Anal fissure and Pelvic Floor Physiotherapy

Is anal fissure an aspect of pelvic floor dysfunction?

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Anal fissure and Pelvic Floor Physiotherapy

Postby dmcff » 21 May 2018, 09:04

As someone who is currently receiving biofeedback treatment for pelvic floor dysfunction, I found this recent survey (PDF) by Leiden University Medical Center for Proctology interesting. In particular, the survey's conclusion:

Pelvic floor dyssynergia was found in a large percentage of the patients presenting with anal fissure. We hypothesise that pelvic floor examination and pelvic floor physiotherapy may be important in the treatment of chronic anal fissure.


dmcff
2014 Anal fissure
2015 CAT scan, EUA and sigmoidoscopy, 2 MRI scans - 4 hospital stays - severe to low pain
2016 Anal fissure - pain severe then moderate to low
2017 Return of moderate pain
2018 Physiotherapy and pain management
dmcff
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