Hi,
I've had a chronic fissure since October 2012. Diltiazem and Nitro help the pain a little but haven't healed it. I had botox done because I thought it was less risky than LIS surgery. First of all, I was in "twilight" anesthesia and I still felt the injections. I can remember groaning too. I'm 2 months into botox and the fissure is worse. I went to a CR surgeon and he said that he would never recommend botox to anyone. Says it's more risky that LIS and that it hardly ever works. He said that the success rate on LIS is good but he won't do LIS surgery on me until the botox wears off. If it wears off at all! I wish my GI doc would've given me more info. From the get go he just didn't seem to give a poop. Anyway, I like my surgeon better. At least he seems to want what's best for me. I'll keep you all posted.
-Dangading