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Nerve compression syndrome, or compression neuropathy, or nerve entrapment syndrome, is a medical condition caused by chronic, direct pressure on a peripheral nerve. [1] It is known colloquially as a trapped nerve , though this may also refer to nerve root compression (by a herniated disc , for example).
Anterior cutaneous nerve entrapment syndrome (ACNES) is a nerve entrapment condition that causes chronic pain of the abdominal wall. [1] It occurs when nerve endings of the lower thoracic intercostal nerves (7–12) are 'entrapped' in abdominal muscles, causing a severe localized nerve (neuropathic) pain that is usually experienced at the front of the abdomen.
According to the 2022 expert consensus recommendations, nerve decompression (nerve release) surgery is an effective treatment for pudendal nerve entrapment. [16] However, the panel stated that only patients for whom all 5 Nantes criteria were present, including the pudendal block injection test, should undergo surgery. [ 16 ]
The lateral femoral cutaneous nerve (LFCN) originates from the lumbar plexus and contains fibers from lumbar nerves L2 and L3. [7] [4] [2] [3] The LFCN then traverses to the lateral border of the psoas major muscle, crosses the iliacus muscle, and continues to the anterior superior iliac spine (bony landmark).
Treatment and the potential outcome of the treatment may depend on the cause. Anything that creates pressure in the tarsal tunnel can cause TTS. This would include benign tumors or cysts, bone spurs, inflammation of the tendon sheath, nerve ganglions, or swelling from a broken or sprained ankle.
No treatment modality prior to neurectomy (e.g. systemic medications, cryoablation, therapeutic nerve blocks, and radioablation) has given effective pain relief and none have been curative. [ 19 ] The success outcome is typically measured as a 50% or more decrease in visual analog scale (VAS) scores, which are numerical pain scores from 0 - 10 ...