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Abdominal cutaneous nerve entrapment syndrome

Recurrent isolated RUQ abdominal pain (e.g. often under the right ribs) is common and abdominal cutaneous nerve entrapment syndrome is said to account for 2% of all presentations to A+E with acute abdominal pain.

Click on this link to review a recent systematic review of the literature assessing outcomes from;-

a) Trigger point injection (TPI) alone – 86% short term successful response, 76% long-term response

b) Anterior neurectomy alone – 73% short term successful response, 61-69% long-term response

c) TPI followed by anterior neurectomy as stepwise regimen

d) Nerve stimulation and phenolization.