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Dr. Vikram Chauhan - MD (Ayurveda)

Friday, August 12, 2016

Ayurvedic Remedies for Levator Ani Syndrome

Have you ever been forced to get awake at night with severe pain in your pelvis or around your anal opening An uncomfortable extremely painful condition - Levator Ani Syndrome is episodic rectal pain which is a consequence of spasm and tightening of the levator ani -muscle a large muscle in the lower pelvis which is characterized by pain, pressure, and discomfort in the region of the rectum, sacrum, and coccyx. The disease is a form of Chronic Proctalgia. Ayurvedic Remedies for Levator Ani Syndrome can relieve you.

The pain may be brief and intense or a vague ache high in the rectum. It may occur suddenly or with sitting and can awaken the patient from sleep. The syndrome is also known as Coccygodynia, Levator Ani Spasm Syndrome, Proctalgia Fugax, and Proctodynia.

Certain studies says 50% of affected people are aged 30-60 years, and it is more common in women than men.

What are the Causes of Levator Ani Syndrome?

The etiology is not well understood and sure. The reason for Levator Ani syndrome is considered to be spasm in the levator ani muscle which as a consequence of injury or surgery.

  • Damage in the muscle or nerve may also be a triggering factor.
  • However, even without trigger of the muscle, it may lead to the problem of LAS

Other reasons of Levator ani syndrome

  • Can be muscular tension due to injury or surgery. Injury could be Pelvic surgery in case of some trauma to the pelvic muscles or to blood and nerve supply to the muscles.
  • Repeated improper postural positioning
  • Infection or inflammation of Pelvic region
  • Childbirth injury
  • Surgery of Lumbar disc
  • Sexually related injuries
  • Vigorous physical activity

It is also important to draw a precise history of defecation.

There may be association with irritable bowel syndrome (IBS).

Evaluation of past history with anxiety or depression is frequently associated.

Ayurvedic View in Levator Ani Syndrome

This Disease occurs due to imbalance in the three Doshas of the body. But there is imbalance of mainly Apaan vata (a subtype of vata) in Levator Ani Syndrome.

Symptoms of Levator Ani Syndrome

Symptoms of LAS are common to observe and they vary from patient to patient.

The pain in the rectum is the best way to describe the disease.

The patients feels a dull Rectal Pain and rarely burning. The pain often gets worse while expelling the stools (that presses against the levator ani muscles) and sitting.

Other most common signs and symptoms of levator ani syndrome comprises:

  • Sensation of “sitting on a ball”
  • Rectal tightness and Muscle spasm
  • Dull Pain and Discomfort in the rectum
  • Pain, Pressure and Discomfort in the tailbone area
  • Some affected individuals may also report of constipation

Pain is often noticeable by one at sudden night awakening from sleep. Some people have the pain until they get up and move around; others have brief, sharp pains lasting only for a few seconds.

The pain and discomfort of the condition is usually worsened when the person is sitting, during sexual intercourse and lessened when they are standing up or lying down.

Ayurvedic Remedies for Levator Ani Syndrome

1. Yograj Guggal

Yograj Guggul is a Ayurvedic herbal formulation that preserves stability of Tridoshas (Vata, Pitta and kapha). It is good for body to maintain digestion and metabolism healthy and supports healthy muscles and this way it is a good Ayurvedic Remedy for Levator Ani Syndrome giving relief from its symptoms.

Yograj Guggul is a blend of some beneficial herbs that have detoxifying and anti-inflammatory effects. Else it rejuvenates and strengthens skeletal and neuromuscular system finding its use in myalgia and hyperlipidemia.


  • Shudh Guggulu (Commiphora mukul): Guggul has ability to control vata by which it gives strength to the joints as well as muscles and nerves in the body.
  • Ardraka (Zingiber officinale): Ginger is having anti-inflammatory properties. It provides long lasting relief from pain without any side effects.
  • Chitraka (Plumbago zeylanica)
  • Pippali (Piper longum)
  • Jeeraka (Cuminum cyminum)
  • Devdaru (Cedrus deodara)
  • Ela (Eletteria cardamomum)
  • Amalaki (Emblica officinalis)
  • Mustaka (Cyperus rotundus)
  • Haritaki (Terminalia chebula)

Dose: 2 tablets twice or thrice daily with plain water after half an hour of meal.

2. Digestion Support Capsules

Digestion Support herbal preparation gives best results in digestive functions disorders and an efficient Ayurvedic Remedy for Levator Ani Syndrome. These capsules are amalgamation of certain pure herbs with useful properties that work together in a synergistic manner and control acidity, flatulence, and also constipation. Some of the herbs like Haritaki, Fennel, Cumin, and Pepper balance the natural pH in the stomach and support in digestion of all types of food.


  • Amla (Emblica officinalis): This medicinal herb has many beneficial effects. It is capable to rejuvenate the body by providing important vitamins along with that it relieves ‘heat' within the body i.e. it has cold potency.
  • Haritaki (Terminalia chebula): Terminalia chebula is an herb that relieves flatulence and gas because of its warm potency. It even good in treating constipation as it is a mild laxative.
  • Bahera (Terminalia bellerica): It is very useful ingredient of a formulation ‘Triphala' which is used in acidity and constipation
  • Sounf (Foeniculum vulgare): This herb is commonly used for alleviating gaseous distension of abdomen, pain abdomen due to gas and acidity, and constipation.
  • Dhania (Coriander sativum): Coriander is another useful herb that improves appetite, relieves constipation and gas.
  • Pippali (Piper longum): Pippali is another ayurvedic herb whose use can be beneficial in cases of low appetite and indigestion.
  • Jeerak (Cuminum cyminum): Cumin is very common kitchen spice. It is so commonly used in relieving abdominal pain due to gas and flatulence.

Dose: 2 capsules twice daily in middle of meals with little water.

3. Ashwagandha Capsules

A tonic to overall health reducing the anxiety and stress levels. It is prepared by the use of pure extract of Ashwagandha herb. Aswagandha (Withania somnifera)
Ashwagandha is such a useful herb. Ashwagandha is naturally capable to fight stresses.

Dose: 1-2 capsules twice daily, with plain water after meals

4. Chandraprabha Vati

This herbal preparation available in the form of tablet is formed with combination of various herbs and other natural ingredients that collectively work to control the disturbed metabolism of 'Kapha as well as "Vata doshas" that makes it a good Ayurvedic Remedy for Levator Ani Syndrome.


  • Shilajit (Asphaltum)
  • Sharkara (Sugar)
  • Karpoor (Cinnamomum camphora)
  • Vacha (Acorus calamus)
  • Mustak (Cyprus rotundus)
  • Haridra (Curcuma longa)
  • Amalaki (Amla Emblica officinalis)
  • Chavya (Piper chaba)
  • Vidanga (Embelia ribes)
  • Guduchi (Tinospora cordifolia Giloy)
  • Shunthi (Zingiber officinalis)
  • Maricha (Piper nigrum_)
  • Pippali (Piper longum)
  • Sarjikashaar (Sodium carbonate)
  • Yavkshaar (Potassium carbonate)
  • Saindhav Lavan (Rock salt)
  • Suvarchal Lavan (Sodium sulphate)
  • Vida Lavan (Balck salt)
  • Danti (Baliospermum montanum)
  • Dalchini (Cinnamomum zeylanicum)
  • Tejpat (Cinnamomum tamalata )
  • Ela (Elettaria cardamomum)

Dose: 2 tablets twice or thrice daily with lukewarm water

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