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Exercise, Manipulative Therapy, and Physical Modalities in the Treatment of Notalgia Paresthetica: A Case Report
Selin Ozen1, Sacide NurSaracgil Cosar1, Seyhan Sozay1
1Department of Physical Medicine and Rehabilitation, Baskent University Faculty of Medicine, Ankara, Turkey.
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.
