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Published on: September 27, 2019
Brachioradial Pruritus: An Etiologic Review and Treatment Summary
Kathryn J Kavanagh1, Peter L Mattei1, Ryan Lawrence1
1Drs. Kavanagh and Mattei are from the US Department of Veterans Affairs, Veteran Health Administration, Bay Pines VA Healthcare System, Cape Coral, Florida. Ryan Lawrence is from the Palmer College of Chiropractic West Campus, San Jose, California. Colin Burnette is from the Nova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, Florida.
Abstract:
Brachioradial pruritus (BRP) is a relatively uncommon neuropathic dysesthesia localized to the dorsolateral arms that causes unrelenting itching, burning, tingling, or stinging sensations. There is no identifiable cause of BRP to date, though it is thought to be secondary to either cervical spine pathology or exposure to UV radiation (UVR). Gold-standard treatment of BRP remains unknown. This article reviews previously trialed conservative management options, including chiropractic manipulation, acupuncture, physiotherapy, and photoprotection, as well as medical management options that have been utilized to treat BRP, such as medications, interventional pain management procedures, and surgery. We compiled an updated comprehensive list of possible treatment strategies to be utilized by future providers.
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