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Nerve Root and Plexus Disorders

by Alike Medical Team ∙ Updated on June 13, 2023

Additional names

This group contains additional names: - Notalgia paresthetica

General

Notalgia paresthetica (NP) is a condition characterized by intense pain and itching in the back, typically the area below one of the shoulder blades. The reason for NP is not fully understood, but some think it is caused due to an entrapment of the nerves by muscles or bones. Causes may include back injury, diabetes, herniated disc, spinal cord disease and shingles. This condition lasts from months to years.

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Signs & symptoms

Symptoms may include itching below the shoulder blades, pain, tingling, numbness, cold or burning sensation, pins and needles feeling, and tenderness.

Diagnosis

Diagnosis is based upon findings from medical history and physical examination. Further evaluation may include imaging tests of the back.

Treatment

There is no cure for NP. Treatment focuses on relieving the symptoms and may include gabapentin, capsaicin cream, local pain relievers, and corticosteroids creams. Other treatments may include transcutaneous electrical nerve stimulation, physical therapy, acupuncture, ultraviolet B light therapy and osteopathic manipulation.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

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