Recognition of a Severe Pathology in a Runner Presenting With Atraumatic Neck Pain: A Case Report

Abstract

Background Acute neck pain is one of the most prevalent musculoskeletal disorders in the general population; however, neck pain may hide more serious pathologies. Case Presentation This case report describes the history, clinical presentation, and relevant findings of a 63-year-old male runner who presented to an outpatient private physical therapy practice for acute, atraumatic neck pain. After referral, the patient was diagnosed with a C2 lytic bone lesion (solitary plasmacytoma) and was stabilized with surgical spine fusion (C1-C5). Outcome and Follow-Up At the 3-month postsurgery follow-up, the patient completely resolved his pain and accepted loss of cervical rotation as a valuable compromise. Discussion This case report underlines the need for cautious evaluation in patients presenting with an apparent musculoskeletal disorder. Physical therapists should be able to identify red flags and rule out severe pathologies, guaranteeing the best health care assistance. JOSPT Cases 2021;1(3):161–165. doi:10.2519/josptcases.2021.10604