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<p>This review investigates exercise as a treatment modality for notalgia paresthetica (NP), a sensory neuropathy of the upper back. The manuscript summarizes current research on the effectiveness of stretching, strengthening, and postural correction exercises for treating NP symptoms. Proposed mechanisms of action include alleviating nerve compression, improving posture, increasing local blood flow, and modulating pain perception via neuroplasticity. Exercise therapy should be considered as a first-line treatment option for NP, since it provides a non-pharmacological approach to symptom reduction and better patient quality of life. Exercise therapy for NP is supported by case reports and pilot studies, but requires larger randomized controlled trials before being adopted into clinical guidelines.</p>

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Exercise therapy as a novel intervention for notalgia paresthetica: a brief narrative review

  • 期刊论文

  • 发表日期：

    2025年10月9日

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  • Kritin K. Verma,
  • Jackson Driskill,
  • Kevin T. Nguyen,
  • Kabir D. Kapur,
  • Daniel P. Friedmann,
  • Jonathan Aldrete,
  • Alba Posligua,
  • Michelle B. Tarbox

摘要

This review investigates exercise as a treatment modality for notalgia paresthetica (NP), a sensory neuropathy of the upper back. The manuscript summarizes current research on the effectiveness of stretching, strengthening, and postural correction exercises for treating NP symptoms. Proposed mechanisms of action include alleviating nerve compression, improving posture, increasing local blood flow, and modulating pain perception via neuroplasticity. Exercise therapy should be considered as a first-line treatment option for NP, since it provides a non-pharmacological approach to symptom reduction and better patient quality of life. Exercise therapy for NP is supported by case reports and pilot studies, but requires larger randomized controlled trials before being adopted into clinical guidelines.