Levator Scapulae - Snapping Scapula Syndrome

Snapping scapula syndrome is defined as an audible or palpable clicking of the scapula during movements of the scapulothoracic joint

The Levator Scapulae muscle is an important muscle in the neck. It has a key role in lateral flexion and rotation of the neck. If the Levator Scapulae is injured or overactive, it can cause pain and tightness in the shoulder blade. To help relieve pain caused by the Levator Scapulae, you can perform stretches and physical therapy exercises to relieve tension and improve function.

The Levator Scapulae is located in the lateral cervical region and is located close to the sternocleidomastoid muscle at its origin. At its lower portion, it is covered by the trapezius muscle. In the upper part, it lies under the splenius capitis.

When the Levator Scapulae muscle becomes overactive, it can lead to a condition known as snapping scapula syndrome. This is a common condition that can be a result of overuse, injury, or muscle imbalance. Symptoms include deep aching, pain, or tightness in the scapulae. Besides affecting the shoulder, these symptoms can also affect the neck and a person's ability to turn the head to the side. Fortunately, there are ways to prevent a snapping scapulae from developing. Among these ways are proper sitting and sleeping positions, avoiding repetitive arm motions, and performing stretching and massage procedures.

The Levator Scapulae muscles insert into the superior part of the medial border of the scapula. These muscles originate from the posterior tubercles of the transverse processes of the first four cerebral vertebrae. Lowermost fibers insert laterally, while the superior fibers insert medially. There are many attachments to the scapula, and the number and location of these attachments can vary between individuals.

A strain of the levator scapulae can be painful and may affect the glenohumeral joint. Although a mild sprain can allow you to continue your activities, severe strains can lead to tenderness, swelling, and bruising, as well as limited range of motion. Chronic levator scapulae strains can develop into tendonitis and degeneration of the muscle. Performing various stretching and massage techniques can improve the scapulae's function and reduce its sensitivity to stress.

During the abduction stage of shoulder movement, the Lev Scapulae actively contracts to support the shoulder blade. However, during the postural phase of the shoulder movement, the muscle works eccentrically to prevent the scapula from extending upward. During this time, it is unable to lift the scapula, but it can tilt the glenoid cavity inferiorly. During this time, the Lev Scap can also assist the upper serratus anterior in cervical extension.

Symptoms of a strained levator scapulae usually involve pain and tightness in the shoulder blade, especially in the scapulae. Tightness can also be accompanied by neck pain, shoulder blade discomfort, and headaches. Since the Levator Scapulae controls the neck, a stiff scapulae can hinder its normal function. For these reasons, it is vital to stretch the muscles after a shoulder rotation. Doing so will also prevent a scapula from developing a shortened arc.

Stretching and massage can help to treat a strained levator scapulae. Depending on the extent of the muscle's irritation, you can use a variety of modalities, including massage, physical therapy, and trigger point therapies. Combined with other treatments, manual therapies may typically improve a person's scapulae's function.