Abdominal Cutaneous Nerve Entrapment Syndrome

  • Eugene D. KaplanEmail author
  • Helen W. Karl


While there are many causes of chronic abdominal pain, one of the most commonly overlooked is the anterior cutaneous nerve entrapment syndrome (ACNES). Patients usually localize the pain near the lateral border of the rectus abdominis muscle. The pain is increased by contraction of the abdominal wall muscles as in a “sit-up,” and the site is very tender. Confirmation of the diagnosis can be made with local anesthetic injections, and the results can be very gratifying.


Anterior cutaneous nerve entrapment ACNES Abdominal wall pain Chronic abdominal pain 

Supplementary material

Video 42.1

Physical exam of the anterior abdominal cutaneous nerves (MOV 55554 kb)

Video 42.2

Landmark-directed anterior abdominal cutaneous nerve injection (MOV 47129 kb)


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Interventional Pain ManagementOptimum Health Medical Group, PLLCClifton ParkUSA
  2. 2.Department of Anesthesiology and Pain MedicineUniversity of Washington, Seattle Children’s HospitalSeattleUSA

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