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Levator ani syndrome is a condition characterized by burning pain or tenesmus of the rectal or perineal area, [1] caused by spasm of the levator ani muscle. [2] [3] [4] The genesis of the syndrome is unknown; however, inflammation of the arcus tendon is a possible cause of levator ani syndrome. [5]
The coccygeus muscle completes the pelvic floor, which is also called the pelvic diaphragm. It supports the viscera in the pelvic cavity, and surrounds the various structures that pass through it. The levator ani is the main pelvic floor muscle and contracts rhythmically during female orgasm, and painfully during vaginismus. [4]
A pulled groin muscle usually refers to a painful strain of the hip adductor muscles. [6] This type of injury is related to risk factors including overuse and previous injury. [7] [8] [9] An inguinal hernia is a hernia of the groin and can be either a direct hernia, or an indirect hernia according to its particular location.
Elena Espinosa Cabrera, 20, was revising for her medical school entrance exams when she went to A&E with pain in her abdomen
The muscular pelvic diaphragm is composed of the bilateral levator ani and coccygeus muscles and these attach to the inner pelvic surface. The iliococcygeus and pubococcygeus make up the levator ani muscle. The muscles pass behind the rectum. The levator ani surrounds the opening which the urethra, rectum and vagina pass.
The coccygeus muscle is posterior to levator ani and anterior to the sacrospinous ligament in the pelvic floor.It is a triangular plane of muscular and tendinous fibers. It arises by its apex from the spine of the ischium and sacrospinous ligament.
Pelvic type 3:The ligaments do not support the joint sufficiently. This is a serious situation whereby the muscles around the joint are unable to compensate for ligament weakness. This type of pelvic instability usually only occurs after an accident, or occasionally after a (small) accident in combination with giving birth.
The pudendal nerve is a mixed nerve which contains motor (controlling muscles), sensory and sympathetic autonomic axons (nerve fibers). It stems from the ventral rami of the sacral spinal nerves S2, S3, and S4 of the sacral plexus. [33] [34] The path of the pudendal nerve is very complicated. [10] It passes through the pelvis, buttocks, and ...