Anterior Cutaneous Nerve Entrapment Syndrome (ACNES)

ACNES Expert, Tampa, Florida

Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) is a neuropathic pain condition resulting from the entrapment of the anterior cutaneous branches of the lower thoracic intercostal nerves (T7–T12) as they traverse the abdominal wall muscles. This entrapment leads to chronic, localized abdominal pain, often misdiagnosed due to its similarity to other abdominal disorders.

Symptoms

• Localized abdominal pain, typically less than 2 centimeters in diameter
  
• Sharp, burning, or stabbing sensations
  
• Pain exacerbated by activities that tense the abdominal muscles (e.g., sitting, standing, or movement)
  
• Tenderness over the affected area
  
• Positive Carnett’s sign (increased pain upon tensing abdominal muscles)

Causes

• Surgical procedures involving the abdominal wall
  
• Trauma or repetitive strain to the abdomen
  
• Muscle tears or internal scarring
  
• Anatomical variations leading to nerve entrapment

Treatment Options

At Tampa Pain MD, we offer a range of personalized treatment options:

• Trigger Point Injections
• Hydrodissection
• Cryoneurolysis
• Radiofrequency Ablation (RFA)
• Axon Therapy
• Nerve Blocks

Contact Us

If you’re experiencing persistent abdominal pain, CONTACT Tampa Pain MD to schedule a comprehensive evaluation. Our team is dedicated to identifying the underlying cause of your pain and developing an effective treatment plan tailored to your needs.