Notalgia paresthetica is a chronic neuropathic dysesthesia with unknown etiology, characterized by itching at the medial lower border of the scapula. Individuals with this disease typically present to the clinic with localized pain, hyperesthesia, or a variety of paresthesias, such as burning and tingling. This case report presents the diagnosis and treatment of notalgia paresthetica in a patient who was admitted to the outpatient clinic with back pain. The symptoms regressed after three months of follow-up in the patient treated with dry needling and exercise. Dry needling and exercise programs with low possible side effects should be considered in the treatment planning of patients with notalgia paresthetica.