Levator ani syndrome after childbirth

Levator ani function before and after childbirt

Pelvic floor muscle strength is impaired shortly after vaginal birth, but for most women returns within two months. Levator ani function before and after childbirth Br J Obstet Gynaecol. 1997 Sep;104(9):1004-8. doi: 10.1111/j.1471-0528.1997.tb12057.x. Authors U M. Objective: To establish the incidence of levator ani muscle (LAM) avulsion in primiparous women and to develop a clinically applicable risk prediction model. Design: Observational longitudinal cohort study. Setting: District General University Hospital, United Kingdom. Sample: Nulliparous women at 36 weeks of gestation and 3 months postpartum the levator ani muscles is significantly reduced shortly after vaginal birth. Levator ani muscle strength is restored to antepartum values in the majority of women six to ten weeks postpartum. Neurogenic damage to the pelvic floor at the time of childbirth was first documented by Snooks et al.' in 1984 Medical history: You may be at higher risk for developing levator ani syndrome after vaginal childbirth, particularly if you had a large incision or vaginal tears. Surgery or trauma involving the spine, anus, or pelvic area may also predispose you to the condition People may be at higher risk of levator ani syndrome after childbirth or following surgery on the pelvic area, anus, or spine

Levator ani muscle avulsion during childbirth: a risk

  1. As stated, we know that levator ani injury during childbirth is a prevalent yet unrecognized condition. Immediately after delivery about 40% of patients have levator ani hematomas indicative of injury and in 6 months after delivery 13% of these defects persist [ 3, 4 ]
  2. Levator Ani Syndrome (LAS) is a condition of the pelvic floor that causes spasms of varying degrees in different people afflicted with the condition. It can be so severe that patients are reporting pain levels of 10 on the ten point scale. The cause is unknown
  3. Levator ani syndrome is a type of nonrelaxing pelvic floor dysfunction. That means the pelvic floor muscles are too tight. The pelvic floor supports the rectum, bladder, and urethra. In women, it..
  4. Hi Karen, I too have pelvic floor issues... described as levator ani. A burning, stabbing pain right on the anus. It is horrible, and was diagnosed, i think, 2015. I had laporoscopic surgury for endometriosis in 2009 and started having super mild, ignorable anal nerve pain but it only occurred during my period
  5. Home Remedy for Rectal Spasm and Levator Ani Syndrome. The root cause of rectal spasm is tension in the pelvic muscles including the levator ani muscle
  6. Levator ani syndrome is a condition affecting the pelvic floor and causing pain in the rectal and perineal areas. If you think of the pelvis as a bowl, the pelvic floor is the bottom of the bowl, where a sling of muscles helps to elevate and provide a muscular function to the organs in the pelvis
  7. Levator Syndrome: Levator syndrome is abnormal spasms of the muscles of the pelvic floor. Spasms may occur after having bowel movements or without a known cause. Patients often have long periods of vague, dull or achy pressure high in the rectum. These symptoms may worsen when sitting or lying down

In conclusion, sidewall vaginal and third-/fourth-degree perineal tears are independent clinical markers for levator trauma as diagnosed by 4D translabial ultrasound 3-6 months after childbirth. Such markers may become useful in the identification of women at high risk of levator trauma and future pelvic floor disorders Only your doctor can diagnose Levator Ani Syndrome. The most common symptoms include: Deep dull aching in the rectum/vagina Referred pain to the thigh and buttock Sensation of sitting on a ball. Pain is worse in sitting and with bowel movement. Spasms and pain in the pelvic floor muscle Pain during or after intercours Levator Ani Syndrome can include Women can have a range of conditions after giving birth due to the stress pregnancy puts on the body. Postpartum pelvic pain is one such condition. Because of childbirth, the pelvic muscles and tissues may become damaged. While symptoms may develop during pregnancy, the postpartum symptoms occur due to the. Vagina birth increases the likelihood of a woman having pelvic floor dysfunction. The levator ani muscles and pelvic floor undergo remarkable changes during the second stage of labour to dilate sufficiently for the fetal head to be delivered. Studies have shown that 13% to 36% of women after vaginal birth had injury to the levator ani muscle The cause of pelvic organ prolapse is multifactorial, but pregnancy is the most commonly associated risk factor. Normal pelvic support is primarily provided by the levator ani muscles and the.

