of ACNES occurs to young women and it manifests as a stabbing ,piercing abdominal pain. Additional symptom suggesting ACNES is perceptible muscle tenderness at the site of a pain. Risk factors of this syndrome are past pregnancy, caesarean section, surgery and trauma.

The diagnosis is based on:

  • patient’s medical history,
  • result of the radiologic examination ,
  • patient’s response to a diagnostic block with local anesthetic.

Treatment:

  • conservative treatment,
  • steroid injection,
  • nerve hydrodissection.

Dr. Marcin Goczewski performs diagnostic block, nerve hydrodissection and steroid block only under ultrasound guidance.

See also

Achilles Tendon Pain Achilles Tendon Pain
The Achilles tendon is the largest tendon in the human body....
Dorsal Scapular Nerve Injection Dorsal Scapular Nerve Injection
The entrapment of the dorsal scapular nerve may cause neck, shoulder and inter-scapular pain....
Myofascial Pain Syndrome Myofascial Pain Syndrome
Disorder of the myofascial unit can be the cause of acute or chronic pain....
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