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Notalgia Paraesthetica​

I.          Definition:
 
         Notalgia Paraesthetica is an itchy skin condition of the central back usually involving the skin below the shoulder blades.
 
II.          Causes:

  • The nerves, which supply sensation to the upper back, are vulnerable to damage because of the course they take in this area making a 90-degree turn just before reaching the skin.
 
  • If these cutaneous nerves become damaged, skin itching and altered sensation can occur.
 
 
III.          Treatment:  (there is no cure, usually control can be achieved)

  • Capsaicin cream available from your local pharmacy without a prescription can help this problem but must be applied 4-5 times a day for several weeks before it works and then must be used continuously thereafter.
 
  • Sarna lotion applied 2-3 times a day can help control the itching.
 
  • Ela-Max Cream available at your local pharmacy can control the itching.
 
  • Some patients improve with amitriptyline tablets when taken before bed.  This medication requires a prescription.
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  • Home
  • About
  • Education Pages
  • Dermatology Services
    • Medical Services
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    • Cosmetic Services
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