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Levator ani syndrome is a condition causing random, painful episodes in the rectum and anus. It is thought to be caused by the pelvic floor muscles and was formerly known as chronic proctalgia. Welcome! Discuss your experiences, share your stories and get friendly help and advice. That is what this little corner is all about! Return to chronic anal and rectal pain. I get the feeling that the fear and trauma of a chronic fissure can cause long term tension and pain in the anal area. I told her that even though my fissure was healed, i sometimes get pain when i am anxious or stressed about work or other things. Rectal spasm and levator ani syndrome admin t1850020000 what causes rectal spasms and levator ani syndrome? There are a number of terms for muscle-based pain in the rectal area, including levator ani syndrome, levator ani spasm syndrome, proctalgia fugax, chronic pelvic pain syndrome, proctodynia, coccygodynia, pelvic floor dysfunction and pelvic floor myalgia.