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Alternative Treatment of Levator Ani Syndrome


In general practice anorectal problems are common, sometimes general physician encounters with the anorectal problem without any known cause. The presentation and differentiation of structural and functional rectal pain is difficult. One such syndrome is levator ani syndrome in which pelvic floor dysfunction can be found in every patient. This syndrome is more common in women than men. In this article we will discuss the levator ani syndrome, its clinical features, diagnosis and its treatment as per ayurveda.


Levator ani is a complex funnel-shaped structure mainly composed of striated muscles with some smooth muscle components. It is located on either side of the pelvis and thus provides a path to pass various pelvic structures and give them support. It is formed from the confluence of three muscles – puborectalis, pubococcygeus, and iliococcygeus muscles. Nerve supply to the levator ani is through somatic nerves from the sacral plexus (pudendal nerve), the nerve of levator ani muscles, and automatic nerve from the hypogastric plexus. Levator ani syndrome is considered to be a subtype of pelvic pain. It is characterized by prolonged anorectal discomfort/pain due to unknown causes. The prevalence of this syndrome is not known but only 2-4% can be quoted.



What are the causes of levator ani?

The exact cause of levator ani is unknown but the chronic tension on pelvic floor can cause levator ani syndrome. It can be related to following:

  1. Not urinating or passing stool when you need to
  2. Vaginal shrinking
  3. Pain in vulva
  4. Trauma
  5. Chronic pelvic pain


  1. Pain high in the rectum
  2. Chronic burning pain
  3. Referred pain to the thigh and buttock
  4. Spasm and pain – pelvic floor muscle
  5. Discomfort
  6. Pain lasting for 20 minutes
  7. Dull ache


Anorectal pain is very difficult for patients as well as in diagnosing by the physician. Laboratory tests are not given for this condition. It is basically a collection of symptoms and findings. It can be only diagnosed from the clinical features which are present in the patient.

Differential diagnosis

Anorectal pain has subdivided into functional and non functional ano conditions. Non functional anorectal conditions which are convergent with the levator ani syndrome are as follows

  1. Anal cancer
  2. Anal fissure
  3. Anal abscess
  4. Rectal ulcer
  5. Prostatitis


Levator ani can be correlated to khali vata in Ayurveda. This disorder is caused due to vitiation of vyana vata and because of that it results in muscular pain. In this involvement of ama caused muscular spasm. In ayurveda many diseases were given which do not have any particular cause like this levator ani syndrome.


Planet Ayurveda has been treating patients with different diseases and disorders for many years. Many patients from all over the world are in contact with Planet Ayurveda and getting benefits regarding their health issues. Due to drawbacks of allopathy medicine and other reasons patients come here and get better results than any other treatment. Planet Ayurveda has many products for treating this syndrome like Avipattikar churna, yograj guggul etc. These products are ISO certified they do not have any added preservative and adulterant i.e they are more beneficial in the treatment. These products do not have any kind of side effects. Let’s have a look on these amazing products:-

Herbal Remedies for Levator Ani Syndrome

Herbal Remedies for Levator Ani Syndrome

1. Avipattikar churna

This herbal formulation is one of the most popular ayurvedic formulations. Its main contents are Pippali (Piper longum), Nagarmotha (Cyperus scariosus), Tejpatra (Cinnamomum tamala) etc. Avipattikar churna has properties like antisecretory and anti ulcerogenic. In levator ani syndrome patients have burning pain so this will be helpful in it.

Dosage – 1 teaspoonful twice daily with lukewarm water

2. Yograj guggul

Yogaraj guggul is useful in treating accumulated vata in the joints and muscles, particularly sandhigantavat. Its main contents are:Guggul(Commiphora mukul), Dhaniya(Coriandrum sativum), Dalchini(Cinnamomum zeylanica)etc It has been used in musculoskeletal disorder that is why it will benefit the patient of levator ani syndrome. It also have property like analgesic and anti-inflammatory

Dosage – 1-2 tablets twice or thrice daily with lukewarm

3. Arogyavardhini Vati

The word arogya means good health and vardhini means improver. It means this vati will improve good health. This is used in balancing the three doshas. These doshas are responsible for every disease that occured. Its main ingredients are Haritaki (Terminali chebula), Bibhitaki (Terminalia bellerica), Asphaltum (Shuddha shilajit) etc. This traditional formulation has been useful for centuries in treating disease with efficacy. This is useful in treating many diseases like liver disorders, cardiac disorders.

