Osteopathic Manipulative Treatment in the Management of Notalgia Paresthetica
Osteopathic Manipulative Treatment in the Management of Notalgia Paresthetica
复制标题
整骨手法治疗感觉异常痛
DOI：
10.7556/jaoa.2009.109.11.605
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
A. J. Speece
中科院分区：
文献类型：
--
作者：
Blakely S. Richardson;B. Way;A. J. Speece
摘要感觉神经异常症是一种慢性感觉神经病，以背部中上部皮肤瘙痒为特征，多见于左肩下。症状可能包括疼痛、感觉过敏、感觉异常和受影响区域的色素沉着。虽然这种疾病的病因过程尚不清楚，但最近与退行性脊椎改变的相关性表明，脊神经撞击可能起到了一定作用。作者报告了一例患有感觉异常的59岁女性，她接受了20分钟的骨科手法治疗，主要集中在胸椎和肋骨躯体功能障碍上。治疗后，患者报告症状立即改善。本文还根据以前发表的文献对这种情况进行了讨论。
Abstract Notalgia paresthetica is a chronic sensory neuropathy characterized by pruritus of the upper to middle back, typically below the left shoulder blade. Symptoms may include pain, hyperesthesia, paresthesia, and hyperpigmentation of the affected area. Although the etiologic process of this condition is poorly understood, recent correlations with degenerative spinal changes suggest that spinal nerve impingement may play a role. The authors report the case of a 59-year-old woman with notalgia paresthetica who received one 20-minute session of osteopathic manipulative treatment that focused primarily on thoracic spine and rib somatic dysfunctions. After treatment, the patient reported immediate improvement of symptoms. A discussion of this condition based on previously published literature is also provided.