- TrPs in the splenius cervicis.
- Scapulocostal syndrome.
- Referred pain from facet joints around the C4-C5 level.
- Articular dysfunction of C3, C4, C5, or C6 or several of these segments.
- Secretarial work.
- Typing while looking to one side and down to copy information from another source.
- Using a computer, in which the monitor is deviated to one side or another, allowing the body to face forward and the head to be deviated for long periods of time.
- Carrying of a heavy purse on the affected side.
- Sitting at a table and talking to a person off to one side (the body forward and head turned).
- Sleeping with the neck in a tilted position.
- Exposures to cold drafts.
- Watching a movie from the left or right sides.
- Watching TV where the TV is off to one side verses the direction the sofa/chair is facing.
- Sitting in a chair with armrests that are too high.
- Walking with a cane that is too long that forces unnatural elevation of one shoulder.
- Playing vigorous tennis.
- Swimming the crawl stroke.
- Rotating the head repeatedly as when watching a basketball game – “spectator neck”.
- A motor vehicle accident.
- Asymmetries in the lower body, such as lack of a normal push off during walking.
- Some viral and bacterial infections may activate TrPs in the levator.
- A person may learn how to release this muscle themselves by using a method of self treatment.
- When talking to people or watching a movie or TV be sure that the head and body are facing the same direction.
- Lower keyboards that are too high or elevate the chair – refer to proper ergonomics.
- Use a bookstand at the workplace to put materials on that are being typed onto a computer to avoid strain.
- Employment of a headset when using the phone will remove excessive strain from the levator and free up the hands to complete work more efficiently. A speaker phone will work as well.
- Have a cane that is too long be properly fitted.
- Use a scarf to keep the neck warm in cold climates or in places prone to drafts, including airplanes.
- When in bed pillows should be used to keep the head from deviating to one side or the other and should also keep the head and neck level in relation to the body.
Simons DG, Travell JG, Simons LS, Myofascial Pain and Dysfunction: The Trigger Point Manual, vol 1, 2nd Ed. Baltimore: Williams and Wilkins, 1999.
Travell JG, Simons DG, Myofascial Pain and Dysfunction, vol 2. Baltimore: Williams & Wilkins, 1992.
This information is not intended to diagnose, treat, or cure any disease.
A proper diagnosis should be sought from a licensed health care provider.