This is my first post, but I've been lurking since my fissure was diagnosed by my CRS on September 27th of this year.
I was given the diltiazem 2% which hasn't yielded any results as far as pain relief or healing.
My CRS recommended Botox following two weeks of ineffective treatment with the diltiazem, but my nasty insurance company denied it.
Now the plan is to wait until I've been on the diltiazem for a full 60 days (of unmanaged pain, yay!)

My next appointment with my CRS is this coming Monday and to be honest, I'm going to attempt to avoid the Botox and advocate for going right to the LIS. I've heard mixed reviews about the Botox and I feel like I can't wait another few months to start living my life again.
I'm currently on short-term disability (

Acetaminophen 3500 mg daily
Gabapentin 900 mg daily
Trazodone 25 mg at bedtime
Charlotte's Web CBD oil twice daily
Valium as needed
Klonopin as needed
Things that don't seem to help me are the lidocaine gel and sitz baths.
Anyway, does anyone have an opinion on circumventing the Botox and going right to LIS and what are you folks doinvg for pain relief? If you made it through this novel of a post, thanks for reading and happy healing!
