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Proctalgia fugax does not cause any lasting damage to people, but it is painful. There are treatment options that may help to relax the anal muscles and. Rectal spasm and levator ani syndrome admin t1850020000 what causes rectal spasms and levator ani syndrome? There are a number of terms for muscle-based pain in the rectal area, including levator ani syndrome, levator ani spasm syndrome, proctalgia fugax, chronic pelvic pain syndrome, proctodynia, coccygodynia, pelvic floor dysfunction and pelvic floor myalgia. It most often occurs in the middle of the night and lasts from seconds to minutes pain and aching lasting twenty minutes or longer would likely be diagnosed instead as levator ani syndrome. In a study published in 2007 involving 1809 patients, the attacks occurred in the daytime (33 percent) as well as at night (33 percent) and the average number of attacks was 13. Onset can be in childhood however, in multiple studies the average age of onset was 45. The causes of rectal pain are many, with the most common ones being hemorrhoids or anal fissures (breaks or tears in the skin at the edge of the anus). Less common conditions are coccygodynia which is pain at the lower tip of the spine due to an abnormal position of the coccyx or proctalgia fugax which is periodic unexplained spasm of rectal muscle. Proctalgia is pain due to a spasm of the pelvic floor muscles, the muscles of the anal sphincter, or the muscles of the rectum. This causes severe stabbing pain like a knife sticking into the rectum. Welcome! Discuss your experiences, share your stories and get friendly help and advice. The above are the primary causes of rectal discomfort but there are other causes.