Because the #Rhomboids, and Middle and Lower #Trapezius muscles are stretched and weak, the work of anchoring the shoulder blades to the spinal column passes to the Levator Scapula and Upper Trapezius, both of which can't avoid their anatomical role of suspending the #shoulder blades from the neck/cervical spine.
But these two #muscles aren't adequate for the extra load* and in response they become hyperactive and remain tight, always trying to pull the shoulders up toward the ears. Use of the arms in weight bearing activity such as in lifting or pulling adds to the load, and may cause the upper traps and levator scapula to #spasm.
Focal points of hyperactivity are felt as tender knots at the levator scapulas' points of attachment to the shoulder blade (red X in illustration above and at left). Unfortunately in slouched #posture, the levator scapula and the upper trapezius are also stretched—their points of attachment on the shoulder blade having moved further away. Being simultaneously stretched and "shouldering" more of the work of stabilizing the shoulder blades, the upper traps and levator are in a bind—not able to strengthen adequately because they're stretched and yet also overworked.
Even small #muscle strains have difficulty healing and occur more often, becoming #chronic. And chronic muscle damage becomes chronic inflammation and #chronicpain.
Inflammation at origin points of the levator scapula and upper trapezius on the cervical spine and back of the head cause side and back neck soreness/pain, and headaches (Cervicogenic/occipital headaches). Chronic soreness/pain of the upper back and fleshy triangle between the neck and shoulder (body of the upper trapezius) is common.
I suggest starting with the #symptoms to reduce #pain and release trigger points as shown on the image then move on to correcting the postural imbalances at the pelvis and rib cage to reduce the forward head position and change the workload on the neck muscles.
#physology #health #sportsmassage #sportstherapist #sportstherapy #neckpain #backpain #treatment #training #massagetherapist #therapist