Targeted physiotherapy for pregnancy-related abdominal wall neuropathy

Abdominal pain during pregnancy poses a diagnostic challenge because it has a wide range of potential causes. This case report explores the diagnosis and management of pregnancy-related abdominal wall neuropathy (PRAWN), an under-recognized condition characterized by nerve entrapment in the abdominal wall. The subject, who was experiencing chronic abdominal pain during pregnancy, exhibited PRAWN symptoms including a positive Carnett’s test, and site-specific pain and hyperaesthesia. Treatment with manual therapy, specific stretching techniques and patient education significantly reduced her symptoms. Numeric Pain Rating Scale scores decreased from 5/10 to 0/10, and the subject reported the complete resolution of her symptoms. This case highlights the importance of healthcare providers considering PRAWN in their differential diagnosis of pregnancy-related abdominal pain. It also suggests that physiotherapy may be a non-invasive management option for PRAWN, and further research is warranted.