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9: A Shoulder Aggravating a Neck that Aggravates a Shoulder

Summary: The title of this article looks weird, but it's the only way one can describe a concept written about in 1986 by Behrsin and Maguire. Usually when we attempt to find the source of pain in a shoulder, we also evaluate the cervical spine. If motion testing of the cervical spine does not refer pain to the shoulder, and motion testing of the shoulder reduplicates the patient's shoulder pain, we would probably assume that the origin of the pain is localized in the shoulder. The levator scapulae arises from the dorsal tubercles of the transverse processes of the first four cervical vertebra and inserts on the superior angle of the scapula and the adjacent part of the medial margin. It elevates the scapula while rotating the inferior scapula angle medially, causing the glenoid cavity to shift caudally. With the scapula fixed, it can laterally flex and rotate the vertebrae ipsilaterally; and bilaterally, it can aid in cervical extension. Full Article: Chiroweb