Levator Syndrome. Levator Syndrome is an episodic rectal pain caused by spasm of the levator ani muscle. The ischiococcygeal syndrome, proctalgia fugax, and coccydynia, are variants of the levator syndrome.At first, the sensation is that of a cramp or spasm situated in the rectum approximately 10 to 15 cm above the anus, gradually becoming more intense to a point of intolerance Pelvic Floor Muscle Spasms: Since the tailbone serves as the attachment site for a deep layer of pelvic floor muscles (called levator ani), muscle spasms and irritation can cause levator ani syndrome, a condition that causes a dull, aching pain, often felt in the coccyx and higher up in the rectum Obstetric factors associated with levator ani muscle injury after vaginal birth. Obstet Gynecol, 107 (2006), pp. 144-149. View Record in Scopus Google Scholar. 3. NIH State-of-the-Science Conference Statement on Cesarean Delivery on Maternal Request. NIH Consens Sci Statements, 23 (2006), pp. 1-29

Levator Ani Syndrome: A Cause of Recurrent Anal Pai

Hoyte et al further developed an MRI-based 3D childbirth simulation model of the female pelvic floor to study the quantity and pattern of levator ani stretch during vaginal delivery. 19 Figure 2 demonstrates the axial view of the fetal head interacting with the levator ani muscle complex during simulation of childbirth. 19 Figure 3 is an axial. Our therapists treat a variety of pelvic floor symptoms that could stem from interstitial cystitis, levator ani syndrome, pregnancy and childbirth, surgery, as well as chronic disorders and other age- or trauma-related conditions. Bladder problems,. Proctalgia fugax and levator ani syndrome are two anal region pain conditions that are associated with hypertonic pelvic floor musculature. Proctalgia fugax is a sudden, severe, transient attack of pain in the rectum lasting less than five minutes. Levator ani syndrome is defined as a nea

This muscular pain has been referred to by numerous names in the literature including coccygodynia, levator spasm syndrome, levator ani syndrome, spastic pelvic floor syndrome, diaphragma pelvis spastica, and pelvic floor tension myalgia. 2,3,4,5,6 All of these terms refer to a similar set of symptoms and clinical findings. The authors prefer. Levator ani syndrome refers to chronic pain in the muscles of the pelvic floor, due to muscle spasms. Mind/body techniques such as breathing exercises and yoga can be very helpful for pelvic pain that is muscular in origin, according to the University of California School of Medicine After this dissection, vagina was separated from bladder 3-4cm deep in the space. A Y-shaped mesh and a simple mesh 12-15cm in length were put and sutured on the levator ani muscle and anterior vaginal wall. Meshes with little tension were sutured on the promontorium after 6 stiches had been placed on the meshes together I NTRODUCTION. Levator ani avulsion is defined as the interruption of the insertion of this muscle on the pubic bone. Because 36% of women with genital prolapse present with this anatomical alteration, it is currently recognized as an important triggering factor for genital prolapse.[] The incidence of levator ani avulsion after vaginal delivery varies from 13% to 22% on the basis of. CONCLUSION: The levator ani muscle has the ability to recover after pregnancy and delivery, although not all women recover to pregnancy level. Most of the recovery occurs during the first 6 months postpartum. Significant pregnancy-induced changes are not shown to persist 1 year postpartum. LEVEL OF EVIDENCE: II

Levator Ani Syndrome. The levator ani is one of the muscles of your pelvic floor. It is primarily responsible for preventing urinary incontinence and supporting the pelvic organs. Dr The levator tissue may feel like a taut strap or band. Sometimes, the tenderness may be isolated or more intense on one side. Occasionally, levator ani syndrome may occur or co-exist with pain after or during sexual intercourse or with other adverse symptoms of the urinary system

3 Replies. Hi ncoplin, I had proctalgia fugax (another name I think for levator ani) leading up to severe pudendal neuralgia symptoms . These symptoms woke me in the night with a pain in my rectum ( giving the sensation of needing a bm) . I felt faint with the pain but lasted for only 30 minutes or so and I was able to return to sleep easily Unlike men, women have a broader pelvis to accommodate childbirth. Although more flexible in a number of ways, the female pelvis actually allows for less rotation. Coupled with manual trauma to the coccyx from childbirth, this can lead to chronic pain. In addition, if your coccydynia is caused by Levator Ani Syndrome (or pelvic floor. Levator Ani Syndrome is a condition in which the pelvic floor muscles, which provide support for the vagina, bladder and rectum, are in constant or frequent, muscle spasm and tightness. This muscle spasm is often the body's reaction to the pain produced by Vulvar Vestibulitis Syndrome or Prostatitis. The muscle spasm can often last long after. Levator ani syndrome. Levator ani syndrome is episodic rectal dull aching pain caused by spasm of the levator ani muscle. Levator ani syndrome is a functional disorder in which recurrent or persistent distressing pain, pressure or discomfort is felt in the region of rectum, sacrum and coccyx that may be associated with the presence of pain in the gluteal region and thighs 1)

