Anal Pain

Tracy L. Hull

Chronic idiopathic anal pain can be a frustrating and challenging problem for the clinician and patient.1-4 This encompasses pain in the anal region without definable anatomic abnormalities.5 To add to the situation, nomenclature in the literature is confusing, and terms are often used incorrectly. From intensive review of the literature, essentially three different patterns emerge: coccygodynia, levator ani syndrome, and proctalgia fugax. Levator ani syndrome and proctalgia fugax will be discussed in this chapter.

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