The diagnosis for these patients varied from no diagnosis to thoracic degenerative discogenic pain, costovertebral joint dysfunction, levator scapulae
syndrome, thoracic facet syndrome, dorsal back strain, myofascial pain of the rhomboids and finally DSN entrapment.
The levator scapulae
, rhomboids, and trapezius muscles are spared in almost all cases of traumatic brachial plexus injuries.
7 Usually the pain is the direct cause of the scapulothoracic bursitis located at the level of the levator scapulae
muscle insertion at the superomedial angle of the scapula.
Stretches, such as leaning backwards and looking up as well as stretching the side of your neck and the levator scapulae
, are great examples.
Finally, the trapezius, levator scapulae
, rhomboids, and serratus anterior muscles stabilize and position the scapula and shoulder girdle, and are therefore very important to the swimming stroke.
Several hypotheses for the origin of the levator scapulae
propose the sternocleidomastoid, trapezius, scalenus anterior, longus coli or ventrolateral muscle primordial of the neck as the embryologic derivative.
Upon palpation, the following muscles will most likely be found to be shortened and tight: pectoralis major and minor, subscapularis, upper trapezius, levator scapulae
, sternocleidomastoid (SCM), and the suboccipital group.
Coracoid-based pectoralis minor and levator scapulae
muscles are usually tight.
4) Chronic contraction of the levator scapulae
and the upper fibers of the trapezius is common among individuals whose poor postural concept results in an elevated shoulder girdle.
In patient's posture evaluation, there was thoracic kyphotic posture, forward head posture, right scapular winging; and tightness in right upper trapezius and levator scapulae
The posterolateral boundaries of Sibson fascia are the vertebral column, first rib, levator scapulae
muscle, and scalenus medius muscle; the medial boundary is formed by the superior mediastinal structures; and the anterior boundary is formed by the scalenus anterior and sternocleidomastoid muscles.
If you work under an air conditioning vent or in front of a window unit, your levator scapulae
will definitely tighten up," he says.