What is chronic anal pain?
Chronic anal pain, or chronic proctalgia, is a very debilitating condition. It is defined by the presence of pain in the anal part for more than 3 months. Pain is different between patients, some experience a sharp burning pain, some others a more dull pain.
Is it a frustrating disease, since most patients see many doctors but 1/3 of them will not get a diagnosis and a proper treatment. These patients experience bad quality of life, work absenteeism and important psychological distress.
For this reason is very important to be visited by the right doctor- expert and dedicated to this field - that is able to focus on patient’s problem and help him/her to find the right diagnostic and therapeutic pathway.
What causes chronic anal pain?
Chronic anal pain can be caused by:
Treatment for chronic anal pain:
Regarding coccygodynia, a complete evaluation with the orthopedic consultant is performed. If there are no issues are coming up from this side, then local infiltrations can be performed with good results.
If there is a suspect that chronic prostatitis is present, the patient is referred to our urologist, likewise if the doctor is thinking about pelvic endometriosis, a consult with our expect gynecologist is suggested.
Rectal ischemia is more common in the elderly population, in this case anal canal is not touched by the surgeon and all efforts are done in order to diagnose which blood vessels are involved (for example CT scan) and ameliorate local and general blood supply.
Puborectalis syndrome and pudendal chronic neuralgia can be diagnosed only after a careful visit with palpation of the levator ani and the different trigger points. Then, if necessary, nerve conduction studies can be performed in order to confirm the diagnosis. Then, biofeedback and pelvic floor rehabilitation are offered and can guarantee very good results. In very selected cases, direct infiltration with local anesthetics and corticosteroids are performed directly on the nerve by ourexpert proctologist Dr. Valentina.