Notalgia Paresthetica help

Posted by lgerkin @lgerkin, Mar 19, 2020

Hi - has anyone been diagnosed with Notalgia Paresthetica? I've had the itch that comes with this condition for years, but it has worsened over the last year and is now very painful. The center of the pain is under my left shoulder blade. I'm also experiencing numbness in my left arm. I've had x-rays and MRIs but no doctor has been able to address it - or even acknowledge that it's an issue. I've been in physical therapy for months and tried acupuncture but neither have helped, although my posture has improved greatly. Any feedback is appreciated!

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I’ve had NP for nearly a year and I have extensive heat in my body. The itching is not only in my back but in the front of my torso as well. Have you experienced any heat, as I have described. My neurologist is having me to an autonomic test to see if there is something that can be understood in relation to the heat in my body. I do not sweat, so not sure that is related. I’ve had many blood tests. All normal. I’m on valsartan for BP and not sure that could be causing this heat.
Your thoughts?

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I have not had any heat only severe itching and pain. My dermatologist prescribed a compound cream which helps alot. Mine is not all of the time just random flare ups with no explanation.

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Profile picture for mac05 @mac05

I’ve had NP for nearly a year and I have extensive heat in my body. The itching is not only in my back but in the front of my torso as well. Have you experienced any heat, as I have described. My neurologist is having me to an autonomic test to see if there is something that can be understood in relation to the heat in my body. I do not sweat, so not sure that is related. I’ve had many blood tests. All normal. I’m on valsartan for BP and not sure that could be causing this heat.
Your thoughts?

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I have not any feelings of heat. Just severe itching and pain on my right shoulder. The compound cream my dermatologist prescribed helps some.

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None of the creams help. What do you use?

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Profile picture for mac05 @mac05

None of the creams help. What do you use?

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It is a compound cream
Amitripyline 2% Ketamine 2%
It is quite expensive but it does help. My dermatologist prescribed it for me.

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Profile picture for purpleturtle @purpleturtle

It is a compound cream
Amitripyline 2% Ketamine 2%
It is quite expensive but it does help. My dermatologist prescribed it for me.

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Thank you. I will look into it!

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Though nothing has worked effectively to alleviate my itching back for 3 years, I continue to try to find a remedy! Most recently I have been spraying my back with a solution called Pharmacaine which is 10% lidocaine. It helped a bit, but when one is desperate, "mind over matter" may come into play. I have used every possible ointment available - unless applied consistently 3x a day - none of them work. I recently applied Capsaicin - a BIG amount. That worked to relieve the itch, but it burned quite ALOT. I know that if I had COLD water running on my back all day, it wouldn't
itch. but I can't get much done in life living under a waterfall!!

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Profile picture for suejohnson1 @suejohnson1

My dermatologist suggested ice packs and a cream called Sarna. The Sarna only helps for a few minutes. The ice packs help but it is hard to get them tight against my back. The best one was REVIX Large Ice Pack for Shoulder and Back Injuries but I still needed to use 4" velcro to make tighter. All the plain ice packs have to be left out of the freezer for 20 minutes to thaw enough to be usable - they are rock hard straight out of the freezer. If anyone has found one that doesn't do this, I would love to know.

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I am using a reusable cold/warm gel pack for this. The one I have that is about 5 inches by 9 inches. There are gel beads in the pack. It is perfect for my shoulder blade because I just put it on the shoulder blade and lean against it on the couch. Since you need a much larger one with straps I would check Amazon. I hope this information helps you.

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I have the same diagnoses and will start pain management and Hopefully Botox injections in my back. I’ve heard it helps

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Profile picture for robis1947 @robis1947

Though nothing has worked effectively to alleviate my itching back for 3 years, I continue to try to find a remedy! Most recently I have been spraying my back with a solution called Pharmacaine which is 10% lidocaine. It helped a bit, but when one is desperate, "mind over matter" may come into play. I have used every possible ointment available - unless applied consistently 3x a day - none of them work. I recently applied Capsaicin - a BIG amount. That worked to relieve the itch, but it burned quite ALOT. I know that if I had COLD water running on my back all day, it wouldn't
itch. but I can't get much done in life living under a waterfall!!

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@robis1947 any updates. I have this condition I just tried capsaicin and it feels worse. Any other recommendations?

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