What is proctalgia fugax or rectal spasms?

Proctalgia fugax refers to sudden, intense rectal pain that is often described as sharp, stabbing, or cramp-like. It typically lasts for a short duration and may occur without an obvious cause. While the exact cause is unclear, it's often related to spasms in the muscles of the pelvic floor. 

The exact cause of proctalgia fugax is not well understood. It is believed to be related to spasms or contractions of the muscles in the pelvic floor, particularly the anal sphincter muscles. Factors such as stress, anxiety, and changes in bowel habits may contribute to its occurrence. Other potential triggers include constipation, straining during bowel movements, or irritation of the nerves in the rectal area. 

In Pelvic floor therapy we work to manage symptoms by addressing muscle tension or dysfunction in the pelvic region. We work to lengthen the muscles of the pelvic floor either internally or externally, work on posture, bowel habits, managing stress, and any other contributing factors. 

A possible treatment approach may include soft tissue work in the pelvic floor muscles, work around nerve pathways, posture, and breathe work with focus on relaxing muscles. Stretches may include deep squat focusing on breathe/ lengthening of the muscles, child’s pose, happy baby, or iliacus pull backs. 

The prevalence of proctalgia fugax is not precisely known, as many people may experience it but not seek medical attention. Estimates suggest that around 8-18% of the population may experience proctalgia fugax at some point in their lives.

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