Abstract：
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.
摘要：
提拔肛肌综合征（LAS）是盆底肌肉的一种功能性疾病，其中在肛门感觉到复发性和持续性的痛苦，而没有可检测到的器质性病变。当每天在骨盆的每一侧重复按摩运动10至15次，持续5或6天时，提上肌按摩减轻了81％的尾骨痛。作者遇到了LAS患者，连续到疼痛诊所就诊是经济负担。因此,作者通过间歇性提肌按摩和尾部阻滞来管理患者，每周一次，三次，导致两年的无痛状态。在LAS的治疗中，间歇性的提上肌按摩与连续的提上肌按摩一样有效，并可导致更长的无痛期。
