Levator Scapulae Trigger Point Therapy

4/27/2018

The levator scapulae is a skeletal muscle situated at the back and side of the neck. As the Latin name suggests, its main function is to lift the scapula.

Structure
The levator scapulae originates from the posterior tubercle of the transverse process of cervical vertebrae one to four. The muscle is inserted into medial border of the scapula extending from the superior angle to junction of spine and medial border of scapula.

Function
When the spine is fixed, levator scapulae elevates the scapula and rotates its inferior angle medially. It often works in combination with other muscles like the rhomboids and pectoralis minor.

Trigger points
The Levator Scapulae can present with two trigger points located in the lower half of the muscle. The lower trigger point lies just above the superior angle of the scapula and upper trigger point lies 1-3 inches above the lower trigger point. Both trigger points lie deep to the upper trapezius muscle. Both trigger points refer pain laterally to the shoulder and along the medial aspect of the shoulder blade.
Sign and Symptoms

Neck pain, which may extend to the head causing a headache.
Pain and restricted range of movement, especially reduced cervical flexion and side flexion to the contralateral side.
Deep, achy pain and/or tightness on the upper back along the top of the shoulder blade or neck.
Increased muscle tone and trigger points. Active trigger points are more frequent in patients presenting with mechanical neck pain