NEUROPATHIC ABDOMINAL PAIN

Abstract

The abdominal pain is diverse on the parentage (visceral, reflected, central-mediated, senesthopathias, neuropathic). The neuropathic abdominal pain is a little familiar to therapists. It has the clinical features: an allodynia (hyperalgesia), a hygromania, a combination to vegetative dysfunction. On a forward abdominal wall painful trigger points and a positive Carnett’s symptom are defined. Elimination of a neuropathic abdominal pain is reached by means of course application of a combination of medical products (local anaesthetics, non-opioid analgetics, anticonvulsants, antidepressants), and at their insufficient efficiency the surgical intervention (excision of terminal departments of intercostal nerves in the field of a direct muscle of a stomach) is shown. Efficiency of similar complex treatment reaches 73%.

Keywords

• neuropathic abdominal pain
• complex regional pain syndrome
• allodynia