by sailorgal » 03 Jun 2012, 20:32
Hey Badd,
Again, was in very similar boat as you. My understanding is that, there are people that may have increased sphincter tone that can predispose them to a fissure, but that terrible spasming-shards of glass pain is due to the spasm-fissure combo. a nasty cycle to get out of. and everyone heals differently, but for me - knocking out the muscle (and it's spasms) is enabling the fissure to heal. when there is no fissure, there is no reason for the muscle to acutely spasm - that's assuming there is not another underlying source to the spasms. if you are still in that much pain that far out, you definitely need to get another procedure (be it a 2nd botox from different CRS, LIS, SAD, etc). and regarding the ice-heat thing. if you are desperate for an ice pack, i don't see any reason not to try it if there's a chance it will give you relief. I actually was doing hot bath-ice cold bath contrasts (10 min of each for a 40 min rotation) to help with healing. spasmed muscles can sometimes respond by spasming more with ice, or less by numbing it, so it depends. but, i don't see you have anything to lose by trying it, the blood flow is already restricted by the spasms, so I don't see how trying cold can make that any worse. how is your pain controlled? vicodin and hot baths is what enabled me to survive 3+months of pain after my 1st -failed-botox.