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Notalgia Paraesthetica

Medical Questions » Notalgia Paraesthetica
Name: Notalgia Paraesthetica
Also known as:
Condition of nerve and skin damage on the upper back.
Causes of Notalgia Paraesthetica
The nerves which supply sensation to the upper back emerge from the spinal cord and run a long course through thick muscles in the back before making a right-angled turn and reaching the skin. They are easily damaged by an injury to the area, shingles or even sunburn. The skin is damaged by rubbing and scratching the affected area.
Symptoms of Notalgia Paraesthetica
Itch and/or changed sensation in the area of skin just below the shoulder blade on either side of the back. There may be no visible change in the skin or there may be a brown pigmentation, patchy loss of skin color or thickening due to rubbing.
Tests for Notalgia Paraesthetica
Changed sensation tested for by pinprick, cotton wool or heat and cold.
Treatment for Notalgia Paraesthetica
Not always successful. Measures that may be tried include cooling lotions (eg. camphor and menthol), capsaicin cream, local anesthetic creams and amitryptilline tablets at night.
Complications of Notalgia Paraesthetica of its treatment
Nothing.
Likely Outcome of Notalgia Paraesthetica
Not serious but often persistent.
       
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