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.