{"id":4184,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/notalgiaparaesthetica\/"},"modified":"2024-08-02T11:39:47","modified_gmt":"2024-08-02T10:39:47","slug":"notalgiaparaesthetica","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/neurology\/nerveentrapmentsyndromes\/notalgiaparaesthetica\/","title":{"rendered":"Notalgia Paraesthetica"},"content":{"rendered":"\n<p>Notalgia paraesthetica is the medical term for a benign condition in which there is an itchy patch of skin on the back, usually just under the scapula (shoulder blade). The picture demonstrates the area usually affected.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Notalgia.jpg\" alt=\"Notalgia\" style=\"width:391px;height:auto\"><figcaption class=\"wp-element-caption\">Image Copyright -NHS Scotland <a href=\"https:\/\/www.nhscfsd.co.uk\/our-work\/modernising-patient-pathways\/specialty-delivery-groups\/neurology\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.nhscfsd.co.uk\/our-work\/modernising-patient-pathways\/specialty-delivery-groups\/neurology\/<\/a><\/figcaption><\/figure>\n<\/div>\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>The exact cause of the condition is unknown, but it is thought to be related to minor damage to the nerves supplying the affected area of skin.<br>Patients with notalgia parasthetica usually present with an intensely itchy, well localised area of skin. It<br>usually affects only one side.<br>Additional symptoms may include burning, numbness or increased sensitivity and tenderness. The affected skin may be of a darker colour reflecting increased pigmentation. Patients may even notice that frequent scratching over the area leads to worn-out patches on their clothes.<br><strong>Who does it affect?<\/strong><br>Adults of any age. Males and females are affected equally. It is more common in those with \u2018wear and tear\u2019 type changes in the spine.<br>Investigations required:<br>Usually none. Notalgia is a benign condition.<br><strong>Treatment:<\/strong><br>Whilst Notalgia is benign, it can cause considerable discomfort. There are skin preparations and tablets available which may lessen symptoms. Notalgia often settles down with time, though it may recur.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Whilst Notalgia is benign, it can cause considerable discomfort. There are skin preparations and tablets available which may lessen symptoms. Notalgia often settles down with time, though it may recur.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\"><\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Notalgia paraesthetica is the medical term for a benign condition in which there is an itchy patch of skin on the back, usually just under the scapula (shoulder blade). The picture demonstrates the area usually affected.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4167,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[438],"class_list":["post-4184","page","type-page","status-publish","hentry","category-notalgiaparaesthetica"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/neurology\/nerveentrapmentsyndromes\/notalgiaparaesthetica\/\" rel=\"tag\">Notalgia Paraesthetica<\/a>","rttpg_excerpt":"Notalgia paraesthetica is the medical term for a benign condition in which there is an itchy patch of skin on the back, usually just under the scapula (shoulder blade). The picture demonstrates the area usually affected.","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4184","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4184"}],"version-history":[{"count":11,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4184\/revisions"}],"predecessor-version":[{"id":20286,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4184\/revisions\/20286"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4167"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4184"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4184"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}