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Levator Avulsion: Simply Explained

31 March, 2014

We’ve been having a discussion on Facebook in our Women’s Health group about the use of the Epi-No as a preventative strategy for Levator Avulsion and so I decided to re-blog my Levator Avulsion blog.

sue croft physiotherapist blog

Seven or eight years ago, I had an ‘Oh My God’  moment in a lecture at one of our National Conferences. Professor Peter Dietz, a Sydney Urogynaecologist, was revealing to the attentive audience of doctors, physiotherapists and nurses that, what had been always attributed to nerve damage in the pelvic floor muscles, was in fact sometimes due to a concept called Levator Avulsion– where part or all of the pelvic floor muscles were pulled off the pubic bone on one or both sides. Peter used 3D/4 D ultrasound to confirm his findings and similarly Professor John DeLancey, a world-renowned anatomist and urogynaecologist from the USA, discovered the same concept through MRI technology. levator avulsion

The levator ani muscles (particularly pubo-rectalis) forms the levator hiatus and is of central importance in pelvic organ support and the maintenance of urinary and faecal continence. Avulsion injuries– are a disconnection of the muscle from its insertion on the inferior pubic…

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  1. I am glad that Dr. Peter Dietz is coming to shanghai China to deliver a training about clinical utilization of pelvic floor unltrasound..

  2. Sue, May I share this on Physio Answers blog?

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