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. 2017 Sep 28;9(9):e1719. doi: 10.7759/cureus.1719

Table 1. Notalgia paresthetica: therapeutic treatment options.

Treatment References
Intralesional  
     Botulinum toxin [21,22]
     Corticosteroids [13]
Non-pharmacologic  
     Acupuncture [11]
     Exercise [23]
          Latissimus dorsi and rhomboid muscle strengthening [23]
          Pectoral muscle stretching [23]
     Massage [19]
     Multimodal physiotherapy (infrared, radar, short waves and ultrasound) [10]
     Narrow band ultraviolet-B [24]
     Osteopathic manipulative treatment [25]
          Inhibition and soft tissue techniques [25]
          Rib raising [25]
          Scapulothoracic fascial release [25]
          Suboccipital decompression [25]
     Surgery (decompression of cutaneous nerve or discectomy) [26]
     Transcutaneous electrical muscle stimulation (EMS) [18]
     Transcutaneous electrical nerve stimulation (TENS) [27]
Oral  
     Antidepressants [4,28]
          Selective serotonin norepinephrine reuptake inhibitors [4,28]
          Tricyclic antidepressants [4,28]
     Antihistamines (sedative (histamine one) H1 and/or non-sedative H1) [4]
     Gabapentin [29,30]
     Muscle relaxants [19]
     Nonsteroidal anti-inflammatory drugs [4]
     Oxcarbazepione [31,32]
     Pregablin [29]
Peri-neural  
     Paravertebral nerve block (bupivacaine and methylprednisolone) [33]
Topical  
     Anesthetics (lidocaine 2.5% plus prilocaine 2.5% cream) [34]
     Capsaicin (0.025% and 0.075%) cream [35,36]
     Corticosteroids [10]
     Naltrexone 1% [31]
     Tacrolimus [37]