Levator Syndrome

Levator Syndrome Specialist in Seattle

Same-Week Evaluation for Chronic Rectal Pain and Pelvic Floor Dysfunction

If you are experiencing chronic rectal pain, anal pressure, pelvic floor tightness, or discomfort that worsens with sitting, you may have levator ani syndrome, a common but frequently overlooked cause of anorectal pain.

Many patients spend months—or even years—seeing multiple providers, undergoing tests, and being told that "everything looks normal." The reality is that pelvic floor muscle dysfunction can cause significant pain even when no obvious abnormality is visible on routine examination.

At Precision Proctology, Dr. Rodney Kratz specializes in diagnosing and treating conditions that are often missed, including levator ani syndrome, pelvic floor dysfunction, chronic anal pain, postoperative anorectal pain, and pelvic floor muscle spasm.

Unlike many practices where patients wait months for evaluation, we offer same-day and next-day appointments whenever possible, allowing patients to begin their path toward relief sooner.

 
What Is Levator Syndrome?

Levator ani syndrome occurs when the muscles of the pelvic floor become chronically tight, overactive, or go into spasm.

The levator ani muscles support the rectum, anus, bladder, and pelvic organs. When these muscles become dysfunctional, patients may experience:

Chronic rectal pain
Deep aching in the anus or rectum
Pelvic pressure
Pain with prolonged sitting
A sensation of fullness or a "golf ball" feeling in the rectum
Pain after bowel movements
Intermittent episodes of severe rectal discomfort
Pelvic floor tightness
Difficulty relaxing during bowel movements
Many patients are initially misdiagnosed with hemorrhoids or told that no explanation can be found for their symptoms.

 
Common Causes of Levator Ani Syndrome

Several factors may contribute to pelvic floor muscle dysfunction:

Chronic constipation
Repeated straining
Prior anorectal surgery
Anal fissures
Anal fistulas
Hemorrhoids
Childbirth-related pelvic floor injury
Chronic stress and anxiety
Pelvic floor dysfunction
Scar tissue from prior procedures
Chronic inflammation
Pudendal nerve irritation
Because multiple conditions can coexist, a comprehensive evaluation is essential.

 
Why Proper Diagnosis Matters

Many patients search online for:

Rectal pain specialist Seattle
Chronic anal pain treatment
Pain with sitting in rectum
Pelvic floor dysfunction doctor
Levator ani syndrome treatment
Rectal pressure causes
Chronic anorectal pain specialist
Unfortunately, patients are often treated repeatedly for hemorrhoids when the true cause is pelvic floor muscle spasm.

At Precision Proctology, we perform a thorough anorectal evaluation to identify whether symptoms are being caused by:

Levator ani syndrome
Pelvic floor dysfunction
Anal fissure
Anal fistula
Hemorrhoids
Perianal abscess
Scar-related pain
Pudendal neuralgia
Other anorectal conditions
Correct diagnosis is the first step toward lasting relief.

 
Our Unique Approach to Treatment

Rapid Access to Care
Patients with chronic rectal pain often wait months for specialist appointments and even longer for pelvic floor therapy.

We believe patients deserve better.

Whenever possible, we offer:

✓ Same-day appointments

✓ Next-day appointments

✓ Same-week evaluations

✓ Direct access to a colorectal specialist

 
Immediate Pelvic Floor Support

Many physical therapy practices have wait times of several weeks to several months.

Rather than asking patients to simply wait, we provide:

Detailed pelvic floor relaxation instructions
Home stretching protocols
Breathing exercises
Bowel habit optimization guidance
Pelvic floor self-care resources
Many patients begin improving before their first physical therapy appointment.

 
Comprehensive Pelvic Floor Treatment

Treatment may include:

Pelvic Floor Physical Therapy
Often considered the cornerstone of treatment.

Pelvic Floor Relaxation Training
Techniques to reduce chronic muscle guarding and spasm.

Bowel Optimization
Preventing straining is critical to long-term improvement.

Botox for Pelvic Floor Spasm
For selected patients with persistent levator muscle spasm, Botox may help relax chronically contracted muscles.

Scar and Postoperative Pain Management
Patients who have developed pelvic floor dysfunction following anorectal surgery often benefit from specialized treatment strategies.

Shockwave Therapy (Select Patients)
Emerging evidence suggests that shockwave therapy may help reduce chronic muscle tension, improve blood flow, and assist with scar remodeling in selected patients with chronic pelvic pain.

 
A Judgment-Free Environment

Many patients with anorectal pain delay seeking care because they feel embarrassed discussing symptoms involving the rectum or pelvic floor.

At Precision Proctology, we understand.

You will never be rushed, dismissed, or judged.

Whether your symptoms are related to bowel function, intimacy, prior surgery, pelvic floor dysfunction, or chronic pain, our goal is to provide compassionate, expert care in a professional and respectful environment.

 
Why Patients Choose Dr. Kratz

Specialized Expertise
Dr. Rodney Kratz is a board-certified colon and rectal surgeon with more than 20 years of experience treating anorectal disorders.

Focused Practice
Unlike general surgery or large hospital systems, our practice focuses exclusively on disorders of the anus, rectum, and pelvic floor.

Faster Access
Many patients are evaluated within days—not months.

Personalized Treatment Plans
Every patient receives an individualized treatment strategy rather than a one-size-fits-all approach.

Continuity of Care
You see the specialist who evaluates you, develops your treatment plan, and guides your recovery.

 
Frequently Asked Questions

Can levator ani syndrome go away on its own?
Some patients improve with lifestyle modifications and stress reduction, but many require targeted treatment to achieve lasting relief.

Is levator ani syndrome dangerous?
No, but it can significantly impact quality of life and should be properly evaluated to exclude other conditions.

Can hemorrhoids cause similar symptoms?
Yes. Hemorrhoids, fissures, fistulas, abscesses, and pelvic floor dysfunction can produce overlapping symptoms.

Can surgery fix levator ani syndrome?
Surgery is generally not used to treat levator ani syndrome itself. Most patients improve with pelvic floor therapy, muscle relaxation techniques, Botox, and treatment of contributing conditions.

 
Schedule Your Evaluation

If you are struggling with chronic rectal pain, pelvic floor tension, anal pressure, pain with sitting, or symptoms that have not improved despite previous treatment, expert help is available.

Precision Proctology offers specialized evaluation and treatment for levator ani syndrome and chronic anorectal pain with rapid access to care, personalized treatment plans, and compassionate support every step of the way.

Same-Day and Next-Day Appointments Available