Diagnosis Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) with Carnett's Sign - Abdominal Pain

This is video about looking for abdominal pain caused anterior cutaneous nerve entrapment Syndrome (ACNES) showing Carnett's Sign. This is a common miss when patients present with abdominal wall pain. Any patient, particularly one with a history of abdominal surgery, the diagnosis of ACNES should be considered. Be sure to look for abdominal wall scars from past surgeries where this pain could be coming from! Here, we show you how to diagnosis ACNES at the bedside.

The Stanford Medicine 25 program for bedside medicine at the Stanford School of Medicine aims to promote the culture of bedside medicine to make current and future physicians and other healthcare provides better at the art of physical diagnosis.

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[Septembersrain]

3 years after a hysterectomy, I finally got a lidocaine + steroid shot. I got down to 95 lbs. I did so many tests which messed up my stomach more. By the time I got this injection I had already been kicked out of the hospital (again) the night before with 80/60 BP and 180 BPM heart rate.

Today I woke up feeling semi normal. Not enough health care professionals know about ACNES Syndrome or even where to send us for relief. I can't even imagine how many are out here with this.

We need more awareness. Nobody should have to spend thousands and get as sick as I did before my husband self diagnosed me through Google then had to lie and say a virtual doctor recommended it.

[lanicross]

WHY IS IT NOT MANDATORY FOR EVERY DOCTOR IN THE WORLD to take a class about this ALWAYS missed diagnosis that causes YEARS of tormenting pain? Thousands of people go years with no diagnosis, either being told their crazy or put through ridiculous tests and surgeries and never getting relief. It has been 7 YEARS for me, 2 of which I could not work, and the idea of ending my life was a very real possibility. This madness must stop for so many people. Thank you.

[nellyhoffman]

This Doctor is a professional ... God bless you doctor thanks for your time

[LuisJayanata]

Thank you so much for sharing your knowledge doc🙏

[GhettoRanger]

What the doctor is saying is true and is fine for diagnosing the problem, Radio Frequency Ablation is the ticket for getting rid of the pain on a more permanent basis, I say this because I had to have the procedure twice, 3 or 4 years apart. The injections the doctor is talking about works great for a few hours, after that you get some relief for about a week then the pain will come roaring back.

[RenXieah]

that's answer my question doctor thanks

[DrAdnan]

I love Dr. Meyer! I actually interviewed him for my channel recently :)

[gordon]

Curious. Not the same video. Missing the segment featuring the 4 injections at trigger points. One each side. Two in the center.
It appears to be a great secret.
Best to all in achieving treatment.
This gentleman is honest and it works.

[KBradAdams]

I am having low ab pain on the left after PLIF lumbar surgery, even lower than your person there from public line to almost the hip and curious what it could be and how to stop it. I am about 5 weeks post surgery. Hurts when I walk more than 1/4 mile.

[leey.c]

Just had my injection after being diagnosed with AWP

[kyrstiannastines]

same i think i have this issue i had laporscopic gall bladder removal a year ago where they put those rodes in ur bellybutton and 3 other places and a few days after i started getting bad pain on the left side of my abdomine that stimgs burns and is sharp and aching it sent me to the er so many times with no answers after cts scans and blood work done i didnt have it till after surgery and its terrible trying to fimd someone who can treat me still no luck

[jgotswagg]

Can you please let me know where there is a abdominal doctor in nashville Tennessee thank you

[emilyckirk]

Curious how to actually go about finding a Dr. that will perform Carnett's sign, and has actually heard of abdominal wall pain?

[honantong]

How to distinguish problem of abdominal wall and organs? This is a great video.

[honantong]

I have a pain on both upper right and upper left quadrants. The one on the left started 2 yrs ago, on right 10 month ago. I feel the pain is probably on the stomach wall on the left side, near the gallbladder on the right. But i like to press with my finger on both sides, as you do when you have a sore or somerhing. Could the pain come from the fibers or the organs? I did CAT, Ultrasound and endoscopy, results were bile reflux gastritis, unsmooth gallbladder wall. Not much improvement after treatment of bile reflux. What's wrong with me? 2 years already...

[zzamora]

Doctor's appointment and stomach butterfly

[oeicnzk]

11 year old video that bow tie is bangin'

[sandramorales]

Hola, quién es el especialista que trata este dolor, soy de México.

[ussazacovid]

U didnot go through DDx
It isnot only ACNES which causes abd wall pain e.g rectus sheath hematoma Fothergill sign

[superarchitect]

What doctor treats and diagnoses it? My gastroenterologist barely knows this syndrome