Spinal pain is very frequent and it represents one of the most common reasons to seek medical advice. Differential diagnosis is an intriguing challenge in which physicians must take particular care to understand the origin of pain and, in particular, to detect severe diseases.
For instance, it is known that low back pain can be due to a non-mechanical cause, in 2-4% of cases.
Sometimes spinal pain can originate during visceral diseases such as dysfunctional syndrome or organic lesions, like neoplasms.
However, it is not very common to consider that spinal muscles may provoke pain during patient evaluation in the daily practice.
Myofascial pain syndromes and trigger points pain are well known in scientific literature and many contributions have confirmed their overall high prevalence.
Some authors verified a prevalence of this nonarticular local musculoskeletal disorder in up to 85% of low back pain. Trigger points may be present during a visceral disease.
This report presents a particular and singular case of a woman with an upper back pain, which started four months before her visit. She presented this symptom as the unique manifestation of a hidden pancreatic cancer.
Only the paraspinal muscle evaluation allowed us to reveal a thoracolumbar trigger point, which was causing persisting pain.
Therefore, we strictly recommend the evaluation of spine muscles in the presence of spinal pain, in order to make a correct differential diagnosis. A trigger point can be the cause of pain itself or can be the sign of an underlying condition, such as a cancer.
TRIGGER POINT PAIN FROM THORACOLUMBAR PARASPINAL MUSCLES AS FIRST PRESENTATION OF BODY-TAIL PANCREATIC CANCER DIFFERENTLY ASYMPTOMATIC.
Partially reworked english Version of:
DOLORE DA TRIGGER POINT DEI MUSCOLI PARASPINALI TORACO-LOMBARI IN CORSO DI CARCINOMA DEL PANCREAS ASINTOMATICO: UN CASO CLINICO.