Video: Levator ani syndrome: Causes, symptoms and treatmen

The practical value of levator ani muscle injury repair

Levator ani muscle is an important component of pelvic floor support system and injury to this muscle complex has been associated with pelvic floor disorders. 5-7 Levator ani muscle avulsion has been observed after 50-65% of forceps deliveries. 8-10 A similar association has not been noted for vacuum delivery. 8 Because these two types of. Levator ani Syndrome is episodic rectal pain caused by the spasms of the rectal muscle, called the levator ani. The levator ani is a thin, broad muscle which is situated on the side of the pelvis. This syndrome consists of pain, Gluteal discomfort and distress in the rectal area, and spreads to the region of the sacrum and coccyx This pain is similar to that of another condition known as Levator Ani Syndrome, which causes severe aching that lasts for over 20 minutes. According to a 2007 study, 33 percent of 1809 patients with PF suffered the attacks during daytime while another 33% suffered during night time The levator ani muscle (also called the pelvic diaphragm) is the major component of the pelvic floor. The levator ani muscle is actually a pair of symmetrical muscular sheets comprised of 3 individual muscles - the iliococygeus, pubococcygeus, and puborectalis. The puborectalis is a U-shaped muscle that attaches to the pubic tubercle (the.

Levator Ani Syndrome Coccydynia Painful Scars. Bladder Dysfunctions: Urinary Incontinence Urgency Frequency Interstitial Cystitis Constipation Fecal Incontinence Fecal urgency. Pelvic Organ Prolapse: Pre and post surgery Post Hysterectomy Rehabilitation. Pregnancy and Post Partum Management: Obstetrical Low Pain Obstetric Pelvic/Hip/Groin. After to much hunting efforts , at last I come to knew that I am a victim of Levator ani syndrome, IBS and prolapsus ani. I was not alone and unique . it is almost an incurable disorder. I have got a lot of information about Levator ani syndrome from various web sites including Wise Anderson's Protocol

After proper training, agreement between assessors is sufficient for clinical use at least (Dietz and Shek, 2008). Levator trauma results in a marked reduction of contraction strength as defined by Oxford Grading (Dietz and Shek, 2008), and a difference of one Oxford grade or more is associated with levator trauma on the weaker side After months he finally scheduled an examination under anesthesia with possible LIS surgery but he found no fissure. I stopped seeing the CRN after this examination but I assume he would have given me a diagnosis of Levator Ani syndrome or Pudendal Neuralgia PURPOSE: The purpose of this study was to investigate the changes that occur in the levator ani muscle (1) during pregnancy and (2) after labor depending on the mode of delivery in a cohort of nulliparas. MATERIALS AND METHODS: A prospective cohort longitudinal study, consisting of 84 primiparas who were examined and recruited in an antenatal. The levator ani refers to a group of muscles that make up a large portion of the pelvic floor. These muscles can go into spasm resulting in pain that may appear in the perineum, rectum or tailbone area. You may also find the following link helpful: Levator Ani Syndrome: One Way to Name the Pai Levator ani muscle (Musculus levator ani) The levator ani is a broad muscular sheet located in the pelvis.Together with the coccygeus muscle and their associated fascias it forms the pelvic diaphragm.. The levator ani is collection of three muscles: puborectalis (puboanalis), pubococcygeus, and iliococcygeus. The function of the entire levator ani muscle is crucial, in that it stabilizes the.

