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Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.
I am sorry about your daughter.
Patients who do not respond to repetitive local trigger point injections can be offered a surgical approach. Terminal branches of an intercostal nerve are removed at the level of the anterior sheath of the rectus abdominal muscle (‘anterior neurectomy’)
Several larger series demonstrated a successful response in approximately two out of three patients
you should consult with a general surgeon and a neurosurgeon to see who can do this anterior neurectomy procedure.
let me know if you have questions.