Notalgia Paresthetica
Notalgia paresthetica is a relatively common condition that presents with itching. Most commonly it occurs in the upper back between or just below the shoulder blades. Notalgia paresthetica is usually the result of irritation of the nerves in the back that lead to an itch sensation. The skin can change and become darker (more brown) and thicker due to chronic rubbing and scratching of the affected area. It can affect people of any age, any race, and either sex. However, it is thought to be most common in middle-aged to older adults. It is also seen more frequently in women than men.
Skin Care:
Avoid scratching the area if possible. Apply ice or sarna anti-itch or CeraVe Anti-Itch cream to the area to decrease itching. Investigations for neck problems such as arthritis may be necessary in future.
Acupuncturists and chiropractors may be beneficial.
Treatment Options include:
- Dermeleve -https://dermeleve.com (or purchase in office)
- Local pain relievers: Salonpas Pain Relieving Patch, Lidocaine patches, and Ice packs.
- Voltaren Gel 1%, Apply topically to affected area on back, 1 gram x 2-3x daily.
- Gabapentin(Neurontin) Take once capsule by mouth at night x 3 days, then increase to one capsule by mouth 2x daily x 3 days, then one capsule by mouth in morning, noon, at night with dinner.