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J Chiropr Med ; 20(4): 224-228, 2021 Dec.
Article in English | MEDLINE | ID: mdl-35496723

ABSTRACT

Objective: The purpose of this case report is to describe the care of a patient with notalgia paresthetica (NP). Clinical Features: A 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 Outcome: An exercise program including back and shoulder stretching and shoulder strengthening exercises, and transcutaneous electrical nerve stimulation resulting in a reduction of symptoms. Conclusion: In the case described here, the patient's symptoms regressed when treated conservatively with exercise and physical therapy modalities.

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