I had an LIS almost a year ago because of a fissure caused from over prescription of antibiotics for a UTI. I have been back to the surgeon many times and he says everything is healed. I still have pain after a BM that goes on for hours. I was prescribed muscle relaxers to try and loosen the muscle because my surgeon seems to think it is too tight. I have pretty much given up going back to him because nothing seems to work. The pain is not as bad as before the surgery but my life is still governed by a part of my body that it shouldn't be. I go to work where there is hot water to soak in after and sometimes do a quick trip after work to a store and get home as fast as I can. Trips to the mall or movies or even out to dinner are not an option.
Anyone have any suggestions on a direction for me?

Have you looked into physical therapy? There are physical therapists who specialize in pelvic floor dysfunction - perhaps they could address the spasms?

I'd get a second opinion if you're able!

I agree.... Find another crs and get a second opinion.
The lis incision may have been too conservative, I would get this checked out.
OMB x

Join my club, Rusty62, as this is exactly my life. And I have seen doctors, surgeons, etc.
I am of the opinion that it is chronic nerve pain, with the nerves being patterned into reacting on a direct circuit of bum to brain.
Here is a link to an article about chronic anal pain that might be of some help I hope:
http://www.theiaforum.org/Article_Folder/management-of-chronic-perineal-pain.pdf
It is all very frustrating, and I sometimes wonder if this is it for me for the rest of my life. If I was the type to suffer depression, this would be the time. I just go on, and live my life as it is...

Rusty and Savaici,
Have either of you had or considered acupuncture? I work for a GP whose practice is integrative medicine. I was a skeptic about acupuncture, but have seen people cured of all kinds of things when all else failed. Because of my fissure being so sudden and acute (painwise) I didn't have the opportunity, since 7 weeks into my first I had the LIS, but I talked to them about it and they do treat anal issues with acupuncture. If I have healing issues, I plan to get on the acupuncture table, as I am now a believer. It couldn't hurt to try it.
Wishing you both find some method of relief,
B.M.Ouch

Thank you all for all your advice. I think I am going to go for a second opinion. But if they recommend more surgery that is where I stop. Never again.
Thank you Savaici for the link to that article. Abit confusing with the medical terms but I got the meaning of most of it.
I am glad to hear that what I am experiencing is not unique even though it really stinks to be in this pain. I had the surgery to not have pain as I am sure you did. I do have bouts of depression over it but muddle through. I do believe the pain is nerve related and pray that the damage I believe I have from the surgery will someday heal.

Hi Rusty,
If there is anything you didn't quite get in the article, would be happy to explain. I have quite studied the article, though I have not had any of the procedures done that they suggest. However, the next time I have the opportunity to see a Colon and Rectal Surgeon (CRS), I plan to take at least a summary along with me! :D

BootyMcOuch,
Definitely do believe in acupuncture, as though it was extremely painful at the time, I had it done by an MD for chronic shoulder pain. Would also have hypnotism done, if it was available in the isolated area in which I live. I shall investigate a little further, but I suspect I shall have to travel to find either of these treatments.
I considered going to the Center for Intergrative Medicine at Johns Hopkins Hospital about 18 months ago, but regretfully I took another course nearer home, which was a total waste of time/money.

I have actually done some research and since I am petrified of more surgery, I am going to try acupuncture. My surgeon keeps saying I am totally healed so.......... I go next Wednesday so we'll see how that goes. Again, thanks so much for all your input.