She was diagnosed by her specialist at that time with a suspected levator ani syndrome (i.
17) Chronic proctalgia is further characterized into two subtypes, levator ani syndrome and unspecified functional anorectal pain, based on the presence or absence of reported tenderness during posterior traction on the puborectalis musculature.
Frequently recommended treatments for patients with conditions such as levator ani syndrome and coccydynia include digital massage of the levator ani musculature and/or mobilization of the coccyx.
The patient in this case presented to an academic chiropractic clinic with severe chronic anorectal and perianal pain that was initially thought to be due to a functional anorectal disorder, levator ani syndrome.
Evaluation of the levator ani and pelvic wall muscles in levator ani syndrome.
There are many different diagnoses associated with CPP including vulvar pain syndromes, interstitial cystitis, levator ani syndrome
, piriformis syndrome, vaginismus, anismus, dyspareunia, proctalgia fugax, constipation, pelvic floor tension myalgias, endometriosis, pudendal neuralgia, and/or rectal pain.