The typical symptoms of levator ani syndrome include pain, pressure, and discomfort in the region of the rectum, sacrum, and coccyx, which tends to be aggravated by sitting. Suffers of Levator ani syndrome may experience rectal butt spasms, rectum pain and tightness, and a sensation of fullness in the rectum or butt Levator ani muscle (LAM) injury has been reported in 13-36 % of women after vaginal delivery [1-4].Many studies have focused on the associated obstetric factors [2, 3, 5, 6].LAM injury was associated with pelvic organ prolapse and a more severe degree of prolapse [7, 8].However, the relationship between LAM injuries and stress urinary incontinence remains unclear [] Many of these syndromes are caused by trauma (surgical, pregnancy or sports) and / or exercise-related injuries. The two most common nerve entrapment syndromes causing pelvic pain are piriformis syndrome and pudendal nerve entrapment. Lumbar plexus entrapment syndromes are not as common and thus will be briefly discussed Coccydynia, pain with sitting, anorectal spasm, Levator ani syndrome, proctalgia fugax, post delivery tailbone pain or post delivery tailbone break, and more. Menopause Painful intercourse, osteoporosis prevention and management through specialized therapeutic exercise, pelvic floor weakness/incontinence

Rectal pain is also known as Levator Ani Syndrome. What it is is spontaneous episodic pains in the rectum that are secondary to spasms in the pelvic floor mu.. Pelvic pain is not affected by specific movements but gets worse toward the end of the day or after standing for a long time. May be temporarily relieved by position change (e.g. getting off feet, resting or elevating the legs, putting the feet up) Pelvic pain is not reduced or eliminated by by scar or soft tissue mobilization or by trigger. Levator syndrome is sporadic pain in the rectum caused by spasm of a muscle near the anus (the levator ani muscle). The cause of the spasm of the muscle near the anus is generally not known. Pain may be brief or may last for several hours. The diagnosis is based on an examination. Treatment includes pain relievers and sitz baths and sometimes. Levator ani syndrome has been described as a chronic charlie-horse up inside the pelvis. Pelvic floor muscle spasms can also cause tightness, burning, and a sensation that the rectum is full. Sometimes the pelvic muscle spasm is caused by a trapped nerve or ligament, or some sort of adhesion or restriction in your pelvis Pelvic Pain - A Common Problem • CPP affects 5-25% of all community-dwelling adult women.1,2 • 61% of women with CPP have no obvious etiology.3 • Pudendal neuralgia is thought to affect at least 1% of the population. 4 • 3 out of 4 women will have pain with sex at some point in their lives. 5 • 5-16% of male urologic office visits are for chroni

May 2, 2017. Levator ani syndrome is similar to proctalgia fugax but has a different pattern of pain. Levator ani syndrome causes spasms in the pelvic floor muscles. This is typically a result of injury in or around the pelvis, torso, or back. Another condition that causes anal pain is a thrombosed external hemorrhoid. Here Beaumont's nationally renowned pelvic pain physical therapy program is the largest program in Michigan. Our licensed therapists use the latest research and evidence-based interventions to compassionately address your individual concerns and symptoms. In addition to having a number of specialty certifications, our therapists actively. Levator ani syndrome and proctalgia fugax are variants of coccydynia. Levator ani syndrome is characterized by a dull ache or pressure sensation in the rectum, with pain episodes lasting more than 30 minutes at a time and symptoms persisting for at least 3 months. Symptoms tend to be more severe during the day than at night

LAS - Hom

Levator Ani Syndrome: Symptoms, Causes, and Treatmen

Trauma to the levator ani during vaginal childbirth is associated with female pelvic organ prolapse 31 and has been suggested but not confirmed to have an association with symptoms of urinary and. Several MRI and ultrasound studies have shown increased odds of levator ani muscle injury in women with pelvic organ prolapse . Increased prevalence of levator ani muscle injury has also been shown in women with stress urinary incontinence . Vaginal childbirth has been identified as a risk factor for levator injury The levator ani muscle plays a major role in childbirth as it is the major soft tissue structure defining the dimensions and biomechanical properties of the vagina. 9 During a vaginal delivery it has to undergo substantial distension. 10,11 Data from muscle physiology research suggests that skeletal muscle will not stretch to more than twice.

