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Exercise, Manipulative Therapy, and Physical Modalities in the Treatment of Notalgia Paresthetica: A Case Report
ObjectiveThe purpose of this case report is to describe the care of a patient with notalgia paresthetica (NP). Clinical FeaturesA 61-year-old man presented with a 7-year history of upper back pain, concentrated in the right periscapular region. Physical examination revealed a hyperpigmented area in...
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Published in: | Journal of chiropractic medicine 2021, Vol.20 (4), p.224-228 |
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Main Authors: | , , |
Format: | Report |
Language: | English |
Online Access: | Get full text |
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Summary: | ObjectiveThe purpose of this case report is to describe the care of a patient with notalgia paresthetica (NP). Clinical FeaturesA 61-year-old man presented with a 7-year history of upper back pain, concentrated in the right periscapular region. Physical examination revealed a hyperpigmented area in the right dorsal paravertebral and infrascapular region with local paraesthesia. After investigations, a diagnosis of NP was made. Intervention and OutcomeAn exercise program including back and shoulder stretching and shoulder strengthening exercises, and transcutaneous electrical nerve stimulation resulting in a reduction of symptoms. ConclusionIn the case described here, the patient's symptoms regressed when treated conservatively with exercise and physical therapy modalities. |
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ISSN: | 1556-3707 |
DOI: | 10.1016/j.jcm.2021.12.010 |