Levator Ani - Horse Anatomy | Inside The Equine
Muscular System

Levator Ani

Musculus levator ani

Overview

Forms the muscular floor of the pelvis along with the coccygeus. Supports the rectum and reproductive tract. Important for defecation and maintaining perineal conformation.

Anatomical Details

Origin: Pelvic surface of the ilium and ischiatic spine

Insertion: Caudal vertebrae and perineal body

Action: Supports the pelvic floor; compresses the rectum; draws the tail ventrally

Innervation: Pudendal and caudal rectal nerves (S3-S5)

Clinical Significance

Forms part of the pelvic diaphragm. Its subanal loop forms part of the perineal body. Important in foaling -- perineal lacerations during parturition can damage this muscle.

Common Conditions & Injuries

Perineal laxity and rectal prolapse risk

Weakness of the levator ani contributes to perineal dysfunction, particularly in older multiparous mares.

Cauda equina syndrome

Polyneuritis equi is an immune-mediated demyelinating disease of the cauda equina and cranial nerves (especially trigeminal and facial). Granulomatous inflammation of nerve roots. Associated with EHV-

Frequently Asked Questions

What is Perineal laxity and rectal prolapse risk in horses?

Weakness of the levator ani contributes to perineal dysfunction, particularly in older multiparous mares. Signs include: Sunken or tilted perineal conformation; fecal retention; rectal prolapse; pneumovagina; may require Caslick's procedure or perineal reconstruction in mares.

What is Cauda equina syndrome in horses?

Polyneuritis equi is an immune-mediated demyelinating disease of the cauda equina and cranial nerves (especially trigeminal and facial). Granulomatous inflammation of nerve roots. Associated with EHV-1 and P2 myelin protein. Signs include: Tail paralysis; perineal anesthesia; fecal and urinary incontinence; hindlimb weakness.; Loss of anal tone; fecal incontinence; urinary incontinence; flaccid tail; reduced perineal sensation; often from EHV-1, trauma, or polyneuritis equi.; Progressive tail and anal sphincter paralysis; fecal retention; perineal hypalgesia; rubbing tail base; if cranial nerves involved: facial paralysis, trigeminal dysfunction, dysphagia; Flaccid, dilated anus; fecal staining of the hindquarters; often accompanied by tail paralysis, urinary incontinence, and perineal anesthesia.; Flaccid, hanging tail with no voluntary movement; urine scalding of hindlimbs; fecal retention or incontinence; reduced anal tone; often from trauma, EHV-1, or polyneuritis equi.

What are the clinical concerns for the Levator Ani?

Forms part of the pelvic diaphragm. Its subanal loop forms part of the perineal body. Important in foaling -- perineal lacerations during parturition can damage this muscle.

Explore This Structure in 3D

See the Levator Ani on our interactive 3D horse model. Open 3D Model