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Vol 9, No 1 (2010)
Case reports
Published online: 2010-04-23
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Itching back? Think of notalgia paraesthetica, a rare conditionwhich can easily be treated

Zbigniew Zylicz
Advances in Palliative Medicine 2010;9(1):13-15.

open access

Vol 9, No 1 (2010)
Case reports
Published online: 2010-04-23

Abstract

Notalgia paraesthetica is a rare condition characterized by pain and itching in a limited area of the back, usually at the level between T2 and T6. It is caused by the impingement of the dorsal rami on the corresponding intercostal nerves. These rami pierce the paraspinous muscles which can be in spasm responding to pain originating in the vertebrae. The treatment should be directed to mobilization of the vertebrae and decreasing the muscle spasm. When these simple techniques are insufficient, the nerve has probably degenerated and the condition is irreversible. The patient thus should be treated as for painful neuropathy.
Adv. Pall. Med. 2010; 9, 1: 13–16

Abstract

Notalgia paraesthetica is a rare condition characterized by pain and itching in a limited area of the back, usually at the level between T2 and T6. It is caused by the impingement of the dorsal rami on the corresponding intercostal nerves. These rami pierce the paraspinous muscles which can be in spasm responding to pain originating in the vertebrae. The treatment should be directed to mobilization of the vertebrae and decreasing the muscle spasm. When these simple techniques are insufficient, the nerve has probably degenerated and the condition is irreversible. The patient thus should be treated as for painful neuropathy.
Adv. Pall. Med. 2010; 9, 1: 13–16
Get Citation

Keywords

notalgia paraesthetica; pain; itching

About this article
Title

Itching back? Think of notalgia paraesthetica, a rare conditionwhich can easily be treated

Journal

Advances in Palliative Medicine

Issue

Vol 9, No 1 (2010)

Pages

13-15

Published online

2010-04-23

Bibliographic record

Advances in Palliative Medicine 2010;9(1):13-15.

Keywords

notalgia paraesthetica
pain
itching

Authors

Zbigniew Zylicz

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