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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.

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.

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON23723
Enrollment
190
Registered
2020-03-18
Start date
2018-01-02
Completion date
Unknown
Last updated
2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anterior Cutaneous Nerve Entrapment Syndrome (ACNES).

Interventions

Control: free hand lidocaine injection therapy Intervention: ultrasound guided lidocain injection therapie

Sponsors

No sponsor
Lead Sponsor

Eligibility

Inclusion criteria

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

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.

Design outcomes

Primary

MeasureTime frame
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

MeasureTime frame
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).

Contacts

Public ContactMonica Jacobs

Maxima Medisch Centrum

monica.jacobs@mmc.nl0032476501837

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)