Muscle knots in the Levator Scapulae are typically located just above the top inner corner of the shoulder blade, running up the side and back of the neck. These trigger points often refer pain to the angle of the neck, the top of the shoulder, and sometimes along the inner edge of the shoulder blade, making it feel stiff or achy. People often notice discomfort when turning their head, tilting it, or after sleeping in an awkward position, like waking up with a crick in the neck.