Dr. Allyson Shrikhande, Chief Medical Officer at Pelvic Rehabilitation Medicine, discusses rectal pain, which is also known as Levator Ani Syndrome.

Topics discussed include:

Rectal pain (Levator Ani Syndrome) explained

Where the pains are located and how long they can last

Risk factors and causes for Levator Ani Syndrome

When relief can be felt

When you should let your doctor know so you can get treatment

Dr. Shrikhande is the Chief Medical Officer of Pelvic Rehabilitation Medicine. She distilled her global expertise into a minimally invasive, cutting-edge approach to the treatment of pelvic pain and pelvic floor muscle dysfunction. With an extensive background in mainstream clinical medicine, she also makes use of many alternatives, holistic and homeopathic approaches. She has published peer-reviewed articles on the treatment of muscle pain in academic journals and works closely with renowned pelvic pain gynecologists and urologists.

At Pelvic Rehabilitation Medicine, our pelvic pain specialists provide a functional, rehab approach to pelvic pain. When you visit one of our offices, you spend an hour with your doctor reviewing in detail your medical history and symptoms. Then, we perform an internal exam (no speculum) to evaluate your nerves and muscles. Together, we'll discuss an individual treatment plan that gets to the root cause of your pain and helps you to feel better. The best part: you can begin treatment the same day!

At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms.

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Rectal pain is also known as Levator Ani Syndrome. What it is, is spontaneous episodic pains in the rectum that are secondary to spasms in the pelvic floor muscular chair. These pains are said to last at least twenty (20) minutes at a time, and as they do progress, they can last longer. Patients often say that it's a sensation of a golf ball in their rectum. Patients say that they have a dull ache in their rectum or a burning, itchy sensation in their rectum. Risk factors for Levator Ani Syndrome include a history of hemorrhoids or hemorrhoid surgery, history of an anal fissure, history of prolonged sitting, particularly sitting on a hard surface and with poor posture, or chronically holding your stress in your pelvic floor muscles, and it can be aggravated with intercourse. It may be relieved with bowel movements. It is important to let your doctor know that you're experiencing these symptoms because research has shown that the earlier that we catch and diagnose and treat it, the easier it is for us to make patients better. The longer things persist, the more challenging it is for us to make it go away, really because it starts to become your new normal, both in the way your muscles are set, the way your muscle spindles are, as well as the way your nerves are trained and the way they function. So if we catch it early, we can retrain the muscles and the nerves faster and with a better prognosis.

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