What Is the Treatment of Notalgia Paresthetica?

Notalgia paresthetica is a condition for which no well-defined treatment protocol has been established. Numerous modalities have been reported in the literature with variable, and typically only temporary, benefit.

Reported treatment categories include topical agents, intralesional interventions, oral medications acting on pain pathways, and a variety of physical and procedural therapies. Evidence across case reports and small trials is inconsistent — no single approach has demonstrated reliable, sustained superiority. The complete structured protocol details the available options and the evidence behind each.

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References

DOI: 10.20471/acc.2018.57.04.14

Potential treatment includes topical anesthetics, capsaicin and tacrolimus, intralesional corticosteroids, cutaneous botulinum toxin type A injections, gabapentin, oxcarbazepine, amitriptyline, surgical decompression, paravertebral local anesthetic blocks, transcutaneous electrical nerve stimulation (TENS), electrical muscle stimulation (EMS), exposure to narrow band UV-B radiation, spinal manipulation, physical therapy applications, osteopathic manipulative treatment and acupuncture (Table 1).

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