Korean J Anesthesiol.
2009 Jul;57(1):137-139. 10.4097/kjae.2009.57.1.137.
The effect of intermittent levator massage with caudal block on management of levator ani syndrome: A case report
- Affiliations
-
- 1Department of Anesthesiology and Pain Medicine, Korea University, Anam Hospital, Seoul, Korea. torchid@korea.ac.kr
- KMID: 1782631
- DOI: http://doi.org/10.4097/kjae.2009.57.1.137
Abstract
- Levator ani syndrome (LAS) is a functional disorder of the pelvic floor muscles in which recurrent and persistent distressing pain is felt in the anus without detectable organic pathology. Eighty one percent of coccygodynia was alleviated by the levator massage when the massage motion was repeated 10 to 15 times on each side of the pelvis daily for 5 or 6 days. The authors encountered the LAS patient for whom successive visit to pain clinic was economic burden. Therefore, the authors managed the patient by intermittent levator massage with caudal block, once a week for 3 times, resulting in two years of pain free status. Intermittent levator massage with caudal block may be as effective as successive levator massage and induce longer painless period in the management of LAS.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Levator Ani Muscle Posterior Midline Incision Method for Diffrentiation of Anal Fistulas Involving Ischioretal and Pelvirectal Spaces
- Anorectal Symtoms and Anorectal Pathophysiologic Findings in Patients with Levator Ani Syndrome and Protalgia Fugax
- The Effect of The Levator Resection on Congenital Blephareptesis
- Normal Anatomy of the Anal Wall and Perianal Spaces: An EUS, MRI and Cadaveric Correlative Study
- Novel anal sphincter saving procedure with partial excision of levator-ani muscle in rectal cancer invading ipsilateral pelvic floor
