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NYC Hernia

Hernia Repair in New York City by Brian Jacob, MD

  • About Dr. Jacob
    • Dr. Brian P. Jacob, MD, FACS
    • In The News
    • Publications/Research
    • Blog
  • Hernia Procedures
    • Inguinal Hernia
    • Diastasis Recti
    • Femoral Hernia
    • Parastomal Hernia
    • Umbilical Hernia
    • Ventral/Incisional Hernia
  • Groin Pain & Injuries
    • Chronic Groin Pain
    • Mesh Pain and Mesh Removal
    • Hidden (Occult) Hernia
    • Recurrent Hernia
    • Sports Hernia or Athletic Pubalgia
    • Adductor Longus Sprains and Tears (Athletic Pubalgia)
    • Acnes (Anterior Cutaneous Nerve Entrapment Syndrome)
  • Weight Loss Surgery
    • Sleeve Gastrectomy
    • Revisional Weight Loss Surgery
    • Adolescent Sleeve Gastrectomy
  • Patient Journey
    • Initial Office Visit
    • Preparing for Surgery
    • Insurance and Financing
    • Risks Associated With Laparoscopic Inguinal Hernia Surgery
    • Recovery After Inguinal Hernia Surgery
    • Inguinal Hernia Surgery – Discharge Instructions

Acnes (Anterior Cutaneous Nerve Entrapment Syndrome)

What is ACNES?

Also known as a trapped, inflamed, or pinched nerve, anterior cutaneous nerve entrapment syndrome, or ACNES, can occur in the upper or lower abdomen, as well as in the groin and cause groin pain.

A tear in the external oblique fascia or nearby scar tissue can trap or pinch a nearby or penetrating unnamed nerve branch.

shows the various locations that an anterior cutaneous nerve can be entrapped (or inflamed)

 

The pain is usually constant, and worse when the spot of the pain location is pressed on or with certain movements.  The pain can radiate or be in one spot.

Imaging is usually normal.

Work up and Management

Injections with numbing medicine will help temporarily, but can really help with making the diagnosis.

Treatment can be with nerve ablation by a pain management specialist , or with surgery by a general or neurosurgeon.

ACNES (Anterior Cutaneous Nerve Entrapment Syndrome) Surgery:

Goal is to find the nerve … and resect it (remove it).

shows an inflamed and trapped anterior abdominal wall cutaneous nerve and a small tear in the anterior rectus sheeth
shows an inflamed and trapped anterior abdominal wall cutaneous nerve and a small tear in the anterior rectus sheeth

Can be done under minimal anesthesia.

Outpatient procedure with near immediate relief.

risks include infection, numbness, and recurrent or ongoing symptoms.

Watch Dr. Jacob discuss ACNES and its role in the large differential diagnosis list of causes of groin pain:

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1010 5th Avenue
New York, New York 10028 United States
+1 212-879-6677
nychernia@gmail.com
Office Hours are 9:30am - 5pm, Monday - Friday

Dr Vine sees patients on Mondays
Dr. Katz sees patients on Tuesdays
Dr. Jacob sees patients on Wednesdays

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