Alternative Treatment For Levator Ani Syndrome

Abstract

There are a number of syndromes or diseases mankind is suffering from. One of such conditions is levator ani syndrome, which occurs due to the spasm or twitching of the levator ani muscle. This results in burning sensation and pain in the rectal part. The pain occurs in episodes. The exact cause of the condition is unknown. In the text below, we shall discuss the condition caused by levator ani syndrome as well as its management in the contemporary system of medicine and traditional system of Ayurvedic medicine. Let's discuss!!

Introduction

Levator ani syndrome is characterised by tenesmus or painful burning sensation in the perineal or rectal area due to spasm of the muscle levator ani. It is a chronic condition characterised by episodic pain and burning sensation in the upper anal canal and rectum. The pain radiates to the hips, tailbone and other structures of the pelvic regions. There is no anatomical or structural abnormality or deformity present in the condition. The condition is only based on the recurring spasm of the levator ani muscle. In Ayurveda, the condition can be compared with the vata dosha and pitta dosha aggravation as the burning sensation is the feature of pitta dosha and the spasm is related to vitiated vata dosha. Further the condition can be related with guda stambh.

Causes Of Levator Ani Syndrome

• Exact cause of Levator Ani syndrome is unknown
• Inflammation of the pelvic area
• After child birth
• Surgery of the pelvic area
• Inflammation of the arcus tendon

Signs and Symptoms

• Irregular and spontaneous pain in the rectum
• Sensation of constant pressure on rectum and burning
• Pain is worse in sitting posture
• Pain worsens with prolonged sitting, stress, defecation, childbirth, surgery and sexual intercourse
• Tenderness on palpation of levator ani muscle
• Constipation
• Urinary incontinence and urgency to pass urine as well Dysuria

Investigations Required

• Stool sample
• Blood work
• Endoscopic and colonoscopy
• Imaging

Management of Levator Ani Syndrome

• Physical therapy
• Electrogalvanic stimulation
• Cyclobenzaprine
• Biofeedback
• Botox injections

Ayurvedic Management of Levator Ani Syndrome

Ayurveda, the life science, is a traditional system of Indian medicine. Ayurveda is based on the three basic principles known as doshas (Vata, Pitta, Kapha). Any imbalance in the dosha causes disorder and balance of the same is pronounced as health. In the condition of Levator Ani Syndrome, vata, kapha and pitta doshas are vitiated. The condition manifests itself with the painful and burning sensation in the rectum and perineal area. By pacifying the above mentioned vitiated dosha, there are a number of herbs that are useful in the levator ani syndrome. The condition can also be named 'guda stambh' as there is spasm of the levator ani syndrome which is characterised by painful and burning sensation in the rectum. Stambhan is the property of sheeta guna of vata dosha and kapha dosha and ruja (pain) is also related to vata dosha. Whereas the burning sensation is directly linked to the ushna guna (hot property) of pitta dosha. Hence as per the symptoms and the episodic spasm (stambhan) the condition of levator ani syndrome is best correlated with aggravated vata and pitta doshas.

The herbs amla (Emblica officinalis), haritaki (Terminalia chebula), bibhitaki (Terminalia bellerica) together pacifies all the three doshas thus is beneficial in levator ani syndrome, tulsi (Ocimum sanctum), yashtimadhu (Glycyrrhiza glabra), ashwagandha (Withania somnifera), giloy (Tinospora cordifolia), shankhpushpi (Convolvulus pluricaulis) etc. Some of the formulations that are known to pacify all the three dosha include Triphala churna, Dashmool kwath, Giloyghan Vati, Yashtimadhu Churna etc.

Herbal Remedies for Levator Ani Syndrome by Planet Ayurveda

Planet Ayurveda is an eminent GMP certified, ISO 9001:2015 certified,and US-FDA registered Ayurvedic Company, which adheres to the objective of manufacturing quality Ayurvedic products as mentioned in a number of ancient texts of Ayurveda. Formulations are manufactured without additives and preservatives and other kinds of chemicals or artificial flavouring agents which can have a number of side effects on the human body. Products manufactured at Planet Ayurveda are pure and devoid of any kind of adulteration. The products are purely organic and vegetarian and gluten free and halal certified. Planet Ayurveda extends some Ayurvedic herbal formulations for the management of the condition of Levator Ani Syndrome.

