TABLE 1.

Treatment options for notalgia paresthetica

Treatments	Description	Efficacy
Capsaicin [11]	0.025% cream to affected areas 5 × day for 1 week, then 3 × day for 5 weeks	70% had improvement, but symptoms returned within a month of stopping treatment
Botulism toxin type A [12]	4 units per superficial injection, spaced 2 cm apart throughout affected area	Resolution of symptoms for over 18 months observed in one patient
Nerve block [13]	5 mL bupivacaine 0.75% with 40 mg methylprednisolone acetate	Resolution of symptoms for at least 12 months in one patient
Gabapentin [14]	Initial dose of 300 mg at bedtime, increased to 600 mg	Resolution in one patient while on medication. Symptoms returned fully when medication stopped
Oxcarbazepine [15]	Initial dose of 300 mg twice daily. Increased to 600 or 900 mg to achieve adequate relief	Improvement, no resolution, in four patients
Surgery [8]	Surgical decompression of cutaneous nerve	Resolution of symptoms observed in one patient
Transcutaneous Electrical Nerve Stimulation [9]	5 20-minute sessions/week × 2 weeks, 50–100 Hz with a 40–75 μs pulse width	Improvement of symptoms, no resolution, in 15 patients
Exercise [16]	Strengthening of rhomboid and latissimus dorsi muscles, stretching of pectoral muscles daily for one week	Resolution of symptoms in two patients
Acupuncture [17]	Deep intramuscular stimulation to paraspinal muscles in affected area every 1–2 weeks until relief	Partial to complete resolution after 2–6 treatments, but relapse of symptoms in 1–12 months, observed in 16 patients
Osteopathic Manipulative Treatment [18]	Muscle energy, soft tissue, inhibition, fascia release	Improvement of symptoms observed in one patient