Les quatre grandes causes<\/strong> suivantes repr\u00e9sentent la majorit\u00e9 des diagnostics possibles.<\/p>\n\n\n\n Il s\u2019agit d\u2019une douleur fugace, brutale, souvent violente durant entre quelques secondes \u00e0 quelques minutes (moins de 5 min dans 90% des cas). Il s\u2019agit d\u2019une douleur anale \u00e9voluant par crises de dur\u00e9e sup\u00e9rieure \u00e0 20 min. Pendant la crise, il existe une contracture douloureuse du muscle releveur de l\u2019anus sans autre anomalie. La cause de ce syndrome est inconnue. Il s\u2019agit de douleurs en regard du coccyx, d\u00e9clench\u00e9es par la position assise ou la palpation. La coccygodynie peut survenir apr\u00e8s une chute, un accouchement, des contraintes r\u00e9p\u00e9t\u00e9es ou une intervention chirurgicale et survient le plus souvent chez la femme. Il s\u2019agit de douleurs anales ou p\u00e9ri-anales, \u00e0 type de br\u00fblure, de picotement ou de poids, le plus souvent unilat\u00e9rales et pouvant irradier vers le vagin ou la face interne des cuisses. Les douleurs sont souvent major\u00e9es en position assise et soulag\u00e9es en position allong\u00e9e. Elise POMMARET<\/em><\/p>\n","protected":false},"excerpt":{"rendered":" La pathologie fonctionnelle douloureuse est un motif fr\u00e9quent de consultation en proctologie. Les quatre grandes causes suivantes repr\u00e9sentent la majorit\u00e9 des diagnostics possibles. La proctalgie fugace Il s\u2019agit d\u2019une douleur fugace, brutale, souvent violente durant entre quelques secondes \u00e0 quelques minutes (moins de 5 min dans 90% des cas).Il n\u2019existe souvent pas de facteur d\u00e9clenchant. […]<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":22646,"menu_order":7,"template":"","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":null,"stick-header-meta":null,"header-above-stick-meta":null,"header-main-stick-meta":null,"header-below-stick-meta":null,"astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"etablissements":[],"services":[],"class_list":["post-23258","service","type-service","status-publish","hentry"],"acf":[],"featured_img":false,"coauthors":[],"author_meta":{"author_link":"https:\/\/devhml.givememore.net\/author\/usersync\/","display_name":"usersync"},"relative_dates":{"created":"Publi\u00e9 8 ans il y a","modified":"Mis \u00e0 jour 4 ans il y a"},"absolute_dates":{"created":"Publi\u00e9 le 8 novembre 2018","modified":"Mise \u00e0 jour le 2 mai 2022"},"absolute_dates_time":{"created":"Publi\u00e9 le 8 novembre 2018 12 h 45 min","modified":"Mise \u00e0 jour le 2 mai 2022 16 h 38 min"},"featured_img_caption":"","tax_additional":{"etablissements":{"linked":[],"unlinked":[],"slug":"etablissements","name":"\u00c9tablissements"},"services":{"linked":[],"unlinked":[],"slug":"services","name":"Services"}},"series_order":"","_links":{"self":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/23258","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service"}],"about":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/types\/service"}],"version-history":[{"count":1,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/23258\/revisions"}],"predecessor-version":[{"id":23262,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/23258\/revisions\/23262"}],"up":[{"embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/22646"}],"wp:attachment":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/media?parent=23258"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=23258"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=23258"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}La proctalgie fugace<\/h3>\n\n\n\n
Il n\u2019existe souvent pas de facteur d\u00e9clenchant. Le patient est asymptomatique entre les crises.
L\u2019examen proctologique est normal en dehors des crises et les examens compl\u00e9mentaires ne sont pas indispensables.
Le m\u00e9canisme de cette douleur reste encore myst\u00e9rieux mais on pense qu\u2019il s\u2019agit d\u2019un spasme brutal du sphincter de l\u2019anus.
Le traitement est souvent difficile et peu efficace et le caract\u00e8re b\u00e9nin de la pathologie doit \u00eatre expliqu\u00e9 avant tout.<\/p>\n\n\n\nLe syndrome du releveur<\/h3>\n\n\n\n
La kin\u00e9sith\u00e9rapie, le massage du releveur et les bains de si\u00e8ge peuvent s\u2019av\u00e9rer efficace.<\/p>\n\n\n\nLa coccygodynie<\/h3>\n\n\n\n
La r\u00e9alisation d\u2019un clich\u00e9 dynamique du coccyx peut aider \u00e0 comprendre le m\u00e9canisme de la douleur (luxation post\u00e9rieure, hypermobilit\u00e9 en flexion\u2026).
Le traitement peut comporter des traitements manuels, des infiltrations ou rarement la chirurgie.<\/p>\n\n\n\nLa n\u00e9vralgie pudendale<\/h3>\n\n\n\n
L\u2019examen clinique et si besoin les examens compl\u00e9mentaires permettent d\u2019\u00e9liminer une autre cause de douleur.
Le traitement est souvent difficile. Il peut \u00eatre m\u00e9dical \u00e0 l\u2019aide de benzodiaz\u00e9pines, d\u2019antalgiques sp\u00e9cifiques ou d\u2019antid\u00e9presseurs. En cas d\u2019\u00e9chec, une infiltration du nerf peut \u00eatre efficace dans des centres sp\u00e9cialis\u00e9s.<\/p>\n\n\n\n