This disorder is related to puritis (itching) and not pain. Pain in this region probably has a different origin than a local sensory nerve injury.
Here is the rub. “Notalgia is described in a very high association with radiographically documented cervical spinal disease”. Why would this be? The reason is simple. Notalgia paresthetica is the description of symptoms without a cause. The cause in this case is referral pain from a degenerative disc but whomever put this term together did not know the connection.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.