Following is the list of some herbal products that benefits the person suffering from Levator Ani Syndrome

1. AVIPATTIKAR CHURNA
2. YOGRAJ GUGGUL
3. AROGYAVARDHINI VATI
4. NAVKARSHIK CHURNA
5. DHANWANTHARAM TAILAM
6. ASHWAGANDHA CAPSULES

Products Description

1. AVIPATTIKAR CHURNA

Avipattikar Churna is blend of various herbs including haritaki (Terminalia chebula), bibhitaki (Terminalia bellirica), amalki (Emblica officinalis), nagarmotha (Cyperus scariosus), vidang (Embelia ribes), choti ela (Elettaria cardamomum), tejpatra (Cinnamomum tamala), lavang (Syzygium aromaticum), nishoth (Operculina turperthum) and marich (Piper nigrum). Avipattikar churna helps in almost every condition of the alimentary canal. Moreover it helps in conditions of constipation that can be a symptom or the aggravating factor of the levator ani syndrome. As Aipattikar churna manages the symptoms of the syndrome, thus it is helpful in the same.

Dosage: One tsp thrice a day 10 mins before a meal with warm water.

2. YOGRAJ GUGGUL

Yograj Guggul is a classical Ayurvedic proprietary formulation. It is a beneficial formulation in the problems related to the musculoskeletal system and neurological system. Yograj Guggul is made up of the herbs guggul (Commiphora mukul), amalaki (Emblica officinalis), bibhitaki (Terminalia bellirica), haritaki (Terminalia chebula), vidang (Embelia ribes), ela (Elettaria cardamomum), gokshur (Tribulus terrestris), shunthi (Zingiber officinale) etc. The herbs possess anti-inflammatory and detoxifying properties. As the formulation provides strength and support to the muscles which makes it an excellent preparation for Levator Ani Syndrome.

Dosage: Two tablets twice twice a day with lukewarm water after meals.

3. AROGYAVARDHINI VATI

Arogyavardhini vati is a classical Ayurvedic formulation that is used in almost every health condition as well as it is also helpful in maintaining general wellness. As the name of the formulation suggests, it helps in increasing the non diseased condition of the person which means it helps in keeping the person free of any health issues or ailments. Arogyavardhini vati is a blend of various herbs that balances the doshas and acts as a rasayana. The herbs include haritaki (Terminalia chebula), bibhitaki (Terminalia bellirica), amalki (Emblica officinalis), shuddha shilajit (Asphaltum), shuddha guggulu (commiphora mukul), chitrak mool (Plumbago zeylanica), kutki (Picrorhiza kurroa). Arogyavardhini vati balances all the three doshas. It is helpful in levator ani syndrome because of its dosha pacifying properties. Furthermore, as the name of the preparation suggests it helps in improving good health therefore it is useful in eliminating levator ani syndrome.

Dosage: Two tablets twice twice a day with lukewarm water after meals.

4. NAVKARSHIK CHURNA

Navkarshik Churna is a composed of a number of herbs including haritaki (Terminalia chebula), bibhitaki (Terminalia bellirica), amalki (Emblica officinalis), vacha (Acorus calamus), neem (Azadirachta indica), manjistha (Rubia cordifolia), kutki (Picrorhiza kurroa), giloy (Tinospora cordifolia), daruhaldi (Berberis aristata). The churna benefits the patient with Levator Ani Syndrome by its tridosha balancing properties. Furthermore, Navkarshik churna helps in removing aama dosha which can be a cause of unexplained spasm of the levator ani muscle.

Dosage: 1/2 tsp twice a day with warm water.

5. DHANWANTHARAM TAILAM

Dhanwantharam tailam is used in the condition of weak muscular power. The oil possesses strengthening and power providing properties of the herbs bala (Sida cordifolia), kiulatha (Dolichos biflorus), agnimantha (Clerodendrum phlomidis), prasarini (Paederia foetida), brihati (Solanum indicum), manjistha (Rubia cordifolia), sariva (Hemidesmus indicus) and others. The oil provides energy to the weak muscles. Furthermore, the oil preparation alleviates pain and pacifies vata dosha. As Dhanwantharam thailam reduces pain and provides strength to the muscles, therefore it is useful in levator ani syndrome.

