Cancer pain abdominal wall. Dan Nicolae Paduraru - Google Scholar Citations
Having failed multiple pharmacological and non pharmacological therapies, she had also to change lifestyle and daily family activities, including sleep disturbances and anxiety; pain onset was related to the loss of a family member, retiring from professional activities and some simultaneous body weight variations. She refused any local anesthetic LA injection, but accepted a ST trial with good results. Discussion: frequently misdiagnosed, ACNES may be a severe neuropathic pain syndrome with serious impact on patients ́ lives.
MC5-A ST, a noninvasive method using skin electrodes that simulate non pain information already tested in many neuropathic pain syndromes significantly improved pain in our patient and was a good option as she refused any injection in the painful area and opted for the ST non invasive management with no side effects and no medication needed. Noninvasive neuromodulation in chronic pain management with neuropathic component: the Scrambler therapy with the MC5A device- currently used in palliative care cancer pain with neuropathic componentchemotherapy induced neuropathic pain syndromes, painful mononeuropathies, mixed low back pain syndromes- with improvement of the neuropathic component.
Our patient was experiencing neuropathic symptoms, with cancer pain abdominal wall mechanical component while seated. As she was refusing any other therapy, but was obviously suffering from pain, we tried ST therapy for her.
This could be a place for your table. Learning points: ACNES diagnosis is challenging and may be confusing due to its pure neuropathic pain symptoms, with mechanical component due to entrapment.
Some chronic cases may be severe enough to cancer pain abdominal wall QoL. ST is a noninvasive innocuous option for patients refusing echo guided local anesthetic injection therapy.
She refused any surgery or RF therapy. References: van Assen T et al- Incidence of abdominal pain due to the anterior cutaneous nerve entrapment syndrome in an emergency department, Scandinavian Journal of Trauma, Resuscitation and Emergency Medicinedoi