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Levator scapula lesion

Localization

  • At angulus superior scapula

Indications

  • Pain at the upper part of the scapula on the affected side
  • Movements of the neck, shoulder girdle or arm may be painful
  • Sitting working in static typically ‘office-work’ positions for prolonged periods of time may be problematic
  • Keeping head in a flexed position over time may generate discomfort
    • Stretches the muscle, making it worked from a weakened position

Examination

  • Resisted elevation of shoulder – painful
  • Some neck movement may be painful
    • Flexion of head
    • Lateral flexion of head away from affected side
    • Resisted lateral flexion of head towards painful side
  • Palpation of tendon at angulus superior of the scapula indicates the location