Pain medicine speciality

Abdominal wall pain

Localised abdominal wall pain can mimic internal problems but often has treatable causes.

Treatments for abdominal wall pain

At Algarve Pain Centre in Vale do Lobo, Algarve, we offer a comprehensive range of evidence-based treatments for abdominal wall pain. Our multidisciplinary team of pain medicine physicians, spine surgeons, rehabilitation specialists and psychologists works together so that your plan is built from multiple expert perspectives, not just one.

Whether your pain is recent or long‑standing, we focus on understanding how it affects your daily life and long‑term goals. This helps us decide when simple measures are enough and when more advanced interventions are needed.

Abdominal wall pain overview

Abdominal wall pain is pain originating from the muscles, fascia or nerves of the abdominal wall rather than from internal organs. It can feel sharp, localised and tender to touch.

Because it can mimic internal abdominal problems, we focus on a careful clinical assessment to confirm the likely source and rule out warning features that require medical investigation.

Treatment may include targeted rehabilitation, medication strategies, and—when appropriate—image-guided injections or nerve-focused approaches to reduce pain and improve function.

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Most Common Syndromes

There are a few overlooked yet common causes for abdominal wall pain, which should be sought in the presence of chronic abdominal pain.

This syndrome is a common and frequently missed cause of chronic abdominal pain, characterized by the entrapment of cutaneous branches of intercostal nerves. The pain is usually aggravated by any movement of abdominal muscles and treatment should begin with ultrasound-guided nerve blocks.

Treatment Approaches

Peripheric Nerve Block

This minimally invasive procedure, as radiofrequency ablation and cryoablation, should be guided for ultrasound or fluoroscopy.

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Pharmacological Management

Pharmacological management pain is commonly part of the treatment and a wide range of drugs can be used to manage pain.

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Chronic Abdominal Wall Pain

There are several reasons that can result in severe pain in the chronic abdominal wall: post‑surgical pain, peripheral nerve entrapment, muscle problems. Other than oral medication, there are other weapons to control this pain: ultrasound‑guided percutaneous techniques. TAP block (Transversus Abdominal Plane), Thermal Radiofrequency or Crioablation of peripherical nerves, are just a few examples in our clinical practice.

For patients

Your plan is built collaboratively. We explain findings, discuss options and agree next steps that fit your goals.

Please bring medication lists and any imaging reports to appointments. Let us know your priorities so we can tailor care.

For clinicians

We welcome referrals and provide clear communication on assessment, working diagnosis and management plans.

Our approach integrates guideline-informed care and shared decision-making. Please contact us to discuss complex cases.

Our Location

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