Chronic anal tension

Short Wave Diathermy Injections Other relaxation therapies, cognitive behavioral therapy, ultrasound, sitz baths, posture training, hydrotherapy, strengthening exercises, and TENS units A discussion of each of the above modalities follows. Massage Thiele was first to describe muscle spasm of the levator ani and coccygeus muscles as a source of pelvic pain. He treated these patients with transrectal massage of the affected muscles along with proper sitting posture. Massage was performed daily for five or six days, then every other day for a week or ten days, then with a gradual weaning.
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What's to know about levator ani syndrome

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A Pain That's Hard to Discuss - The New York Times

It is important to have a clear understanding on symptoms for hemorrhoids, rectal pain, anal fissures and constipation. At some time or another, many people find a little blood in their stool usually after a particularly hard bowel movement and can become confused and upset at such an event. At other times, alarmed individuals go to the doctor complaining of rectal pain after a bowel movement with no apparent blood in the stool. Often the doctor gives the diagnosis of anal fissure or hemorrhoid to these complaints. To most, this can sound foreboding. In fact, an anal fissure is like a paper cut in the internal anal sphincter.
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A Pain That’s Hard to Discuss

All rights reserved. This article has been cited by other articles in PMC. Abstract This systematic review addresses the pathophysiology, diagnostic evaluation, and treatment of several chronic pain syndromes affecting the pelvic organs: chronic proctalgia, coccygodynia, pudendal neuralgia, and chronic pelvic pain.
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Topic Overview What is an anal fissure? An anal fissure is a tear in the lining of the lower rectum anal canal that causes pain during bowel movements. Anal fissures don't lead to more serious problems. Most anal fissures heal with home treatment after a few days or weeks.
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