Laryngeal Cancer Presenting as Neck Pain: A Case Report

BACKGROUND: Neck pain, commonly treated by physical therapists, can be a symptom of head and neck cancers. Adequate screening is essential to recognize the need for referral when accompanied by symptoms of a nonmusculoskeletal nature. CASE PRESENTATION: A 65-year-old male was referred to physical therapy for chronic neck pain. Radiographs showed moderate to severe degeneration of the lower cervical spine. He demonstrated significant spinal range of motion restrictions, negative neurological screening, and symptoms of dysphagia and hoarseness. OUTCOME: The patient was referred back to his provider following the physical therapy evaluation due to concomitant symptoms of dysphagia and hoarseness. Succeeding onset of a neck mass, a syncopal episode and pain with swallowing warranted further testing, including computed tomography, fine-needle aspiration, and direct tissue biopsy, ultimately leading to the diagnosis of laryngeal cancer. He was referred to oncology and began chemotherapy and radiation treatment. DISCUSSION: This case highlights the role physical therapists must play in assisting with diagnosis of red flag conditions. JOSPT Cases 2025;5(4):226-230. Epub 15 October 2025. doi:10.2519/josptcases.2025.0188