A minimal invasive treatment option in notalgia paresthetica: Dry needling

Dear Editor,Notalgia paresthetica (NP) is a clinical entity characterized by localizedpain, itching, hyperesthesia, paresthesia and hyperpigmentation usuallylocated on the inferior scapular area. Although its etiopathogenesis isnot fully known, two main possible pathophysiological mechanism hasbeen proposed: Increased sensory innervation in the affected skin andneuropathy due to direct nerve compression or degenerative cervicaldisc disease. Topical treatments are often insufficient in relieving symp-toms. In resistant cases, transcutanos nerve stimulation therapy and sur-gical options may be considered, depending on the underlying cause.Here, we present a recalcitrant case of NP successfully managed withdry needling, a less invasive method...