Dosage: Apply locally after warming up the oil and then give hot fomentation over the muscular area.

6. ASHWAGANDHA CAPSULES

Ashwagandha capsules are enriched with the goodness of the herb ashwagandha (Withania somnifera) that possesses rasayana properties. The capsules pacify the vata dosha. And benefits in maintaining the good health of the neurological system. Ashwagandha possesses rasayan properties thus helps in overall management of the bodily functions. In this condition of Levator Ani Syndrome it helps by giving strength to the levator ani muscle. By pacifying the vata dosha it helps in spasmodic condition of the levator ani muscle. By its above said actions, Ashwagandha capsules are of greater benefit in the condition of levator ani syndrome.

Dosage: One capsule twice a day with plain water after meals.

Conclusion

As the condition is chronic and does not get well with time and gets worse with some postures. As there is no permanent cure available for Levator Ani Syndrome which makes it much worrisome. But Ayurveda has got some help to offer. Ayurvedic medicines work on the basis of vitiated dosha. By correcting the dosha imbalance, the condition is managed. In the case of Levator Ani Syndrome, the medicines work on correcting the pitta and vata imbalance. Furthermore, the medicines above provide strength to the muscles and improves overall tone and functioning of the muscles and boosts overall wellness and blesses with long, healthy and prosperous life.

Ayurvedic Treatment For Levator Ani Syndrome

ABSTRACT

Our pelvis contains viscera like the bladder, rectum, and pelvic genital organs; all these organs are surrounded and supported by the muscles of the pelvic floor. Many people suffer from pelvic floor disorders like pelvic floor disorders, urinary incontinence, fecal incontinence, hemorrhoids, constipation etc. There is a disorder which is due to the spasm of the pelvic floor muscles which is known as the levator ani syndrome. Mainly it is due to the spasm of the levator ani muscle. We will be discussing the levator ani syndrome in this article.

INTRODUCTION

Levator ani muscle is the broader muscle of the pelvic floor which attaches anteriorly to the pubic bones and posteriorly to the ischial spines and to the thickened fascia of the obturator internus muscle. It is the most important muscle of the pelvic floor as it helps in the voiding of the urine, defecation, sexual function. This occurs when the pelvic floor muscles are too tight or in the state of continuous spasm which causes discomfort in the related areas.

It is known by different names like:

1. Chronic anorectal pain
2. Chronic proctalgia
3. Levator spasm
4. Pelvic tension myalgia
5. Piriformis syndrome
6. Puborectalis syndrome

In ayurveda this problem can occur due to the vitiation of the vata dosha in the pelvic area. The main site of vata dosha is below the navel and the pelvic area is dominated by the vata dosha. There are 5 types of vata dosha pran vayu, udaan vayu, samaan vayu, apan vayu (sush/nidan/1/12). The vata dosha which is present in the pelvic floor is known as the apan vayu. This type of vayu is responsible for the passage of urine, feces, semen, and fetus outside the body. Vata dosha is responsible for the movement and dryness in the body, and in levator ani syndrome there is stiffness and spasm of the levator ani muscles which is due to the afflicted vata dosha in the body.

CAUSES OF THE LEVATOR ANI SYNDROME

There is not known exact cause of the levator ani syndrome, it can be associated with the following conditions

1. Stopping the urge to urinate and passing stool, in ayurveda also this is known as veg dharan which aggravates the vata dosha in the pelvic area.
2. This can be related to the vulvodynia
3. Injury around or on the pelvic area
4. Intercourse also if it is painful
5. There can be chronic pelvic pain related like IBS, endometriosis or interstitial cystitis

According to Ayurveda, these conditions will aggravate the vata dosha mainly apan vayu which is in the pelvic area and will create the symptoms of levator ani syndrome.

