Notalgia paresthetica relieved by cervical traction

Rhonda Low, Leah A. Swanson, David L. Swanson

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Notalgia paresthetica is a syndrome of unilateral, chronic pruritis that is associated with burning pain, paresthesia, numbness, and hyperesthesia localized to the medial and inferior scapula. The condition does not respond to anti-inflammatory drugs or traditional antipruritic agents and has variable responses to numerous other reported pharmacologic and nonpharmacologic therapies. Although the etiology is thought to be nerve impingement, neurologic and musculoskeletal causes are often not considered in the differential diagnosis. We present a report of a woman with a 2-year history of refractory notalgia paresthetica. Based on spinal imaging showing cervical neuroforaminal stenosis, the patient was prescribed a course of cervical traction. Her symptoms resolved and have not returned after 2 years of followup. We believe this is the first case report of successful treatment of notalgia paresthetica with cervical traction.

Original languageEnglish (US)
Pages (from-to)835-837
Number of pages3
JournalJournal of the American Board of Family Medicine
Volume30
Issue number6
DOIs
StatePublished - Nov 1 2017

Keywords

  • Cervical vertebrae
  • Pathophysiology
  • Pruritus
  • Spinal diseases

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Family Practice

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