{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T20:54:04Z","timestamp":1782852844910,"version":"3.54.5"},"reference-count":7,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Abdominal wall pain syndromes, including anterior cutaneous nerve entrapment syndrome (ACNES), myofascial pain, and muscle strain, account for up to 30% of chronic abdominal pain cases, yet remain under-recognised, resulting in diagnostic delays and unnecessary investigations. We report a case series of five such patients. Management incorporated core strengthening, progressive muscle relaxation, ergonomic modification, neuropathic agents, and ultrasound-guided nerve blocks where indicated; visual analogue scale scores remained &lt;4 at follow-up. A structured diagnostic algorithm is proposed to facilitate early recognition and appropriate referral by gastroenterologists.<\/jats:p>","DOI":"10.1177\/00494755261438884","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T12:06:57Z","timestamp":1775477217000},"page":"530-532","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Abdominal wall pain syndromes: Alas! The lost art of clinical diagnosis"],"prefix":"10.1177","volume":"56","author":[{"given":"Naveen Cherian","family":"Thomas","sequence":"first","affiliation":[{"name":"Associate Professor, Department of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4040-1907","authenticated-orcid":false,"given":"Amith","family":"Viswanath","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Medical Gastroenterology, Christian Medical College, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anitha","family":"Sivalingam","sequence":"additional","affiliation":[{"name":"Tutor Grade 1, Department of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2526-5246","authenticated-orcid":false,"given":"Judy Ann","family":"John","sequence":"additional","affiliation":[{"name":"Professor, Department of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6328-2434","authenticated-orcid":false,"given":"Ebby George","family":"Simon","sequence":"additional","affiliation":[{"name":"Professor, Department of Medical Gastroenterology, Christian Medical College, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S99337"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnx343"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(85)80891-X"},{"key":"e_1_3_2_5_2","first-page":"429","article-title":"Abdominal wall pain: clinical evaluation, differential diagnosis, and treatment","volume":"98","author":"Shian B","year":"2018","unstructured":"Shian B, Larson ST. 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