Here is a link to a thread that I had a few months ago... as you can see, you aren't alone
Post Edited (tiedinknots) : 7/21/2009 12:12:43 PM (GMT-6)
I’ve been having 4 or 5 episodes a year of Proctalgia Fugax for years. My symptoms are exactly like listed. I think anyone having these attacks should check with their doctor as I did, but the great news is, there is new information on the cause of Proctalgia Fugax and a recommended self-administered treatment that works wonderfully on me to immediately relieves the pain without the use of any drugs. See http://proctalgia-fugax-cause-and-relief.info for all the details. It’s great!
Post Edited (Sherrine) : 1/5/2010 12:12:55 PM (GMT-7)
Levator ani syndrome (LAS) might be treated using biofeedback to teach pelvic floor relaxation, electrogalvanic stimulation (EGS), or massage of levator muscles. We performed a prospective, randomized controlled trial to compare the effectiveness of these techniques and assess physiologic mechanisms for treatment.
Inclusion criteria were Rome II symptoms plus weekly pain. Patients were categorized as “highly likely” to have LAS if they reported tenderness with traction on the levator muscles or as “possible” LAS if they did not. All 157 patients received 9 sessions including psychologic counseling plus biofeedback, EGS, or massage. Outcomes were reassessed at 1, 3, 6, and 12 months.
Among patients with “highly likely” LAS, adequate relief was reported by 87% for biofeedback, 45% for EGS, and 22% for massage. Pain days per month decreased from 14.7 at baseline to 3.3 after biofeedback, 8.9 after EGS, and 13.3 after massage. Pain intensity decreased from 6.8 (0–10 scale) at baseline to 1.8 after biofeedback, 4.7 after EGS, and 6.0 after massage. Improvements were maintained for 12 months. Patients with only a “possible” diagnosis of LAS did not benefit from any treatment. Biofeedback and EGS improved LAS by increasing the ability to relax pelvic floor muscles and evacuate a water-filled balloon and by reducing the urge and pain thresholds.
Biofeedback is the most effective of these treatments, and EGS is somewhat effective. Only patients with tenderness on rectal examination benefit. The pathophysiology of LAS is similar to that of dyssynergic defecation.
"A variant of the levator syndrome is proctalgia fugax, a feeling of severe pain in the rectum which generally occurs at night and which will awaken the patient from a sound sleep."