Osteopathic Family Physician, 2020/08, 12(5):25-29. doi: 10.33181/12053, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://ofpjournal.com/index.php/ofp/article/view/688)

Keywords:

notalgia paresthetica [3]
neuropathy [19]
pruritus [7]
dysesthesia [1]
osteopathic manipulative treatment [3945]
OMT [3924]
case report [736]

Abstract:

Background: Notalgia paresthetica (NP) is a type of neuropathy associated with pruritus, dysesthesias and sometimes pain. Most etiologies stem from trauma and entrapment of cutaneous branches of the upper thoracic nerves.Objectives: We report a case of NP treated with osteopathic manipulative therapy (OMT) along with a review of previous treatment modalities performed per the literature.Methods: A comprehensive literature search using PubMed was performed on NP and its treatment. Keywords used include notalgia paresthetica, treatment, osteopathic manipulation, neuropathy and pruritus.Results: Our patient reported a 30% reduction in severity of pruritus after receiving OMT, with full intention of following up in office for additional treatment.Conclusion: OMT monotherapy or combination treatments may prove to be efficacious with little to no added risk.