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Notalgia paresthetica is a common localized itch, affecting mainly the area between the shoulder blades (especially the T2–T6 dermatomes) but occasionally with a more widespread distribution, involving the shoulders, back, and upper chest.
Paresthesias are usually painless and can occur anywhere on the body, but most commonly occur in the arms and legs. [1] The most familiar kind of paresthesia is the sensation known as "pins and needles" after having a limb "fall asleep". A less well-known and uncommon paresthesia is formication, the sensation of insects crawling on the skin.
By keeping the nerve intact, a decompression preserves sensation. [8] With a neuroectomy, there will be permanent numbness distal to the site of transaction because the nerve is transected and removed. [3] [4] [5] However, in studies measuring patient quality of life, patients seem to be rarely bothered by the loss of sensation. [8]
Peripheral neuropathy may be classified according to the number and distribution of nerves affected (mononeuropathy, mononeuritis multiplex, or polyneuropathy), the type of nerve fiber predominantly affected (motor, sensory, autonomic), or the process affecting the nerves; e.g., inflammation (), compression (compression neuropathy), chemotherapy (chemotherapy-induced peripheral neuropathy).
Radiculopathy can result in pain (radicular pain), weakness, altered sensation (paresthesia) or difficulty controlling specific muscles. [1] Pinched nerves arise when surrounding bone or tissue, such as cartilage, muscles or tendons, put pressure on the nerve and disrupt its function. [2]
In neurology, Lhermitte phenomenon, also called the barber chair phenomenon, is an uncomfortable "electrical" sensation that runs down the back and into the limbs. The sensation can feel like it goes up or down the spine. It is painful for some, although others might simply feel strange sensations. [1]
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During a frisson, a sensation of chills or tingling is felt on the skin of the lower back, shoulders, neck, and/or arms. [7] [8] The sensation of chills is sometimes experienced as a series of 'waves' moving up the back in rapid succession and commonly described as "shivers up the spine." [6] [8] Hair follicles may also undergo piloerection. [6 ...