[Rachel Brown]

Hi all. Was wondering if anyone has experience using DN to treat anterior subcutaneous nerve (lower thoracic intercostal nerve) entrapment. I plan to treat segmentally along the involved thoracic distribution, but wasn’t sure how to approach the local symptoms, which in this case is pn in the R epigastric region and RUQ. We were taught in the foundation course how to approach lower abdominal musculature with a flat approach, so was assuming the same would be used for the upper abdominal region as well? Would appreciate any input! Thanks!

[Anonymous]

Hey Rachel,

Yes. Review your anatomy and look for where the nerve emerges from the muscle. You can needle at an oblique angle to a maximum depth of 1 inch. If they have a very thin abdominal wall, you can modify to less that an inch. Good thought process!

[Author]

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