Hang in there Rach!!
It's all part of the healing - After the cream treatment had stopped for me, the
intensity of pain stopped, but NOT the spasms entirely or the twinging/ aching/ soreness and some weird feelings of simply "pressure" ( I think spasms) in the area. That process took another few weeks - I think what got me through this part was the firm belief that although I was still getting this stuff going on and nothing yet felt "right" was that, that sheer hellish knife pain had reduced so much that I knew inside healing
was happening, albeit slowly. I can't stress how much patience you need!! Don't forget, you have a chronic fissure (already confirmed as healing) and you are healing naturally rather than having undergone the LIS procedure. Full and complete healing of the area can take up to 2 years and that's not to say that it will take you that long necessarily. Also as the time progresses, you will feel that all these symptoms, although still there, will also reduce in intensity and one by one, they will pass until you reach a stage at some point where you feel almost normal and then "normal".....This is the joy of a chronic AF and you really are doing OK!!...I'm now 1 year 7 months on and only in the last month (and although confirmed healed) can I actually say that most of my days are "normal" and I feel like I never had the damn thing.....I STILL have occasions where I feel "tighter" or irritated after a more tricky BM and this is normal.(and positive in my view because it keeps you on your toes not to lapse back into old ways) One day, I really have hope now that this will go completely too.........
Just keep doing all the good stuff you need to do and always keep faith that you WILL kill the monster in time. If you don't strain that area, make sure the plugs (LOL) are as soft as you can get them and stay hydrated, it is highly likely that you won't retear. Fear will continue to make you feel at this stage that you possibly will with one bad BM but you will start becoming surprised at how much resiliance your bottom develops as it heals........Trust your in your body and stay strong!!! XX