From the Physical and Rehabilitation Medicine Department, Hospital de Braga, Braga, Portugal (CMdC); and Physical and Rehabilitation Medicine Department and Pain Treatment Unit, Hospital de Braga, Braga, Portugal (FA).
Am J Phys Med Rehabil. 2018 Dec;97(12):929-932. doi: 10.1097/PHM.0000000000000946.
Notalgia paresthetica is a rarely reported T2-T6 sensory neuropathy whose etiology and treatment are not fully established. Although it is believed to be common in dermatological practice, it remains underrecognized, underdiagnosed, and therefore underreported. This case-report provides a physical medicine and rehabilitation perspective on notalgia paresthetica diagnosis and treatment. This article presents a case report of a 39-yr-old woman with pain, pruritus, and a hyperpigmented area in the right dorsal infra scapular region. The diagnosis of notalgia paresthetica was established. She was successfully treated with topical anesthetics, postural corrective exercises, scapular muscle strengthening, and pectoral muscle stretching. In this context, different treatment options were reviewed. A small set of pharmacological and nonpharmacological techniques were identified. Several of these modalities belong to the physical medicine and rehabilitation field of action.
感觉异常性背疼是一种罕见的 T2-T6 感觉神经病变，其病因和治疗尚未完全确定。尽管据信它在皮肤科实践中很常见，但它仍然未被充分认识、诊断和因此报告。本病例报告提供了从物理医学和康复角度看待感觉异常性背疼的诊断和治疗方法。本文介绍了一位 39 岁女性的病例，她的右侧肩胛下背部区域有疼痛、瘙痒和色素沉着区。诊断为感觉异常性背疼。她成功地接受了局部麻醉剂、姿势矫正运动、肩胛肌强化和胸肌伸展治疗。在此背景下，回顾了不同的治疗选择。确定了一小套药理学和非药理学技术。其中一些方法属于物理医学和康复治疗领域。
