Just below the shoulder blade (scapula), a pigmented patch typical of notalgia paresthetica. A close-up of hyperpigmented patch of notalgia paresthetica. The brown, flat area underneath the right shoulder blade is caused by continual rubbing and scratching.
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Notalgia Paraesthetica  Information for adults

Picture of Notalgia Paraesthetica: Just below the shoulder blade (scapula), a pigmented patch typical of notalgia paresthetica. Divider line
Just below the shoulder blade (scapula), a pigmented patch typical of notalgia paresthetica.
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Self-Care Guidelines
Dry skin is a common cause of itching, so it helps to apply a moisturizer to the itchy area at least twice a day.

If moisturizers are not helpful, try an over-the-counter cream containing an extract of hot peppers, called capsaicin, and follow the package directions carefully. You will probably not get immediate relief, and the capsaicin cream may take up to 6 weeks to have its full effect. If the capsaicin cream is effective, symptoms will likely come back after you stop using the cream.
When to Seek Medical Care
If moisturizers and capsaicin cream are not helpful, see your doctor for an evaluation.
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Last Modified: 22 Dec 2008
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