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Notalgia Paresthetica Relieved by Cervical Traction.

Rhonda Low1, Leah A Swanson1, David L Swanson2

  • 1From the Department Family & Community Medicine, University of British Columbia, Vancouver, BC (RL); Department of Dermatology, Mayo Clinic, Scottsdale, AZ (LAS, DLS).

Journal of the American Board of Family Medicine : JABFM
|November 29, 2017
PubMed
Summary
This summary is machine-generated.

Notalgia paresthetica, a chronic itchy skin condition, may be successfully treated with cervical traction. This approach resolved a patient's two-year history of refractory symptoms, offering a new therapeutic avenue.

Keywords:
Cervical VertebraePathophysiologyPruritusSpinal Diseases

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Area of Science:

  • Neurology
  • Dermatology
  • Physical Medicine and Rehabilitation

Background:

  • Notalgia paresthetica is characterized by unilateral, chronic pruritus with associated sensory disturbances localized to the scapular region.
  • This condition often proves refractory to conventional anti-inflammatory and antipruritic treatments.
  • The underlying etiology, though suspected to involve nerve impingement, frequently overlooks neurological and musculoskeletal factors in diagnosis.

Observation:

  • A case report details a patient with a two-year history of intractable notalgia paresthetica.
  • Spinal imaging revealed cervical neuroforaminal stenosis as a potential contributing factor.
  • The patient underwent a course of cervical traction therapy.

Findings:

  • Cervical traction led to complete resolution of the patient's notalgia paresthetica symptoms.
  • Symptomatic relief was sustained for a two-year follow-up period without recurrence.
  • This represents the first reported instance of successful notalgia paresthetica treatment utilizing cervical traction.

Implications:

  • Cervical traction should be considered in the differential diagnosis and treatment of refractory notalgia paresthetica.
  • This finding suggests that cervical spine abnormalities can manifest as cutaneous symptoms in the scapular area.
  • Further research into the neuro-musculoskeletal origins of notalgia paresthetica is warranted to explore this novel treatment modality.