Levator ani destroying my life - Pelvic Pain Suppo

Allen RE, Hosker GL, Smith AR, Warrell DW. Pelvic floor damage and childbirth: a neurophysiological study. Br. J. Obstet. Gynaecol.97(9), 770-779 (1990). Kearney R, Miller JM, Ashton-Miller JA, Delancey JO. Obstetric factors associated with levator ani muscle injury after vaginal birth. Obstet. Gynecol.107, 144-149 (200 #MomFitHero - Frida Trönnberg Healing After Birth Injuries and Levator Ani Tearing If you have been in the Facebook group with us recently you have probably encountered the encouragement of Frida Trönnberg who has one daughter who was born in April of 2018. After a traumatic birth experience and a difficult postpartum recovery, we have #MomFitHero - Healing After Birth Injuries and. Kearney R, Miller J, Ashton-Miller J, DeLancey J. Obstetric factors associated with levator ani muscle injury after vaginal birth. Obstet Gynecol . 2006;107:144-149. Valsky D, Lipschuetz M, Bord A, et al. Fetal head circumference and length of second stage of labor are risk factors for levator ani muscle injury, diagnosed by 3-dimensional. DeLancey also co-authored a small 2015 study in which 29 percent of postpartum women at risk for levator ani tears were found to have fractures from childbirth Postpartum Pain Syndrome. Ladies, let's take a few minutes to talk about pain. There is enough emphasis about the pain experienced during labour, but I want to focus specifically on the aches and pains that women feel after giving birth to their little bundle. While many women expect there will be some ups and downs during the first year after a new baby arrives, most do not anticipate that.

Levator ani syndrome. Discussion in 'Support Subforum' started by Alfaman147, Aug 29, 2016. Page 1 of 3 1 2 3 Next > Alfaman147 Well known member. 32 year old male with a constant pressure sensation in and around the anus. Sometimes tailbone too. I'm a massive hypochondriac and have been diagnosed about 2 years ago with health anxiety injury to the pelvic floor due to childbirth and aging. tearing to the levator ani muscles and perineal body. chronic prostatitis/ chronic pelvic pain syndrome. age 30- 45, longer than 3 months mild to debilitating pain. levator ani function. supports pelvic viscera, raises pelvic floor Male Pelvic pain Prostatitis and Levator Ani Syndrome. Jennifer Shifferd, mspt, clt, wcs. Male Pelvic Floor Dysfunctions. LevatorAni Syndrome- spasm of deepest muscle layer. Symptoms include pain, pressure or ache in vagina and rectum. Referred pain to thigh, coccyx, sacrum, lower abdomen and to tip of penis, urethra It is well established that visible loss in the pubic portion of the levator ani muscles occurs in 10-20% of primiparous women after vaginal childbirth, in contrast to nulliparous women, in whom no such abnormalities are found [1, 2].Tremendous deformation occurs during childbirth, with certain levator ani muscle fibers stretching up to 3.3 times their normal length [] February 5, 2007 — Levator ani muscle damage during childbirth has been linked to pelvic organ prolapse and fallen bladder, according to the results of a study reported in the January issue of.

Also talking with women who get the levator ani syndrome which is similar, they believe the pain is similar to period cramps and can well understand the fainting I experience and so is it that levator ani muscle at the base of the pelvis that goes into spasm? Worse than childbirth. Report / Delete Reply . paula2468 jacqui50366. Posted 4. Levator syndrome can be a real pain in the butt -literally! Learn more about levator ani syndrome (LAS), the symptoms to look out for, and how to treat the pain associated with the illness There is some evidence that EMG biofeedback is helpful for muscle reeducation in patients with overactivity of the levator ani muscles. 15 Glazer et al 15 reported success with biofeedback-assisted pelvic-floor muscle exercises for patients with vulvar vestibulitis and dyspareunia; 26 of 28 patients resumed intercourse after 6 visits and an. OBJECTIVE: The objective of the study was to assess the prevalence of levator ani denervation and reinnervation 6 months after the first delivery. STUDY DESIGN: Ninety-six primigravida women underwent quantitative electromyography of the levator ani during the third trimester and twice postpartum

Home Remedy for Rectal Spasm and Levator Ani Syndrom

The pelvic floor becomes funnel-shaped after the puborectalis muscle is stretched. Reflexes are impaired, in particular the post-defecation reflex - that is, a sharp contraction of the levator ani muscles that reposition the pelvic floor after it sinks down to allow a bowel motion Pelvic Pain and Pelvic Tension: vulvodynia, vaginismus, vestibulitis, dyspareunia, levator ani syndrome . Post pelvic or Abdominal surgery complications . Bowel Incontinence . Constipation . Abdominal and Hip Pain . Sacroiliac Pain and Dysfunction . Coccyx/Tailbone Pain . Aquatic Therapy . Specialized Equipment including EMG for Muscular Trainin The coccyx serves as an attachment site for several muscles and ligaments. Anteriorly, the coccyx is bordered by the levator ani muscle and the sacro-coccygeal ligament. In an anterior (front) to posterior (back) direction, the lateral border of the coccyx serves as an insertion point for the coccygeal muscles, the sacrospinous ligament, the sacrotuberous ligament and the gluteus maximus Prof Hans Peter Dietz is a RANZCOG subspecialist in Urogynaecology and an internationally renowned expert in pelvic floor imaging, studying pelvic floor damage. The levator ani muscle is part of the pelvic floor muscle group and Prof. Dietz has contributed greatly to the discovery of childbirth trauma to this muscle on ultrasound. He is an advocate for the role physiotherapists play, as well.

