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KMID : 0356920090570010137
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Korean Journal of Anesthesiology
2009 Volume.57 No. 1 p.137 ~ p.139
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The effect of intermittent levator massage with caudal block on management of levator ani syndrome - A case report -
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Choi Yoon-Ji
Yoon Suk-Min
Choi Sung-Wook
Shin Hye-Won
Lee Hye-Won
Lim Hae-ja
Chang Seong-Ho
Yoon Seung-Zhoo
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Abstract
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Levator ani syndrome (LAS) is a functional disorder of the pelvic floor muscles in which recurrent and persistent distressing pain is felt in the anus without detectable organic pathology. Eighty one percent of coccygodynia was alleviated by the levator massage when the massage motion was repeated 10 to 15 times on each side of the pelvis daily for 5 or 6 days. The authors encountered the LAS patient for whom successive visit to pain clinic was economic burden. Therefore, the authors managed the patient by intermittent levator massage with caudal block, once a week for 3 times, resulting in two years of pain free status. Intermittent levator massage with caudal block may be as effective as successive levator massage and induce longer painless period in the management of LAS.
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KEYWORD
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Caudal block, Levator ani syndrome, Levator massage
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