The Anterior Cutaneous Nerve Entrapment Syndrome (ACNES).Randomized controlled trial of conservative treatment by local injection therapy with or without use of ultrasound for entrapment of the anterior intercostal cutaneous nerve through the rectus abdominis muscle.
Completed
- Conditions
- Anterior Cutaneous Nerve Entrapment Syndrome (ACNES).
- Registration Number
- NL-OMON23723
- Lead Sponsor
- o sponsor
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 190
Inclusion Criteria
All adult patients (> 18 years) were eligible when suspected for an abdominal wall pain syndrome if all of the following criteria were met:
•Single tender point (trigger point);
•Constant site of abdominal tenderness with a small ( < 2 cm) area of maximal intensity situated within the lateral boundaries of the rectus abdominis muscle;
•Tenderness increases by abdominal muscle tensing, using the Carnett’s test;
Exclusion Criteria
Recent intra-abdominal pathology, lidocaine allergy, earlier treatment for ACNES, pregnancy and if adequate follow-up can’t be obtained. Informed consent was obtained if patient characteristics fulfilled these criteria.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The primary endpoint was the proportion of patients achieving at least 50 % reduction in pain perception measured on a Numeric Rating Scale (NRS) 15 minutes after the injection compared to directly before.
- Secondary Outcome Measures
Name Time Method <br>The secondary endpoints were the effect of the injection regimen on the long term (after 3 months) and the role of the location of the fluid depot (beneath muscle fascia or not).