We describe a concurrent case of refractory NP and BRP in a 67 year-old female successfully controlled with cervical musculoskeletal disease management. Skin lesions in this patient cleared using our newly standardized multimodal therapy program for NP and BRP utilizing a customized clearing and maintenance phase schedule directed at cervical spinal and disc disease at C4-C6. The main components of this program utilized in office and at-home TENS and EMS, cervical acupuncture, phototherapy with Narrow band ultraviolet B (NB UVB) for generalized pruritus control, physical therapy referral, and consultation with Rheumatology and Pain Management. Patient was doing very well dermatologically at a 3 year follow up with complete resolution of symptoms and remission of skin findings. She recently notified us of a new diagnosis of systemic lymphoma.
Dear Yvonne: Sometimes I think the itching is as bad as the restless legs which often come at the same time. For me the itching is worse on my feet and usually at night. It often is after a weather change or stress. I know it is caused by an overstimulated nervous sytem, then the guilt or self reproach sets in if it is because of something I’ve done! The weather I can’t change of course. Trying to set aside time each day to deliberately relax, meditate, or stop the cycle reuires so much discipline… trying to train the brain! I wish I had an answer for you. other than massaging the areas. I have not really found much that quiets that surge of nervous system output in the affected areas except touch! Maybe someone out there has some advice we could all use! Barbara