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stretch weakness of gluteal muscles contributing to heel, foot, shin, knee, hip pain If gluteal muscles on one side of the body are weaker, they will appear.
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Description:Vignette A patient presents with severe anal pain, lasting hours after each bowel movement. She notices some intermittent bleeding with defecation. She comes to the office with the presumed diagnosis of hemorrhoids. Are her symptoms consistent with hemorrhoidal disease, or does she have another disorder? Introduction Benign anorectal disorders are common and increasing in incidence.