Levator scapulae tension lines refer to the patterns of muscle tightness and strain that develop due to dysfunction, overuse, or compensatory loading. The levator scapulae originates from the transverse processes of C1 to C4 and inserts into the superior angle of the scapula. Tension often runs from the upper cervical spine down toward the superior angle of the scapula. Chronic tension can also create referral patterns into the upper trapezius, rhomboids, and mid-back, affecting the way the scap