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What Causes Burning Rectal Pain With History Of Spinal Fracture?

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Posted on Mon, 12 May 2014
Question: Since an L-1 comression spinal fracture 1 yr ago, my husband has suffered almost continuously with burning rectal pain, not associated with bowel movements. We have seen several doctors about this problem but none seem to have an answer. Can you advise a possible treatment or remedy, please?
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Answered by Dr. Karl Logan (1 hour later)
Brief Answer: This could be an anal fissure Detailed Answer: Hi, Are you sure that the rectal pain and the compression fracture are related? Do you mean pain around your husbands anus? If so there are many causes of this most of which could be diagnosed by physical examination and proctoscopy - inserting and speculum inside the anus to visualize this area. Possible causes include an anal fissue or a thrombosed hemorrhoid. It is possible that he sustained an injury to his conus - the end of his spinal cord - at the time of the injury although this usually causes incontinence of urine and or faeces not pain in the anal area. An MRI scan maybe helpful in visualizing his spinal cord in this region to make sure it looks normal. I hope this information is of help to you Best wishes
Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Karl Logan

Orthopaedic Surgeon

Practicing since :1999

Answered : 705 Questions

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What Causes Burning Rectal Pain With History Of Spinal Fracture?

Brief Answer: This could be an anal fissure Detailed Answer: Hi, Are you sure that the rectal pain and the compression fracture are related? Do you mean pain around your husbands anus? If so there are many causes of this most of which could be diagnosed by physical examination and proctoscopy - inserting and speculum inside the anus to visualize this area. Possible causes include an anal fissue or a thrombosed hemorrhoid. It is possible that he sustained an injury to his conus - the end of his spinal cord - at the time of the injury although this usually causes incontinence of urine and or faeces not pain in the anal area. An MRI scan maybe helpful in visualizing his spinal cord in this region to make sure it looks normal. I hope this information is of help to you Best wishes