In the other patients the final diagnoses were 37 cases of levator ani syndrome (36%) and 26 cases of unspecified functional anorectal pain (25%). No MRI abnormalities were found in 33 of the patients with levator ani syndrome and 26 of the patients with unspecified anorectal pain. The two readers had very good agreement (κ = 0.92) Although the term levator syndrome suggests that spasm of the levator ani muscles is the cause of symptoms, it is still unclear that this mechanism is responsible for all cases of functional rectal discomfort/pain. Attacks often occur suddenly at night, waking patients from sleep Postimaging assessment of levator integrity and sonographically determined pelvic organ descent was done blinded against other data. Results. Of 195 women who were seen a mean of 23 (range, 19.4-46.2) years after their first birth, one declined ultrasound assessment and was excluded, leaving 194 Pain or difficulty during sexual intercourse may be symptomatic of second or third-degree dropped uterus. Together with the upper part of the vagina, a healthy uterus is supported by a muscle called levator ani and fibrous structures collectively called endopelvic fascia.The levator muscles and the endopelvic fascia are also called the pelvic floor because they support the pelvic and abdominal. One way the levator ani muscle can be damaged is through vaginal birth (for women). Often, this muscle loses strength and function after delivery, and is further magnified in women who have.

Levator ani syndrome is characterized by cramping in the levator ani muscles on the pelvic floor. Others claim the difference is in the length of time the pain lasts — levator ani syndrome pain and cramping tends to last longer (20 minutes or more) than proctalgia fugax The main muscular components are puborectalis, pubococcygeus, iliococcygeus and ischiococcygeus, collectively termed the levator ani. It is a voluntary muscle supplied by the pudendal nerve which emerges from the 2 nd, 3 rd and 4 th sacral foramina. It is a horizontal sheet with an anterior midline cleft through which the urethra, vagina and rectum pass Pelvic pain, Vulvodynia, Vestibulodynia, Levator Ani Syndrome, Dyspareunia/ painful sex, Pudendal Nerve Syndrome Pregnancy, Pre-natal, Postpartum discomfort DRA (diastasis rectus abdominis Begin by palpating the introitus to rule out vaginismus and then move to the iliococcygeus and pubococcygeus muscles bilaterally, with specific attention to findings of banding, spasm, or tenderness. 1,9 Spasm of a portion of the levator ani is often detected as a palpable band resembling a guitar string within the muscle or focal trigger points

Levator ani denervation and reinnervation 6 months after childbirth Levator ani denervation and reinnervation 6 months after childbirth South, Mary M.T.; Stinnett, Sandra S.; Sanders, Donald B.; Weidner, Alison C. 2009-05-01 00:00:00 Injury to the pelvic floor at the time of childbirth and its role in the pathophysiology of pelvic floor dysfunction is a contemporary issue of interest in women. 16. Chan, SS., et al. Pelvic floor biometry during a first singleton pregnancy and the relationship with symptoms of pelvic floor disorders: a prospective observational study. BJOG, 2014, 121(1), p. 121-129. 17. Kearney, R., et al. Obstetric factors associated with levator ani muscle injury after vaginal birth Rehab for hospitalized patients as well as outpatients after stroke or surgery is a passion for the Cary Hospital Rehab team. Some of our therapists are also specialty trained in treating women experiencing all types of pelvic pain (endometriosis, pain from pregnancy, etc.), urinary incontinence and lymphedema. Levator Ani syndrome; Pre. In the past, pelvic floor dysfunction (PFD) has been variously termed spastic pelvic floor syndrome, levator ani syndrome, proctalgia fugax, vaginismus, male chronic pelvic pain syndrome, non-neurogenic neurogenic bladder, and coccydynia — all terms based upon the varied presenting features of the same phenomenon