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Case Reports
. 2021 Dec;20(4):224-228.
doi: 10.1016/j.jcm.2021.12.010. Epub 2022 Apr 6.

Exercise, Manipulative Therapy, and Physical Modalities in the Treatment of Notalgia Paresthetica: A Case Report

Selin Ozen  1 , Sacide NurSaracgil Cosar  1 , Seyhan Sozay  1
Affiliations
Case Reports

Exercise, Manipulative Therapy, and Physical Modalities in the Treatment of Notalgia Paresthetica: A Case Report

Selin Ozen et al. J Chiropr Med. 2021 Dec.

Abstract

Objective: The purpose of this case report is to describe the care of a patient with notalgia paresthetica (NP).

Clinical features: A 61-year-old man presented with a 7-year history of upper back pain, concentrated in the right periscapular region. Physical examination revealed a hyperpigmented area in the right dorsal paravertebral and infrascapular region with local paraesthesia. After investigations, a diagnosis of NP was made.

Intervention and outcome: An exercise program including back and shoulder stretching and shoulder strengthening exercises, and transcutaneous electrical nerve stimulation resulting in a reduction of symptoms.

Conclusion: In the case described here, the patient's symptoms regressed when treated conservatively with exercise and physical therapy modalities.

Keywords: Back Pain; Case Reports; Exercise Therapy; Neuropathic Pain; Physical Therapy Modalities.

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Figures

Fig 1
Fig. 1
A and B, Hyperpigmentation of the skin in the right infrascapular and paravertebral region in notalgia paresthetica.
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