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Chronic proctalgia is a general term for chronic or recurring pain in the anal canal or rectum. Other names considered synonymous with chronic proctalgia are levator ani syndrome, puborectalis syndrome, chronic idiopathic perineal pain, pyriformis syndrome, and pelvic tension myalgia. Pressure in your rectum may be caused by any number of conditions. There are a few common causes that are treatable by medical attention. Proctalgia fugax and anal pain synonyms functional anorectal pain, chronic proctalgia, pyriformis syndrome, pelvic tension myalgia, levator ani syndrome. Muscle tension, including chronic muscle tension, muscle tightness, muscle tenderness, and muscle pain are often symptoms of anxiety disorder, including generalized anxiety disorder, social anxiety disorder, panic disorder, and others. To see if anxiety might be playing a role in your anxiety symptoms, rate your level of anxiety using our free one-minute instant results anxiety test or. an anal fissure is a small cut or tear at the anal opening. It is usually located in the back of the anal opening, but may also be located in the front, or, rarely, on the sides. The fissure can be superficial and shallow, or it can be deep and into the anal sphincter muscle. Anal stenosis, also known as an anal stricture, is the narrowing of the anal canal, located just before the anal sphincter. What is the anal sphincter? The anal sphincter is a complex part of the body that maintains a seal that can be opened to discharge body waste. High-voltage electrogalvanic stimulation (hvgs) has been used by multiple investigators for pelvic floor tension myalgia. An intra-anal probe is inserted and applied to the muscles in spasm. Most studies describe increasing the voltage as tolerated to a goal of 150-400 volts. Chronic anal pain lasting more than 20 minutes in absence of organic disease. Fleeting severe rectal pain lasting several seconds to minutes, especially at night.