Type of Article : Case Study
Year: 2016 | Volume 4 | Issue 4 | Page No. 1589-1592
Date of Publication: 11-08-2016
LEVATOR ANI SYNDROME: A CASE STUDY
Assistant Professor. Shri U.S.B. College of Physiotherapy, Rajasthan, India.
Corresponding author: Dr. Mayuri Sharma, PT., Assistant Professor. Shri U.S.B. College of Physiotherapy, Rajasthan, India.
Background and Purpose: The purpose of this case report is to describe the physiotherapy management of a patient with overactivity of the pelvic-floor muscles with a limited number of visits and a focus on self-management strategies. Electrogalvanic stimulation (EGS) has been established as a safe and effective treatment for the management of levator ani syndrome (LAS). There is a paucity of recent literature regarding this treatment modality. So the aim is to review recent experience with EGS along with stretching of piriformis & myofascial release techniques. in the treatment of levator ani syndrome.
Case description: This case involved a 40-year-old married woman with levator ani muscle overactivity that was 5 month in duration.
Intervention: Therapist instructed the patient on how to control the levator ani muscles, and instructed her on relaxation techniques along with electrical stimulation,sitz bath and myofascial release.
Outcomes: the patient attended 15 physical therapy sessions over a period of 4 weeks then once in a week over period of next 4 week. She performed relaxation exercises at home. She rated pain during intercourse as 0/10 on verbal rating scale & had no remaining tenderness in the levator ani muscle at discharge.
Discussion: Some women with levator ani syndrome may improve with an intervention that emphasizes education and vaginal self-dilation techniques. Future research should compare home-based and clinic-based treatments.
Musculoskeletal dysfunction , specifically muscle pain & overactivity of levator ani muscle is the cause of levator ani syndrome ,overactivity of the levator ani muscle is a condition in which these muscle do not relax completly & pain itself may cause spasm of levator ani muscle.
The goal of physical therapy intervention for LAS is to reduce vaginal and anal pain by reducing overactivity of pelvic floor muscle, improving the patient ability to control these muscle & increasing the ability of vaginal tissue to tolerate stretch.
Physical therapist interventions for LAS include the use of manual therap, exercise, relaxation exercises,hot pack and galvanic stimulation.
KEY WORDS: Electrical Stimulation, Levator ani syndrome.
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Mayuri Sharma. LEVATOR ANI SYNDROME: A CASE STUDY. Int J Physiother Res 2016;4(4):1589-1592. DOI: 10.16965/ijpr.2016.143