Hi everyone, I would appreciate any insights anyone might have.

Before my botox I pretty much just had pain during BM. After botox things have been so much worse. Pain for hours after BM, can't sit or stand for most of the day, and worse pain.

I'm thinking, if botox relaxed the muscle a little and it got worse (don't know why, maybe other muscles spasming to compensate or something?), and LIS relaxes the muscle even more, and irreversibly, would getting LIS be a bad idea?

Or would even getting another round of botox make it worse/better?

Anyone have experience with this? Much appreciated!

Hi there, I've not had surgery but I had Botox and it helped heal my fissure. I've read several accounts on here of folks who had more pain with Botox but surgery was better for pain, so I don't think it should be a contraindication for LIS. It's best to ask your doctor's opinion in this case. I'm not sure why it increases pain when it's supposed to paralyze the muscles, it's a mystery to me.

Thank you patience_and_healing for your reply to my first post asking for help! I've found this forum has actually been more helpful and empathetic than my doctor on some occasions. Also I've actually seen you around the forums and recognized your username when you replied to me :)

You are welcome, I hope you feel better soon. And yes I've been on this forum a while, I try to help when I can. :)

I had the Botox procedure on 4/16/21 and it didn't help to heal the fissure. I then had an LIS on 12/29/21 and five weeks later, I'm in as much pain, if not more, than I've ever had since the onset. Nothing seems to help my pain. I'm convinced god hates me and I'm destined to live in horrendous pain until I off myself.

@TheWeez: Please look into getting a consultation with a nerve specialist. You may have pudendal nerve damage. Nerve blocks or nerve pain medication can help you.

TheWeez wrote:I had the Botox procedure on 4/16/21 and it didn't help to heal the fissure. I then had an LIS on 12/29/21 and five weeks later, I'm in as much pain, if not more, than I've ever had since the onset. Nothing seems to help my pain. I'm convinced god hates me and I'm destined to live in horrendous pain until I off myself.

Sorry to hear about your pain. Did the CRS that did your LIS have a lot of experience doing the procedure? I would be very nervous if I was their first!

softie wrote:Hi everyone, I would appreciate any insights anyone might have.

Before my botox I pretty much just had pain during BM. After botox things have been so much worse. Pain for hours after BM, can't sit or stand for most of the day, and worse pain.

I'm thinking, if botox relaxed the muscle a little and it got worse (don't know why, maybe other muscles spasming to compensate or something?), and LIS relaxes the muscle even more, and irreversibly, would getting LIS be a bad idea?

Or would even getting another round of botox make it worse/better?

Anyone have experience with this? Much appreciated!

My first CRS did Botox. I didn't notice any change. My second CRS said Botox was going to wear off after 9 months and I would be back to where I was anyway. So I did the LIS and since October 2020 life has been back to NORMAL. No creams, no ointments, no Botox, no witch hazel, no Prep H, no suppositories, no niphedipine, no Rectiv, no hydrocortisone, no pain killers, no natural remedies - nothing!

My personal advice having suffered for over 6 years, having done all those treatments, having had Botox and having had an LIS - definitely consider the LIS if you are suffering. My CRS says everyone tells him the same thing, "Why didn't I do this sooner?!!" Well we all know why - surgery is always a last resort; especially in a sensitive area like that! But it worked for me and every time I go to the bathroom I smile and thank my CRS for saving my life!

Hey! Did this ever get better? I’m literally dealing with the EXACT Same thing. I only had pain during BM and now post botox I’m having spasms for hours after. It’s been a month! Curious if you ever healed!!!