Treatment Modalities for Notalgia Paresthetica Including OMT

  • Danielle Cooley, DO Rowan University School of Osteopathic Medicine, Stratford, NJ
  • Michael McAree, OMS Rowan University School of Osteopathic Medicine, Stratford, NJ
  • Neal Joshi, OMS Rowan University School of Osteopathic Medicine, Stratford, NJ
  • Wasif Peerzada, OMS Rowan University School of Osteopathic Medicine, Stratford, NJ

Abstract

Background: Notalgia paresthetica (NP) is a type of neuropathy associated with pruritus, dysesthesias and sometimes pain. Most etiologies stem from trauma and entrapment of cutaneous branches of the upper thoracic nerves.

Objectives: We report a case of NP treated with osteopathic manipulative therapy (OMT) along with a review of previous treatment modalities performed per the literature.

Methods: A comprehensive literature search using PubMed was performed on NP and its treatment. Keywords used include notalgia paresthetica, treatment, osteopathic manipulation, neuropathy and pruritus.

Results: Our patient reported a 30% reduction in severity of pruritus after receiving OMT, with full intention of following up in office for additional treatment.

Conclusion: OMT monotherapy or combination treatments may prove to be efficacious with little to no added risk.

Published
2020-08-30
How to Cite
Danielle Cooley, DO, Michael McAree, OMS, Neal Joshi, OMS, and Wasif Peerzada, OMS. “Treatment Modalities for Notalgia Paresthetica Including OMT”. Osteopathic Family Physician, Vol. 12, no. 5, Aug. 2020, pp. 25-29, doi:10.33181/12053.