Also called shoulder blade lifter, neck and shoulder knot
The levator scapulae is a strap-like muscle at the side and back of the neck, running from the top four neck vertebrae down to the upper inner corner of the shoulder blade, under the trapezius.
It lifts the shoulder blade, as when you hitch a bag strap onto your shoulder, and helps turn and tilt the neck.
Look down toward the opposite armpit. Keep it gentle: in levator scapulae syndrome, stretching movements tend to aggravate symptoms, so stop if the pain increases.
It is one of the muscles most often involved in neck muscle pain and trigger points, including after whiplash. In levator scapulae syndrome the upper inner corner of the shoulder blade is tender; physiotherapy is described as effective.
A neck and shoulder knot just needs stretchingEmerging evidence
In chronic neck pain, neck strengthening did much better than stretching plus aerobic exercise in a year-long trial, and specific strength training cut neck and shoulder muscle pain in women with repetitive jobs. Gentle stretching can still feel good; strengthening is what the trials support.
Anatomy and movement education, not a diagnosis or treatment plan. If you have pain that follows an injury, is severe or getting worse, or comes with numbness, weakness or swelling, get it assessed. Health disclaimer.