Deep, Wandering Pain After Surgery: Spine or Nerve?
17 minJune 2026
Rick's truck-driver patient has deep inguinal pain after an appendectomy that simply will not reproduce on the table....
Evidence behind this episode
- Glissen Brown 2016
Anterior cutaneous nerve entrapment syndrome (ACNES) is the MOST COMMON cause of chronic abdominal-wall pain; Carnett's sign (focal tenderness unchanged or WORSE when the abdominal wall is tensed) localizes pain to the WALL, not the viscera.