How is pelvic floor muscle spasm syndrome treated?

If you experience difficulty in defecation, infrequent bowel movements, abdominal bloating, discomfort and pain during defecation, you may be suffering from pelvic floor spasm syndrome, a functional disorder that mostly affects women. If you strain to defecate, the body's intra-abdominal pressure increases, which can cause the perineum to drop. Pelvic floor spasm syndrome can be confirmed through digital rectal examination. So how to treat this pelvic floor muscle spasm syndrome? Let’s listen to the expert’s introduction together.

1. Electromyography biofeedback therapy: consists of three stages. In the first stage, myotron220 anal plug electrodes were used to measure muscle tension, which was converted into numerical values ​​by logarithm and displayed as the average value every 3 seconds. After the electrode is inserted, the patient strains to defecate for 9 to 12 seconds. If the value increases, indicating muscle contraction, the diagnosis is confirmed; if the value decreases during contraction, relaxation is necessary. Through EMG feedback, speakers can gradually experience the feeling of correct contraction and gradually learn to use the correct contraction mechanism. The second stage uses oatmeal to stimulate bowel movements. If the contraction is done in the right way, the oatmeal can be excreted. Continue to use emg feedback for reinforcement during this phase. In the third stage, the patient is required to go to the toilet after each meal and defecate five times with maximum effort. The patient is also required to concentrate on the correct contraction and relaxation. The purpose is to help the formation of stool and increase the patient's desire to defecate.

2. Balloon feedback therapy: The patient relaxes the external sphincter by himself, inserts the catheter about 8cm into the rectum, and then injects about 20ml of gas into the balloon. After at least 10s, slowly pull out the balloon, and at the same time, make a bowel movement with force. The patient must learn to contract and relax correctly to perform these movements easily. Pulling out the balloon while exerting force helps the patient develop the correct feedback. Stages 2 and 3 are the same as EMG biofeedback therapy.

3. Neuromodulation therapy: Under general anesthesia, determine the location of the S2, S3, and S4 nerve roots, and give subchronic stimulation to the bilateral S3 nerve roots. The guide needle must be inserted subcutaneously because the patient may have early potential migration under anesthesia. The voltage used for treatment is 1-10V, and the frequency is 20Hz. Generally, unilateral subchronic stimulation lasts for 4-14 days, and long stimulation with bilateral buried electrodes lasts for 7-26 days. Everaert et al studied 10 cases of pelvic floor spasm syndrome. Among them, 9 cases had very good neuromodulation effects. Foreman's research shows that the area with the most pain transmitted from the perineum to the spinal cord is the pelvic floor. If the stimulation is consistent with the skin distribution area of ​​the sensory nerve fibers of the posterior roots of the spinal nerves, then neuromodulation will have a good effect on the pain of pelvic floor spasm syndrome and the symptoms of constipation will also improve.

4. Local injection of botulinum toxin a blocks the release of cholinesterase neurotransmitters at the neuromuscular junction, numbing the muscles at the injection site for a longer period of time, thereby improving symptoms.

5. Others: Relevant experts also reported 115 cases of pelvic floor spasm syndrome treated with Changqiang acupoint injection. In addition, dietary therapy such as eating more crude fiber foods, developing the habit of regular bowel movements, and psychotherapy have been reported.

Through the above knowledge about pelvic floor spasm syndrome and its treatment methods, we have some answers in our minds. If you find that your symptoms are the basic symptoms of pelvic floor spasm syndrome, what you need to do at this time is to follow the above-mentioned methods for treatment. In daily life, we also need to do appropriate exercises and develop the habit of squatting on the toilet on time to prevent constipation.