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Abdominal Wall Pain Syndrome
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Abdominal Wall Pain Syndrome

Hi All!

To cut a long story short, I have been suffering upper abdominal pain for the past 18 months. I had my gallbladder removed Dec 09 laproscopically. I have had ct scans,mri, endoscopy/colonoscopy, ultrasounds, mrcp. All showed normal.
My last several blood tests show slightly elevated liver enzymes, white blood count and some inflammation.

The doctors are now treating my pain (after several admissions for pain into hospital) as abdominal wall syndrome and the pain management team are trialing local anaesthetic injections directly into a keloid scar on my tummy,  right in the centre between my ribcage. But to date this hasn't been successful to any noticeable degree.

Another suggestion has been internal scarring/adhesions and perhaps nerves have been trapped.

Does anybody here know any effective pain management or treatments.....I am prepared to undergo surgery if its needed....I just want to live pain-free again...Im only 33 with 2 young kids!

Please help
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Hello Sarsi,

Welcome to the Pain Management Forum. I am very sorry to hear that you have pain. The journey through chronic pain is very difficult to say the least. We know the havoc that chronic pain can wreak upon our lives.

We have members that have a very similar diagnosis to yours. I too have similar pain to yours from a failed large abd/hernia repair. I am inoperable but if surgery will help you I encourage you to investigate the possibility.

PMP have offered Radiofrequency ablation (RFA) in an attempt to alleviate some of the pain. That may also be an option for you. If you have nerve pain there are medications that can effectively relieve some of that pain.

You are approaching this correctly. Educate yourself on all options, weigh the pros and cons and then make a decision. If you have addition questions please feel free to ask. Becoming completely "pain free" may not be a reasonable goal but ask your surgeon/physician lots of questions and know what their expected outcome from any and all procedures or treatments.

I wish you the best and hope you will keep in touch with us. Please feel free to respond to other posts and be active in our community. Your participation, like all our members participation is appreciated in our community.

I'll look forward to your updates.

Take Care,
~Tuck
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Thankyou for your reply....

To date I have been seeing a pain management team and they are trialing injections of local anaesthetic into my abdominal muscle around the incision scar that is red and raised....to see if a neuroma is present and causing the pain.

To date, this hasn't been very effective, and actually caused me more intense pain as the injection caused bruising around the scar....so I guess any swelling actually makes the condition worse!

I don't know whether this is the only cause of my pain though as I've been having such deep pain also on my right side just under my ribs.....perhaps they are linked though!

I get so frustrated as everything with the hospital takes so long.....today I received a letter saying I have been place on a waiting list for an appointment to see the general surgeons....and it's only taken 3 months since my gp sent a referral!!!! Soooooo over it! :(
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Hi Sari,

Thanks for the update. I am so very sorry to hear about the slowness of the medical delivery system..... and your increasing pain. I know how difficult to is to wait for tests and procedures. It's a fact that frustration, stress and anxiety only make our pain increase.

I often think it it was the physician or his family that required these procedures, appointments and what not that they certainly would not have to go through the three months or more of waiting.

I am hopeful that the medical profession will get to the bottom of your pain producing problem and be able to effectively treat it. I'll look forward to hearing from you again. I'll be thinking of you!

Best of Luck,
~Tuck
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