SYMPTOMS OF THE LEVATOR ANI SYNDROME

As this is a syndrome it will cause many associated symptoms like:

1. Pain - Patient may experience pain which is usually not associated with the bowel movement. It can be mild to severe, which is an on and off type.
2. Urinary and bowel problems - Due to the dysfunction of levator ani muscle there is disturbed urinary and bowel problems like bloating, urge to urinate, often urgently or without being able to void urine, pain in the bladder.
3. Sexual problems - This condition can cause pain in during the intercourse or after intercourse in women and painful ejaculation in men, premature ejaculation, or erectile dysfunction in men.

TREATMENT

Different approaches are there to handle this condition like

• Physiotherapy which includes massage, heat and biofeedback from a physiotherapist who is trained in pelvic floor dysfunction.
• Muscle relaxants can be used like gabapentin or pregabalin.
• Corticosteroid or botox injection on the affected area.
• Having acupuncture therapy
• Nerve stimulation therapy
• Sex therapy

HOME REMEDIES

Different home remedies can be used to have symptomatic relief from the discomfort of the levator ani syndrome

1. Patients can take over the counter pain relievers
2. Sitz bath in warm water can be of help
3. Different exercises like deep squats, happy baby poses, leg up the wall.

AYURVEDIC TREATMENT

As this is a vaat dominated disorder, the treatments which will pacify the vata dosha will be able to treat the levator ani syndrome. Panchkarma procedures like snehan (oelation) in the form of massage, sweden (sudation), basti karma (herbal enema), basti karma is the best treatment for any disorder related to the vata dosha. Conservative treatment can be done with the help of herbs which will pacify the vata doshas. Herbs should be used in the form of ghrita or oil forms that are really effective for the vata dosha.

TREATMENT FROM PLANET AYURVEDA

Planet Ayurveda has many medications which are able to treat the vata dosha of the body. It has a wide variety of medication to treat the diseases related to the vata dosha. There is a perfect combination of medications for levator ani syndrome which are made under the pure and hygienic environment all the medications are standardized according to ayurvedic pharmacopeia which are made under the guidance of expert ayurvedic doctors. These medications are free from the fillers and preservatives.

LIST OF MEDICATIONS WHICH CAN BE USED ARE:

1. Avipattikar Churna
2. Yograj Guggul
3. Arogyavardhini Vati
4. Navkarshik Churna
5. Dhanwantharam Thailam
6. Ashwagandha Capsules

Herbal Remedies for Levator Ani Syndrome

PRODUCTS DESCRIPTION

1. Avipattikar Churna

This churna contains ingredients like triphala, pippali (Piper longum), sonth (Zingiber officinale), lavang (Syzygium aromaticum), Nishoth (Operculina turpethum) etc all these ingredients are very effective for the treatment of the vata dosha, mainly for the treatment of the apana vayu.

Dosage - 1 teaspoon thrice 10 mins before a meal with warm water.

2. Yograj Guggul

This contains major ingredients like gokshura (Tribulus terrestris), chitrak (Plumbago zeylanica), guggul (Commiphora mukul), rasna (Alpinia galanga) this medication will act as a very good muscle relaxant and prevents the pain related to any area in the body.

Dosage - 2 tablets twice a day with warm water after meals.

3. Arogyavardhni Vati

Main ingredients in this formulation are haritaki (Terminalia chebula), bibhitaki (Terminalia bellirica), shudh shilajit (purified asphaltum), kutki (picrorhiza kurroa), shuddha parad (purified mercury) this medication is used in wide variety of disorder and it can be used for the treatment of levator ani syndrome as this will decrease the pain and help in regular bowel movements.

Dosage - ½ tablet twice a day with plain water.

4. Navkarshik Churna

This churna is patent medication of planet ayurveda it contains ingredients like amla (Emblica officinalis), haritaki (Terminalia chebula), bahera (Terminalia bellirica), vacha (acorus calamus), manjistha (Rubia cordifolia) etc all these ingredients are helpful in the balancing vata dosha and will relieve the symptoms like muscle pain.

Dosage - 1/2 teaspoon twice a day with warm water.

5. Dhanwantharam Thailam

This oil contains ingredients like balaa (Sida cordifolia), yava (Hordeum vulgare), dashmoola (group of 10 herbs). Massage with this oil will be helpful in strengthening the pelvic muscles and reduce the vata dosha.

