I just had my pressure (anal manometry) test done today and it concluded that I have a high rest anal tone so the crs and gynecologist that performed the test suggest that I get Botox in the internal sphincter to see if it helps... The test was not painful, I was very nervous though. The doctor did say that they usually do surgery for people that have fissures but if Botox helps then we might have to go that route. In the meantime, I will start dilating.
I'm glad to hear that dilating is working for you.. My pt suggested doing a warm bath before dilating to relax the sphincter.