The pelvic floor is a very large muscle that holds up the rectum, uterus and bladder.
This muscle can be damaged by trauma, i.e. childbirth, surgery, pelvic floor descent (aging) or straining with diarrhea or constipation. When this muscle is damaged, it can cause significant pain and discomfort. The diagnosis is made during office exam. Resolution of the problem is non-surgical and can be difficult. Occasionally, the muscle can go into spasm causing obstructive or incomplete evacuation of stool, as well as, difficulty urinating. Symptoms may become worse with sitting long periods of time, i.e. long road trips. Therapy revolves around avoidance of straining, bowel regulation, muscle relaxants, heat, and anti-inflammatory agents.
Pelvic floor physical therapy also is frequently recommended. Pelvic floor spasm and pain is referred to by many other synonyms: Levator spasm, puborectalis syndrome, pyriformis syndrome, pelvic tension myalgia, and proctodynia to name a few.
For more information please visit:
The American Board of Colon and Rectal Surgeons