Usage - apply locally after warming up and then give hot fomentation over the muscular area.

6. Ashwagandha Capsules

These capsules contain extracts of the ashwagandha (Withania somnifera) which is helpful in strengthening the pelvic floor muscles and reducing the pain.

Dosage - 1 capsule twice after meals with plain water.

CONCLUSION

This is a disorder in which there is discomfort in the pelvic floor due to the spasm of the levator ani muscle. This is a really painful condition in which there symptoms like bloating, pain in the pelvic area, difficulty in voiding urine and feces. This disease is not having any treatment in modern medication; only symptomatic relief is there as this disease arises due to the aggravation of vata dosha due to various reasons in the pelvic floor; it can be treated according to that. The medications and procedures which will pacify the vata dosha in the body will be helpful in treating the condition. For more information visit www.PlanetAyurveda.com

Contact my assistant to provide you the costing / ordering and delivery information at - costing.planetayurveda@gmail.com or call at +91-172-5214040

Ayurvedic Treatment of Levator Ani Syndrome

ABOUT LEVATAR ANI SYNDROME

Levator Ani Syndrome is a painful and discomforting long-term condition in which the sufferers experience episodic rectal spasm. The periodic episodes of rectal and anus pain which the sufferers of this condition undergo is a result of the tightening of the muscles of the pelvic floor (also known as pelvic diaphragm). The pelvic floor is the broad muscle in the lower pelvis which provides support to the rectum, urethra and rectum, and also to the vagina and the uterus in women.

Since Levator Ani Syndrome -- which is also called 'Levator Ani Spasm Syndrome' -- is linked to spasm and tightening of the pelvic floor, this condition is a kind of non-relaxing pelvic floor dysfunction. The sufferers of this condition generally complain of discomfort, pain and pressure in the rectum, sacrum, and coccyx area.

According to estimates, Levator Ani Syndrome affects nearly 5.7 percent of males and 7.4 percent of females; with people aged between 30 and 60 years comprising more than 50% of the sufferers of this condition. The line of treatment in Levator Ani Syndrome is mainly focused on reducing pain and managing the symptoms of the condition.

CAUSES OF LEVATOR ANI SYNDROME

Levator Ani Syndrome is a condition in which a muscle near the anus spasms and causes pain; but the exact cause of this condition is not clearly known. However, it is believed that the condition is apparently a result of chronic tension of the muscles of the pelvis floor. In addition, some of the other expected causes of Levator Ani Syndrome are:

• Inflammation in the pelvic region
• Injury to the pelvic floor due to trauma or surgery
• ‘Atrophy’ or shrinking of the vagina
• ‘Vulvodynia’ or pain in the vulva
• Injury during childbirth
• Surgery of Lumbar disc
• Sexual abuse or sexually-related injuries
• Continuing sexual activity despite pain
• Irritable bowel syndrome, Interstitial Cystitis, Endometriosis, or other kinds of pelvic pain.

SYMPTOMS OF LEVATOR ANI SYNDROME

Pain in the rectum is the main symptom of Levator Ani Syndrome. This pain, high in the rectum, is not linked to bowel movements. It can be brief or occasional pain which may last for a few hours or days. The pain can be spontaneous and irregular; and may be triggered or worsened while sitting or lying down. The pain is so severe that it can interrupt sleep.

Along with rectal pain, some of the other symptoms of Levator Ani Syndrome are:

• A sense of pressure in the rectum
• Rectal tightness and muscle spasm
• Constipation or Bloating
• Urinary and bowel problems
• Frequent urge to urinate; or inability to start the urine flow
• Bladder pain
• Pain in the tail-bone region
• Painful urination, and
• Urinary incontinence.

DIAGNOSIS OF LEVATOR ANI SYNDROME

In order to diagnose Levator Ani Syndrome, doctors conduct a physical examination and diagnostic testing of the sufferers, and check out their medical history. Moreover, on the basis of the symptoms reported by the sufferers, certain tests are carried out to exclude other diseases which may be responsible for the symptoms. These tests include:

• Blood test
• Imaging tests
• Stool sample
• Endoscopic procedures

TREATMENT OF LEVATOR ANI SYNDROME

Levator Ani Syndrome is a chronic condition for which there is no known cure. The treatment of this condition chiefly focuses on managing the symptoms in a proper and timely manner, so as to reduce their severity and frequency.

