Pain can be indicative of many disease states. With cancer, the prevalence of pain is up to 40% and with head and neck cancers, can be up to 70%.1 Head and neck cancers can be from a metastatic source, squamous cell in origin, or result of a primary bone tumor. The severity of pain can depend on the type of cancer, the tumor, invasion, and what structures are involved in the cancer.

We present a case study in which metastatic disease of the cervical spine was identified in a patient with seemingly classic cervical radicular symptoms.