Levator Scapulae

Pointer Plus The Pointer Plus is an easy to use trigger point (TP) locator which incorporates a push button stimulation feature to immediately treat Trigger point pain.

The Levator Scapulae is a back muscle which connects the scapula to the spinal column.

Anatomical Attachments:

• Origin: Attaches to the transverse process of C1 through C4 vertebra.
• Insertion: Attaches to the vertebral margin of the scapula, between the superior angle and the root of the spine.

Action: Elevates the Scapula; when the scapula is fixed, it bends the neck laterally.

Synergist: Trapezius (middle part), Rhomboid major and minor.

Antagonist: Latissimus dorsi, Pectoralis major and minor, Serratus anterior, Subclavius, Trapezius (lower part).

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Nerve Supply: Dorsal Scapula (C5); C3 and C4 cervical plexus.

Vascular supply: Descending scapular artery.

• Primary: The pain refers to the back of the neck along the vertebral margin of the scapula, and to the back of the shoulder joint.
• Satellite or associated triggers: Scalenus posterior, Splenius cervicis, Trapezius, Iliocostalis Cervicis Muscle.

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Trigger Point Signs and Symptoms: Inability to turn ones head to the ipsilateral side of the pain or stiffness, shortness of breath, and nuchal soreness.

Trigger Point Activating and Perpetuating Factors: Emotional stress, computer work or cradling a phone between your chin and shoulder for long periods of time, inadequate support under head while sleeping, painting over head. Activity Stress – Muscle exertion from exercise.

Differential Diagnosis: (Segmental, Subluxation, Somatic dysfunction) C5 C6 C7 C8 T1 or T2 radiculopathy, Spasmodic Torticollis (Wryneck syndrome), Stiff neck, Cervicogenic, Vascular or histamine headaches, acceleration deceleration injury (whiplash), Pulmonary carcinoma, Scapulocostal syndrome, Bursitis, Osteoarthritis, Rheumatoid arthritis, Tetanus, Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

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