Abdominal wall pain refers to discomfort that originates from the muscles, fascia, or nerves of the abdominal wall, rather than from the internal organs. It is a frequently under-recognised cause of chronic or persistent abdominal discomfort and can be localised, sharp, or burning in nature.
Typical symptoms include:
Common causes include nerve entrapment (such as Anterior Cutaneous Nerve Entrapment Syndrome – ACNES), muscle strain, post-surgical scarring, injury, or infection. Sometimes, the pain follows laparoscopic or hernia surgery due to irritation or entrapment of small sensory nerves. Because it can mimic internal abdominal problems, specialist assessment is vital to confirm the cause and avoid unnecessary investigations or procedures.
At Wessex Pain Clinic, diagnosis starts with a detailed medical history and physical examination. Our consultants use careful palpation to identify tender areas and assess how movement affects pain.
A key diagnostic technique is the Carnett’s test — where pain increases when you tense the abdominal muscles — helping confirm that the pain arises from the abdominal wall rather than deeper organs.
We may use ultrasound imaging to check for hernias, scarring, or muscle tears, and to rule out other causes.
Because pudendal neuralgia often involves both nerve irritation and muscle dysfunction, we work with specialist pelvic physiotherapists.
Our pain psychology and rehabilitation specialists support patients in managing the emotional and practical challenges of chronic pelvic pain, using pacing, mindfulness, and cognitive behavioural techniques.
This integrated, consultant-led model ensures physical, psychological, and functional recovery are addressed together.
At Wessex Pain Clinic, we work as a team and meet regularly to discuss complex, treatment resistant or unusual cases. As such you will often receive the expertise of several pain consultants. We believe that we are one of very few pain clinics to offer this.
Depending on the cause and duration, we may recommend:
All medication plans are reviewed regularly to ensure optimal results and minimal side effects.
Our physiotherapists and rehabilitation specialists provide tailored programmes focusing on improving core stability, posture, and breathing mechanics to reduce strain on the abdominal wall. Hydrotherapy may also help by supporting gentle, pain-free movement.
We integrate care with pain psychology partners to help patients manage the impact of chronic pain on mood, energy, and confidence. This multidisciplinary, consultant-led approach ensures both the physical and emotional aspects of abdominal wall pain are addressed together.
At Wessex Pain Clinic, we work as a team and meet regularly to discuss complex, treatment resistant or unusual cases. As such you will often receive the expertise of several pain consultants. We believe that we are one of very few pain clinics to offer this.
Our friendly team is on hand to support you every step of the way. Please get in touch at any time.
