Notalgia paresthetica (NP) 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 under-recognized, under-diagnosed, and therefore under-reported. This case-report provides a physical medicine and rehabilitation (PMR) perspective on NP diagnosis and treatment. This article presents a case report of a 39-year-old woman with pain, pruritus, and a hyperpigmented area in the right dorsal infra scapular region. The diagnosis of NP 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 non-pharmacological techniques were identified. Several of these modalities belong to the PMR field of action. Corresponding Author: Cristina Miranda da Cruz, Sete Fontes - São Victor, 4710-243 Braga, cristina@dacruz.pt Author Disclosures: The authors have no conflicts of interest to declare. The authors did not receive any funding, grants, equipment or financial benefit from any source. This paper was not previously presented in any form Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
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