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Physical Medicine and Rehabilitation Role on Notalgia Paresthetica

Case Report and Treatment Review

da Cruz, Cristina M., MD; Antunes, Filipe, MD

American Journal of Physical Medicine & Rehabilitation: December 2018 - Volume 97 - Issue 12 - p 929–932
doi: 10.1097/PHM.0000000000000946
Case Report

Notalgia paresthetica is a rarely reported T2–T6 sensory neuropathy whose etiology and treatment are not fully established. Although it is believed to be common in dermatological practice, it remains underrecognized, underdiagnosed, and therefore underreported. This case-report provides a physical medicine and rehabilitation perspective on notalgia paresthetica diagnosis and treatment. This article presents a case report of a 39-yr-old woman with pain, pruritus, and a hyperpigmented area in the right dorsal infra scapular region. The diagnosis of notalgia paresthetica was established. She was successfully treated with topical anesthetics, postural corrective exercises, scapular muscle strengthening, and pectoral muscle stretching. In this context, different treatment options were reviewed. A small set of pharmacological and nonpharmacological techniques were identified. Several of these modalities belong to the physical medicine and rehabilitation field of action.

From the Physical and Rehabilitation Medicine Department, Hospital de Braga, Braga, Portugal (CMdC); and Physical and Rehabilitation Medicine Department and Pain Treatment Unit, Hospital de Braga, Braga, Portugal (FA).

All correspondence should be addressed to: Cristina M. da Cruz, MD, Sete Fontes - São Victor, 4710–243 Braga, Portugal.

This paper was not previously presented in any form.

Cristina M. da Cruz is in training.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.ajpmr.com).

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