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.
Answered 6/25/2014
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