Muscle pain above the anus may be caused by trauma, muscle strain, inflammation near the perianal area, herniated discs, hemorrhoids and other conditions. 1.Trauma. Trauma occurs due to falls, car accidents and other reasons, causing muscle damage, which leads to localized anal muscle pain. 2. Muscle strain. Muscle strain due to overwork, etc. Creatine kinase is overproduced, which stimulates the anal muscles and leads to the above symptoms. 3. Inflammation near the perianal area. Inflammation near the perianal area can lead to perianal abscess and anal fistula, etc. Drinking alcohol and eating spicy and irritating food can stimulate the local abscess, thus causing perianal pain and other symptoms. 4. Herniated lumbar disk. The herniated lumbar disc compresses the nerves, causing trigeminal neuralgia, which radiates to the muscle pain above the anus. 5. Hemorrhoids. Consumption of spicy and irritating foods stimulates hemorrhoids, which causes swelling of the perianal mucosa and pain pulling to the upper part of the anus. When the above situations occur, you should go to the hospital in time to see a doctor and get symptomatic treatment.