AYURVEDIC TREATMENT FOR LEVATOR ANI SYNDROME

Ayurvedic formulations -- prepared from pure and natural herbs -- can prove to be extremely effective in the management of the symptoms of Levator Ani Syndrome. Ayurvedic experts believe that the occurrence of Levator Ani Syndrome is linked to an imbalance in the body's three energies (Vata, Pitta, and Kapha); and, more specifically, an imbalance of a Vata sub-type ('Apaan Vata').

Herbal Remedies for Levator Ani Syndrome

The herbal formulations which can be beneficial for the patients of Levator Ani Syndrome are:

1. Tab. Yograj Guggul:

Yograj Guggul tablets are an excellent herbal formulation prepared from a number of useful herbs with detoxifying and anti-inflammatory properties. These tablets provide support and strength to the muscles; keep the metabolism healthy; aid digestion; and rejuvenate and strengthen the skeletal and neuromuscular system. The herbs used for preparing Yograj Guggul include: Shudh Guggulu (Commiphora mukul); Chitraka (Plumbago zeylanica); Ardraka (Zingiber officinale); Haritaki (Terminalia chebula); Amalaki (Emblica officinalis); Mustaka (Cyperus rotundus); Pippali (Piper longum); Jeeraka (Cuminum cyminum); Devdaru (Cedrus deodara); and Ela (Eletteria cardamomum).

Patients of Levator Ani Syndrome should take two Yograj Guggul tablets two times a day with plain water, 30 minutes after a meal.

2. Ashwagandha Capsules:

These capsules are prepared from pure extract of the ‘Ashwagandha’ (Withania somnifera) herb. The most useful natural property of this herb is its effectiveness in fighting stress. As such, Ashwagandha capsules can lower the levels of stress and anxiety and bring about a notable improvement in overall health.

For managing Levator Ani Syndrome, the recommended dosage of Ashwagandha capsules is: 1 or 2 capsules to be taken with plain water twice a day, after meals.

3. Cap. Digestion Support:

These capsules are very effective in treating disorders of the digestive system. The herbs used for preparing these capsules work collectively to control constipation, bloating, and acidity; and also balance the natural pH in the stomach. These herb’s extracts are: Amla (Emblica officinalis); Sounf (Foeniculum vulgare); Haritaki (Terminalia chebula); Pippali (Piper longum); Dhania (Coriander sativum); Jeerak (Cuminum cyminum); and Bahera (Terminalia bellerica).

The patients of Levator Ani Syndrome should take two Digestive Support Capsules two times a day, with some water, in middle of meals.

4. Chandraprabha Vati:

Chandraprabha Vati tablets are also beneficial in managing Levator Ani Syndrome. The ingredients of these tablets are some potent herbs which can altogether be extremely useful in controlling the disturbed metabolism of Vata and Kapha doshas. These herbs include: Shilajit (Asphaltum); Mustak (Cyprus rotundus); Haridra (Curcuma longa); Karpoor (Cinnamomum camphora); Sharkara (Sugar); Amalaki (Amla Emblica officinalis); Chavya (Piper chaba); Vacha (Acorus calamus); Maricha (Piper nigrum); Pippali (Piper longum); Dalchini (Cinnamomum zeylanicum); Tejpat (Cinnamomum tamalata); Shunthi (Zingiber officinalis) and some other herbs.

To manage Levator Ani Syndrome, two Chandraprabha Vati tablets 2-3 times a day with lukewarm water.

CONCLUSION

The above-mentioned herbal formulations can be helpful in managing the symptoms of Levator Ani Syndrome. Still, it is advisable that men or women who experience recurrent rectal or anal pain or discomfort in the rectum region should consult a doctor immediately, in order to prevent any other health complications.

Contact my assistant to provide you the costing / ordering and delivery information at - costing.planetayurveda@gmail.com or call at +91-172-5214030

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.

Ingredients:

• 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.

Ingredients:

• 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.

Ingredients:

• 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