Question 1

i am a cyclist and have been dignosed with levator ani syndrome. 
is there a way to cycle without agravating the symtoms?

Accepted Answer

Diltiazem ointment?: Levator ani syndrome is a chronic spasm of the levator ani muscles that might be relieved by a 0.2% Diltiazem ointment like we would use for the spasm associated with an anal fissure.
If you are not a racer you could try riding a recumbent that would place very different stresses on the perineum.

Question 2

i think i have levator ani syndrome?

Accepted Answer

Called proctalgia : Fugax or levator spasm. Often severe enough to wake from sleep, more common in women. Getting up and walking around for a few minutes, warm tub soak or even a fleet enema, (sodium bisphosphate) changes the anatomy enough to relieve the spasm. Often disappears as abruptly as it came on. No good treatment except as above.

Question 3

what do you know re levator ani syndrome?

Accepted Answer

Called proctalgia : Fugax or levator spasm. Often severe enough to wake from sleep, more common in women. Getting up and walking around for a few minutes, warm tub soak or even a fleet enema, (sodium bisphosphate) changes the anatomy enough to relieve the spasm. Often disappears as abruptly as it came on. No good treatment except as above.

Question 4

what do you do about levator ani syndrome?

Accepted Answer

Called proctalgia : Fugax or levator spasm. Often severe enough to wake from sleep, more common in women. Getting up and walking around for a few minutes, warm tub soak or even a fleet enema, (sodium bisphosphate) changes the anatomy enough to relieve the spasm. Often disappears as abruptly as it came on. No good treatment except as above.

Question 5

i may have levator ani syndrome. what are the tests that need to be done?

Accepted Answer

A thorough history: And digital rectal exam, with the examiner gently tugging on the levator muscles can replicate the pain and suggest the diagnosis. Other causes of your symptoms should be ruled out as well by your doctor.

Question 6

how are proctalgia fugax and levator ani syndrome different?

Accepted Answer

Time: Both are spasms of the levator ani muscles.  The difference is largely semantic related to timing and  duration of the pain.

Question 7

can you tell me things to keep in mind about levator ani syndrome?

Accepted Answer

Rectal pain: Pain totally unrelated to stooling is likely to be associated to levator ani syndrome, characterized by painful episodes of short duration 20-30 minutes, usually at night and can be relieved by walking and warm baths. Also avoid constipation.

Question 8

what's the difference between proctalgia fugax and levator ani syndrome?

Accepted Answer

None: They are generally the same thing, just different terminology.

Question 9

what kind of doctor should i see for levator ani syndrome / proctalgia fugax?

Accepted Answer

See a: colorectal surgeon , first speak to your family doctor , may know some one who handles this type of problem

Question 10

can you tell me what kind of doctor to see for levator ani syndrome / proctalgia fugax?

Accepted Answer

Both: Should be diagnosed and treated by a colon and rectal surgeon although treatment is less than ideal and effective. However, a crs will have had the most experience and knowledge.

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Doctor answers about:

Levator ani syndrome in women

A member asked:

I am a cyclist and have been dignosed with levator ani syndrome. is there a way to cycle without agravating the symtoms?

A member asked:

I think i have levator ani syndrome?

A member asked:

What do you know re levator ani syndrome?

A member asked:

What do you do about levator ani syndrome?

A member asked:

I may have levator ani syndrome. what are the tests that need to be done?

A member asked:

How are proctalgia fugax and levator ani syndrome different?

A member asked:

Can you tell me things to keep in mind about levator ani syndrome?

A member asked:

What's the difference between proctalgia fugax and levator ani syndrome?

A member asked:

What kind of doctor should i see for levator ani syndrome / proctalgia fugax?

A member asked:

Can you tell me what kind of doctor to see for levator ani syndrome / proctalgia fugax?

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