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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

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I have the last 2-3 years suffered from pain in the rectum and vagina. The pain feel like a heaviness or like I am swollowed.Levator ani?

I have the last 2-3 years suffered from pain in the rectum and vagina. The pain feel like a heaviness or like I am swollowed.Levator ani?

Exam: Numerous possibilities here. More detailed history would be good too especially number of children you've had. Need to be examined by gynecologist or colorectal surgeon to help exclude issues like rectocele, prolapse, etc. May require barium enema, defecography, colonoscopy and other testing. ...Read more

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What is levator spasm as it relates to women?

What is levator spasm as it relates to women?

Pain: Most commonly levator muscle spasm will cause pelvic pain. This can be with sex or at other times. Seeing a physical therapist who specializes in pelvic floor issues can be helpful. ...Read more

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Is there a cure for lavator ani syndrome? Will a cortisone injection help?

Is there a cure for lavator ani syndrome?
Will a cortisone injection help?

Levator Ani Syndrome: Pelvic strengthening/kegel excercises can be very beneficial. Consult with a physical therapist. ...Read more

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What is levator syndrome?

What is levator syndrome?

Spasms of Pelvis: If you mean levator ani syndrome, it is a syndrome where abnormal / involuntary pelvic muscle floor spasms cause chronic abd or pelvic pain. At times it also is referred to as proctalgia fugal, in which spasms cause rectal pain. ...Read more

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I injured my levator scapulae quite some time back (years), ignored it and about 2 months ago pinched my C8 nerve.Need suggestions for speedy recovery?

I injured my levator scapulae quite some time back (years), ignored it and about 2 months ago pinched my C8 nerve.Need suggestions for speedy recovery?

PT: Most younger patients with pinched nerve have a herniated disc. In the absence of significant weakness and symptomatic spinal cord compression, these are usually managed with pt and pain management. ...Read more

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Could elevated cortisol lead to levator myalgia?

Could elevated cortisol lead to levator myalgia?

Unlikely: Uncertain what clincial settings you are describing. The levator scapuli muscles raise the shoulder blades. These muscles can ache in certain settings. Cortisol elevation can affect muscle tone and strength. There is a syndrome called "steroid myopathy" where people on corticosteroids can get muscle weakness. ...Read more

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Can pain from the levator scapula also cause arm pain ?

Can pain from the levator scapula also cause arm pain ?

Possibly related: Pain in the levator scapulae and arm can both be related to an overuse syndrome, postural issues (like carrying a heavy backpack or purse only on the right side daily) or both can be caused by a cervical radiculopathy (pinched nerve in the neck). If your symptoms warrant, you should see a physician (orthopaedic surgeon or physical medicine ; rehab doc) for evaluation. ...Read more

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wake up at night with spasmic pain in the anus @ night every few monthsLasting few mins, earlier relief when bending. M,31,healthy,Levator syndr?!

 wake up at night with spasmic pain in the anus @ night every few monthsLasting few  mins, earlier relief when bending. M,31,healthy,Levator syndr?!

Ouch!: Since ano-rectal spasm, while very painful, doesn't last long, medication isn't too helpful. Sitting on "the throne" and straining as if you were trying to have a bowel movement may help. It works the same way as flexing your ankle does if you get a Charlie Horse in your calf: by actively stretching the contracted, cramping muscles. What you describe is typical for levator ani syndrome. ...Read more

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Who can repair a avulsed levator muscle off the pubic bone?

Who can repair a avulsed levator muscle off the pubic bone?

Confusion here: The levator muscle is the elevator of the eyelid. The pubic bone is in the pelvis and is unrelated to the eyelid. Perhaps you can clarify this by a little study of these anatomies and then can determine which part of the body this question relates to. ...Read more