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Chronic anal tension

Chronic pelvic and rectal pain is a common and frustrating problem for many patients. In some of these patients, the cause of the pain is secondary to the pelvic floor muscles. Despite the prevalence of chronic pelvic and rectal pain, the muscles of the pelvic floor are often overlooked as a source of the discomfort. This muscular pain has been referred to by numerous names in the literature including coccygodynia, levator spasm syndrome, levator ani syndrome, spastic pelvic floor syndrome, diaphragma pelvis spastica, and pelvic floor tension myalgia. PFTM affects women more often than men, and patients are frequently in their fourth to sixth decade of life. While the etiology of PFTM is unknown, pelvic floor muscle spasm is thought to play a key role, although there is no EMG study definitely showing this. Hypotheses have included genitourinary inflammation, poor posture, rectal disorders, pudendal nerve entrapment, trauma, reaction to pelvic organ disease, post-surgical scarring, central pain sensitization, and psychological factors as contributing to PFTM.
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Chronic anal tension
Chronic anal tension
Chronic anal tension
Chronic anal tension
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Levator Ani Syndrome: Symptoms, Causes, and Treatment

Chronic pelvic and rectal pain is a common and frustrating problem for many patients. In some of these patients, the cause of the pain is secondary to the pelvic floor muscles. Despite the prevalence of chronic pelvic and rectal pain, the muscles of the pelvic floor are often overlooked as a source of the discomfort. This muscular pain has been referred to by numerous names in the literature including coccygodynia, levator spasm syndrome, levator ani syndrome, spastic pelvic floor syndrome, diaphragma pelvis spastica, and pelvic floor tension myalgia. PFTM affects women more often than men, and patients are frequently in their fourth to sixth decade of life.
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Pelvic Floor Tension Myalgia (PFTM)

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An anal fissure AF is a tear in the epithelial lining of the anal canal. This is a very common condition, but the choice of treatment is unclear. The use of anal dilators is effective, economic, and safe. The aim of the study was to compare the efficacy of two conservative treatments, the use of anal dilators or a finger for anal dilatation, in reducing anal pressure and resolving anal fissures. Fifty patients with a clinical diagnosis of AF were randomly assigned to one of the treatments, self-massage of the anal sphincter group A, 25 patients or passive dilatation using dilators group B, 25 patients.
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