There is substantial evidence in the literature that the musculoskeletal system is capable of producing abdominal symptoms. Most authors agree that the vast majority of cases of abdominal pain have a visceral origin and, in the first instance, visceral pathology which must be excluded.
However, when routine visceral screening investigations are negative, clinicians should consider the musculoskeletal system as a potential cause of symptoms.
The viscera are known for their capacity to present misleading symptoms and have been described as the great deceivers in terms of the patterns of pain presentation.
Correct interpretation of the symptoms through a careful history and physical examination is important for an accurate diagnosis and treatment.
Given the incidence of patients with abdominal pain that remains unexplained following gastroenterological investigations, it is vital to investigate the musculoskeletal system and, where appropriate, treat accordingly.