Musculus levator ani
Forms the muscular floor of the pelvis along with the coccygeus. Supports the rectum and reproductive tract. Important for defecation and maintaining perineal conformation.
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)
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.
Weakness of the levator ani contributes to perineal dysfunction, particularly in older multiparous mares.
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-
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.
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.
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.
See the Levator Ani on our interactive 3D horse model. Open 3D Model