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Doctor insights on: Levator Ani Syndrome Exercises

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What is levator ani syndrome?

What is levator ani syndrome?

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. ...Read more

Levator Ani Syndrome (Definition)

A condition in which people experience chronic rectal pain that comes in two forms: Levator ani syndrome and unspecified functional arorectal pain. What distinguishes the two is that that people who have levator ani syndrome report tenderness in the levator muscle of the pelvis when it is touched ...Read more


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I think I have levator ani syndrome?

I think I have levator ani syndrome?

Possibly: The most common symptom with levator and syndrome is the sensational of feeling like you are sitting on a tennis ball. If you have that symptom, it is possible. ...Read more

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What do you know re levator ani syndrome?

What do you know re levator ani syndrome?

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. ...Read more

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What do you do about levator ani syndrome?

What do you do about levator ani syndrome?

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. ...Read more

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

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

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. ...Read more

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

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

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. ...Read more

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How are proctalgia fugax and levator ani syndrome different?

How are proctalgia fugax and levator ani syndrome different?

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

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

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

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. ...Read more

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

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

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

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

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

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

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

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. ...Read more

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Which type of doctor should I see for levator ani syndrome/pelvic floor spasm?

Which type of doctor should I see for levator ani syndrome/pelvic floor spasm?

Most: Colon and rectal surgeons should be able to confirm the diagnosis and offer treatment/management options. ...Read more

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What kind of doctor should you see for levator ani syndrome/pelvic floor spasm?

What kind of doctor should you see for levator ani syndrome/pelvic floor spasm?

Colorectal surgeon: In many CRS practices, pelvic floor manometry and training are offered, and are an important part of their practice. Ask you doctor to make an appointment with a surgeon specializing in colorectal disease, and ask if they have a pelvic floor manometry analysis available. Good luck. ...Read more

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Can you tell me what kind of doctor should I see for levator ani syndrome/pelvic floor spasm?

Can you tell me what kind of doctor should I see for levator ani syndrome/pelvic floor spasm?

Colorectal surgery: A colorectal surgeon would be your first choice. The availability of a pelvic floor manometry lab would be particularly beneficial. Good luck . ...Read more

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Levator ani spasms in women common?

Levator ani spasms in women common?

Yes.: They will occur with orgasm, but there occurrence otherwise can cause pain. If this is the case in women, then a visit to a urologist or ob/gyn doc can be essential. ...Read more

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Levator ani spasms in women?

Levator ani spasms in women?

When.: Can occur during orgasm. However, when not associated with sex, they cause both pelvi and lower abdominal pain. Usually, the spasm can be felt. Need to see a urologist or ob/gyn doc. ...Read more

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My glut max is almost completely wasted. Pt is barely rebuilding and I have constant nerve pain and levator ani cramps. Nerve test was fine. Help?

My glut max is almost completely wasted. Pt is barely rebuilding and I have constant nerve pain and levator ani cramps. Nerve test was fine. Help?

Hip or back pain: Pain originating from the back, pelvis and hips can often look and feel the same. An MRI of the lumbar spine and hips may uncover a structural problem as the cause of the pain and atrophy. Likewise, ct or MRI of the abdomen and pelvis may be warranted if there is no pathology in the back or hips. An evaluation with a neurosurgeon is warranted after the imaging tests are complete. ...Read more