We describe the case of a 55-year-old female with nine months of chronic postoperative abdominal wall pain likely representing anterior cutaneous nerve entrapment syndrome (ACNES), who experienced marked symptomatic improvement with the use of the fascial distortion model (FDM) in the emergency department (ED). This is the first case report in the literature on the successful application of the FDM for abdominal wall pain, and there is still little FDM literature in the emergency medicine (EM) setting.

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