{"title":"Exercise, Manipulative Therapy, and Physical Modalities in the Treatment of Notalgia Paresthetica: A Case Report","authors":"Selin Ozen MBBS, BSc, Sacide NurSaracgil Cosar MD, Seyhan Sozay MD","doi":"10.1016/j.jcm.2021.12.010","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this case report is to describe the care of a patient with notalgia paresthetica (NP).</p></div><div><h3>Clinical Features</h3><p>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.</p></div><div><h3>Intervention and Outcome</h3><p>An exercise program including back and shoulder stretching and shoulder strengthening exercises, and transcutaneous electrical nerve stimulation resulting in a reduction of symptoms.</p></div><div><h3>Conclusion</h3><p>In the case described here, the patient's symptoms regressed when treated conservatively with exercise and physical therapy modalities.</p></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of chiropractic medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1556370721000596","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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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.
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