ABSTRACT
Notalgia paresthetica is a chronic neuropathic dysesthesia with unknown etiology, characterized by itching at the medial lower border of the scapula. Individuals with this disease typically present to the clinic with localized pain, hyperesthesia, or a variety of paresthesias, such as burning and tingling. This case report presents the diagnosis and treatment of notalgia paresthetica in a patient who was admitted to the outpatient clinic with back pain. The symptoms regressed after three months of follow-up in the patient treated with dry needling and exercise. Dry needling and exercise programs with low possible side effects should be considered in the treatment planning of patients with notalgia paresthetica.
References
1
Šitum M, Kolić M, Franceschi N, Pećina M. NOTALGIA PARESTHETICA. Acta Clin Croat 2018;57:721-5.
2
Robbins BA, Rayi A, Ferrer-Bruker SJ. Notalgia Paresthetica. In: StatPearls [Internet] August 19 2021. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470597/.
3
da Cruz CM, Antunes F. Physical Medicine and Rehabilitation Role on Notalgia Paresthetica: Case Report and Treatment Review. Am J Phys Med Rehabil 2018;97:929-32.
4
Ellis C. Notalgia paresthetica: the unreachable itch. Dermatol Pract Concept 2013;3:3-6.
5
Mülkoğlu C, Nacır B. Notalgia paresthetica: clinical features, radiological evaluation, and a novel therapeutic option. BMC Neurol 2020;20:191.
6
Savk E, Savk O, Bolukbasi O, Culhaci N, Dikicioğlu E, Karaman G, et al. Notalgia paresthetica: a study on pathogenesis. Int J Dermatol 2000;39:754-9.
7
Savk O, Savk E. Investigation of spinal pathology in notalgia paresthetica. J Am Acad Dermatol 2005;52:1085-7.
8
Williams EH, Rosson GD, Elsamanoudi I, Dellon AL. Surgical decompression for notalgia paresthetica: a case report. Microsurgery 2010;30:70-2.
9
Fleischer AB, Meade TJ, Fleischer AB. Notalgia paresthetica: successful treatment with exercises. Acta Derm Venereol 2011;91:356-7.
10
Travell JG, Simons DG, Simons SL. Myofascial pain and dysfunction: the trigger point manual. Volume 1-upper half of body. Baltimore: Williams & Wilkins; 1992.
11
Dommerholt J. Dry needling - peripheral and central considerations. J Man Manip Ther 2011;19:223-7.
12
Bağcıer F, Elmas ÖF, Demirbaş A. A minimal invasive treatment option in notalgia paresthetica: Dry needling. Dermatol Ther 2020;33:e13836.
13
Subası V, Cakır T, Atasoy MF. Notaljia parestetika tedavisinde kuru iğneleme ve kinezyolojik bantlama kombinasyonun etkinliği: olgu sunumu. Turk J Phys Med Rehab 2016;62:273-6.