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Levator Ani (Pubococcygeus, Puborectalis, Iliococcygeus)

Region

Origin & Insertion

Origin: Pubis, tendinous arch, ischial spine; Insertion: Coccyx, anococcygeal ligament

Synergistic Muscles

Transversus abdominis, Coccygeus

Joints

Lumbosacral-pelvic floor connection

Primary Actions

Supports pelvic viscera, maintains continence, aids childbirth and defecation

Nerve & Spinal Segment

Nerve to levator ani and pudendal nerve

Sacral plexus; S3–S4

Interesting

Puborectalis forms sling around rectum; essential for fecal continence. [Clinically Oriented Anatomy]

Reversal of Action

Pelvic lift during abdominal brace

Common Dysfunctions

Pelvic organ prolapse, stress urinary incontinence

How to Stretch

Deep breathing in supported squat or happy baby pose

Trigger Points

How to Strengthen

Biofeedback-guided pelvic floor lifts

Concentric Action

Elevate pelvic floor

Applications:

Main support for continence, organ support, and spinal stability

Eccentric Action

Control descent of pelvic floor post-lift

Isotonic Action

Elevator cue Kegels (contract at 25%, 50%, 100%)

Related Conditions

Rectocele, cystocele, anismus

Isometric Action

Hold mid-level Kegel contraction

Exercise Ideas

Pelvic Stability, Continence, Breathing Coordination

Related Blogs

Images

Videos

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