Exercise, Manipulative Therapy, and Physical Modalities in the Treatment of Notalgia Paresthetica: A Case Report

运动疗法、手法治疗和物理疗法在治疗背痛感觉异常中的应用:病例报告

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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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