Dyssynergia

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Dyssynergia
Synonyms
Pronounce	N/A
Specialty	N/A
Symptoms	Dysphagia, constipation, urinary incontinence
Complications	Fecal incontinence, urinary tract infections
Onset
Duration
Types	Orofacial dyssynergia, anorectal dyssynergia
Causes	Neurological disorder, muscle dysfunction
Risks
Diagnosis	Anorectal manometry, defecography
Differential diagnosis	Irritable bowel syndrome, multiple sclerosis
Prevention
Treatment	Biofeedback, physical therapy, surgery
Medication	Laxatives, botulinum toxin
Prognosis
Frequency
Deaths

Dyssynergia is a term used in medicine to describe a lack of coordination between different muscle groups or parts of the body. This condition can affect various systems, including the muscular system, nervous system, and cardiovascular system. Dyssynergia can manifest in different forms depending on the underlying cause and the specific muscles or organs involved.

Types of Dyssynergia

Dyssynergia can be classified into several types based on the affected system:

Esophageal Dyssynergia

Esophageal dyssynergia refers to a disorder of the esophagus where there is a lack of coordination in the muscular contractions that propel food from the throat to the stomach. This can lead to symptoms such as dysphagia (difficulty swallowing) and gastroesophageal reflux disease (GERD).

Urinary Dyssynergia

Urinary dyssynergia, also known as detrusor-sphincter dyssynergia, occurs when there is a lack of coordination between the bladder muscle (detrusor) and the urinary sphincter. This condition is often seen in patients with spinal cord injury or multiple sclerosis, leading to urinary retention or incontinence.

Cardiac Dyssynergia

In the context of the heart, dyssynergia can refer to abnormal or uncoordinated contractions of the heart muscle, which can affect the heart's ability to pump blood effectively. This can be observed in conditions such as heart failure or after a myocardial infarction (heart attack).

Causes

The causes of dyssynergia vary depending on the type and the system involved. Common causes include:

• Neurological disorders such as Parkinson's disease or cerebral palsy.
• Spinal cord injuries that disrupt nerve signals.
• Muscular disorders that affect muscle function.
• Cardiovascular diseases that impair heart muscle coordination.

Diagnosis

Diagnosis of dyssynergia typically involves a combination of clinical evaluation and diagnostic tests. These may include:

• Manometry for esophageal dyssynergia to measure pressure changes in the esophagus.
• Urodynamic testing for urinary dyssynergia to assess bladder function.
• Echocardiography or cardiac MRI for cardiac dyssynergia to visualize heart muscle movement.

Treatment

Treatment of dyssynergia depends on the underlying cause and the specific type of dyssynergia. Options may include:

• Physical therapy and occupational therapy to improve muscle coordination.
• Medications to manage symptoms or underlying conditions.
• Surgical interventions in cases where structural abnormalities are present.

See Also

• Muscle coordination
• Nervous system disorders
• Cardiovascular diseases
• Gastrointestinal motility disorders