Dosage – 1-2 tablets twice d aily with lukewarm water

4. Navkarshik churna

It helps in increasing the immunity. Its main contents are as follows: Vacha(Acorus calamus pennel), Manjistha(Rubia cordifolia), Katuki(Picrorhiza kurroa) etc. It also acts as antibacterial, antifungal and anti inflammatory.It has analgesic properties in it so it gives relief in pain.

Dosage – 1 teaspoonful  twice daily after meals with plain water.

5. Dhanwantharam Thailam

Dhanwantharam thailam is used in the treatment of vata disease. Its contents are as follows: Bala moola(Sida cordifolia), Dashmoola(Aegle marmelos), Brihati (Solanum indicum) etc. It can be used in the form of massage and also in ayurvedic treatment like dhara, basti treatment etc. It also relieves pain after post fever and muscular pain.

Dosage – Apply gently on the site of pain and leave it for 6-8 hrs

6. Ashwagandha capsule

This ayurvedic medicine is used in the treatment of stress, anxiety, insomnia, neuromuscular disorder, depression, etc. It improves strength, and immunity and acts as a rejuvenating agent. Ashwagandha(Withania somnifera) is also known as Indian ginseng. Ashwagandha helps in strengthening and toning all muscle tissue. It is very helpful in muscular aches, pain, and stiffness.

Dosage – 1-2 capsules twice daily with plain water after meals.


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Levator ani syndrome is chronic functional anorectal pain with chronic hypertonia of the pelvic floor muscles. In this disorder the treatment given to patients by allopathic physicians is not efficient because of this they are also advising ayurvedic therapeutic procedures like a sitz bath, massage etc. Ayurvedic medicine treatment is very effective on this and managed properly. This can be treated right only when diagnosed correctly and treated by the physician who has pronounced knowledge of ayurvedic medicine otherwise it gets complicated.

Ayurvedic Treatment For Essential Tremors With Herbal Remedies


Tremor is a nerve disorder or an underlying clinical feature of many diseases. Tremors usually affect the different parts of the body like hands, arms, head, larynx, etc. The lower body is less involved and the upper body is more involved. These days tremors are common in human masses, and unhealthy lifestyles and excessive stress are some of the common causes of tremors. In this article, we will discuss the Essential tremor and its various aspects with ayurvedic correlations.

Essential Tremors


Essential tremor is a progressive change and is a neurological disorder associated with tremors of arms and hands. A tremor is a rhythmic movement of the body part and is involuntary in nature. Tremor is generally seen as shaking, especially the shaking of the affected part of the body like the hand or arm.

Causes Of Essential Tremors

The exact, underlying cause of ET is unknown. Although in some cases, the disorder runs in families whereas, in others, it occurs in individuals with no previous family history. Some of the possible causes of ET are as follows–

  1. Genetic and environmental factors may cause tremors
  2. Family history
  3. Excessive intake of tea or coffee
  4. Hyperthyroidism
  5. Alcohol abuse
  6. Smoking
  7. Weakness
  8. Poor diet
  9. Stress
  10. Anxiety

Clinical Features Of Essential Tremors

  1. Cognitive impairment
  2. Depression
  3. Anxiety
  4. Muscular stiffness or lack of flexibility (rigidity)
  5. The slowness of movement (bradykinesia)
  6. Unable to control voluntary movements
  7. Dystonia (a problem in muscle control)
  8. Fatigue
  9. Unsteady manner of walking (abnormal gait)
  10. Impaired ability to coordinate voluntary movements (ataxia)
  11. Unable to perform activities

Diagnosis / Investigations Of Essential Tremors

Following investigations can be done to find out the status of Essential tremors. A physical examination is more significant to find out the tremors. Although laboratory investigations can be done to know the other underlying cause. Diagnosis of ET basically focused on the identification of the patient on the basis of patient history and detailed clinical evaluation.


Following examinations can be done to check the status of Essential tremors—

  1. Tendon reflex
  2. Muscle strength and tone
  3. Ability to feel sensations
  4. Gait
  5. Posture
  6. Coordination

Laboratory Investigations

  1. Complete blood count (CBC)
  2. Blood sugar level
  3. Kidney function tests
  4. Serum electrolytes
  5. Thyroid hormone levels
  6. Cortisol and parathyroid hormone levels
  7. Blood calcium and magnesium levels

Modern Treatment For Essential Tremors

Propranolol and primidone are the medications used to treat the essential tremors in modern medicine. Propranolol is a beta-blocker and is widely used as a medicine to reduce tremors. Primidone is an anti-seizure drug. Other drugs used to manage the conditions of essential tremors are Topiramate and Gabapentin.

