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The pain can be made worse by a bowel movement when the stool presses against the levator ani muscle as it is being expelled. The patient should be instructed to take hot baths nightly for 20 minutes. Periodic massage of the painful spastic muscle combined with warm baths and muscle relaxants may be useful. The term coccygodynia was often used in the past for this condition, but few patients actually have coccygeal tailbone pain. Tenderness and muscle spasm affecting the levator ani muscles are the principal symptoms of this disorder. Rectal examination reveals a tender levator muscle, which when digitally pressed, reproduces the patient's discomfort.

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