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Abdominal cutaneous nerve entrapment

With nerve entrapment in the abdominal wall, often called ACNES, a trapped small sensory nerve causes a sharp, very localised painful spot. The diagnosis can only safely be considered after dangerous causes in the abdomen, chest and pelvis have been assessed; never label new severe abdominal pain as ACNES yourself.

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With nerve entrapment in the abdominal wall, often called ACNES, a trapped small sensory nerve causes a sharp, very localised painful spot. The diagnosis can only safely be considered after dangerous causes in the abdomen, chest and pelvis have been assessed; never label new severe abdominal pain as ACNES yourself.

  • A sharp, burning, stabbing or aching painful spot that can usually be located with one finger.
  • More pain when getting up, bending, twisting, coughing, laughing, exercising or tensing the abdominal muscles.
  • Record the exact site, duration, movements, meals, bowel movements, menstruation and other symptoms to clarify the pattern.
  • Keep moving within pain limits and temporarily avoid repeated forceful muscle tensing that clearly triggers pain.
  • Make an appointment for a recurring small painful spot that worsens with muscle tensing or movement and limits daily functioning.
  • For urgent GP care outside normal opening hours, call HAP 9252. Call Ambulance 912 only for an immediately life-threatening situation.

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