Ayurvedic Aspect On Essential Tremors

Tridosha concept is important to mention here to know about the ayurvedic aspect of Essential tremors. The Vata dosha is aggravated here, the Vata dosha when aggravated in the majja dhatu, it may cause tremors. Hence essential tremor is caused by vitiation of Vata. If Vata dosha is vitiated the laghu (light), and Chala guna (mobile properties) of Vata dosha are increased. The ayurvedic way of treatment for ET in Ayurveda is the administration of sthira (stable) and guru (heavy) dravyas.

Herbal Remedies For Essential Tremors by Planet Ayurveda

Planet Ayurveda is a GMP-certified hub for the manufacturing of good and authentic ayurvedic products. The products manufactured here are based on classical guidance and are result-oriented.

  1. Ashwagandhaghan Vati
  2. Vrihat Vatchintamani Ras
  3. NeuroGenie Capsules
  4. Musli Strength
  5. Dashmoola Capsules

Herbal Remedies For Essential Tremors

Products Description

1. Ashwagandhaghan Vati

Ashwagandhaghan vati of Planet Ayurveda is the classical herbal formulation. This tablet formulation is loaded with pure ashwagandha extract (Withania somnifera). Ashwagandha is a well-known health promoter. It helps to manage the aggravated Kapha and reduce the generalized pain in the body. Ashwagandha helps to calm the nervous system and purify the blood. It is a well-known anti-inflammatory herb to manage swelling and tumors. As it acts as a natural herb to nourish the channels so it is beneficial in essential tremors.

Dosage: 2 tablets twice daily.

2. Vrihat Vatchintamani Ras

Vrihat Vatchintamani Ras of Planet Ayurveda is a classical herbomineral formulation. The chief ingredients are Swarna Bhasma, Rajat bhasma, Abhrak bhasma, Prawal (Coral Calcium), Muktashukti bhasma, etc. The Vrihat Vatchintamani ras is used to manage the problems associated with aggravated Vata dosha. The major health concerns in which it is very effective are essential tremors, psychosis, epilepsy, and facial paralysis.

Dosage: 1 twice to be chewed.

3. NeuroGenie Capsules

The Neurogenie Capsules of Planet Ayurveda is a herbal capsule and is loaded with Brahmi and Ashwagandha. Brahmi and Ashwagandha are effective herbal supplements for stress and anxiety. So neurogenie capsules are very effective in neurological disorders, essential tremors, OCD, and insomnia. These capsules are also effective in essential tremors due to any underlying pathology. Anxiety and stress associated with essential tremors can be best managed with the Neurogenie capsule.

Dosage: 1 cap twice daily with plain water after meals.

4. Musli Strength

Planet Ayurveda’s Musli Strength Capsules is an ayurvedic medicine that is primarily used for the treatment of essential tremors and other multiple problems. The key ingredients of Planet Ayurveda Musli Strength Capsules are Gokshura (Tribulus terrestris) and Safed Musli (Chlorophytum borivilianum). It is also used to manage the Male Infertility, Female Infertility, and Sexual Vitality. Musli strength is also beneficial to increasing the male sexual hormones.

Dosage: 1 cap twice daily with plain water after meals.

5. Dashmoola Capsules

The Dashmoola capsules of Planet Ayurveda is a polyherbal capsule known to pacify the Vata. The chief ingredients of the Dashmoola capsule are Patla (Stereospermum suaveolens), Shyonaka (Oroxylum Indicum), Gambhari (Gmelina arborea), Kantakari (Solanum xanthocarpum), Prishnaparni (Uraria picta), Gokshura (Tribulus terrestris), Bilva (Aegle marmelos), Shalaparni (Desmodium gangeticum), Agnimantha (Premna mucronata), Brihati (Solanum indicum). These capsules are best to manage the associated pain and weakness associated with essential tremors.

Dosage: 1 cap twice daily with plain water after meals.


Tremors can be due to other conditions or lifestyle factors. It is important to check the timing of tremor. The lifestyle should be managed properly and vatavardhak diet should be avoided. The essential tremor or rhythmic shaking is a common concern among people. These conditions sometimes worsen the day-to-day life of an individual and lead to stress, anxiety, and impaired social life. Students suffering from this condition sometimes suffer from career concerns and are unable to achieve their goals. Modern medicine if taken for a long time may cause serious side effects. The herbs of Ayurveda are mentioned in texts and the classics of Ayurveda are a boon to patients with Essential tremors. Herbal remedies of Planet Ayurveda are best to nourish the channels of the body upto the root level and result oriented in the management of essential tremors.