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Pelvic Floor Pain and Anal Pain

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The pelvic floor is composed of muscles that work to Support the organs like the bladder, the intestines and the uterus in females, control urinary as well as fecal continence, and stabilizes connecting joints.

Pelvic floor pain and anal pain are often the result of an underlying condition that can be mild and temporary or be the signal of more serious disease.


As we age, our pelvic floor muscles weaken and cannot adequately support our bladder, uterus, and rectum. The result of this weakening can cause pelvic floor pain and anal pain. Sometimes muscle stiffness or spasm, not the lack of muscle tone, is what creates the symptoms:

  • Constipation
  • Diarrhea
  • Bowel incontinence
  • Urinary dysfunction
  • "Tail bone" pain
  • Lower back pain
  • Upper leg pain
  • Anxiety or depression due to chronic pain

Causes and Risk Factors

Statistically, pelvic floor pain and anal pain affect women more than men; however both can suffer from it.

Likely causes include:

  • Pelvic floor pain syndrome in which the muscles in your pelvic floor spasm
  • Endometriosis where the tissues that line your uterus build up in unlikely places like the bladder or the bowel forming nodules or lesions.
  • Adhesions, or scar tissue, that binds your organs or tissues together. 
  • Organ prolapse

Diagnostic Tests

Your doctor will start with a medical history, do a physical examination, and perform other tests to diagnose pelvic floor pain and anal pain and the underlying cause.

Your doctor may recommend additional tests to aid in diagnosis including:

  • Colonoscopy to view the entire colon andlook for abnormalities
  • Electromyography (EMG) to test for weakness in the pelvic floor muscles and the muscles surrounding the anus
  • Anal manometry to determine how well the pelvic floor muscles and those surrounding the anus are working
  • Dynamic defecography to assess bowel function and pelvic floor coordination

Treatment and Procedures

Treatment will depend on the underlying cause of your pelvic floor pain and anal pain.

Treatment may include:

  • Medications to alleviate pain
  • Biofeedback to help you regain control of your muscles
  • Surgery to repair or correct underlying anatomical issues such as organ prolapse

Your health is our greatest concern. Please contact the Center for Colon & Rectal Surgery at 407.303.2615for a private consultation today.