scapula pain

https://www.youtube.com/shorts/lQV73P1dves

Chronic superior scapular pain is a pretty common complaint and the source is not always well understood by patients. It's really boils down to the basic mechanics and sagittal alignment of the neck shoulder and thoracic spine. When the neck is aligned over the shoulders, and the shoulder is in line with the trunk rather than rolling forward, the levator scapula, as well as the upper rhomboid muscles rest with normal tone. If the head migrates forward and the shoulder rolls forward especially if chronic such as often associated with seated posture working on computers or looking down, both of these muscles will be constantly overloaded in the static manner and develop chronic myofascial scar over time.