I've hardly had any pain for a week or more now (YAYYYYYYYYYY!!!!!)
Just very itchy for the most part, intensely so at times.
But I know that to heal you need to stop spasms.... are spasms always accompanied by pain?
If I have no pain, does that mean I have no spasms?
Can itchiness be a spasm?

I'm thinking that you are not having spasms. People here describe them as either gut wrenchingly painful or like an awful burning.
so no pain/no spasms... Yeah!
Sounds to me like you are healing! You sound surprised?
That's fabulous! :D
-Tanya

Thanks!
Since I've figured out what works for me and been taking almost 3 doses of Restoralax (Miralax) every day, I've been doing really good.
Just trying to figure out if I should still be applying Diltiazem regularly if I rarely have pain, especially because applying any kind of ointment causes almost unbearable itchiness! And it would be great to know why I'm so itchy (for 3 weeks now). Maybe its just a long long healing process, perhaps the more I heal the less itchy I'll be?

You know a lot of people get itching from diltiazem, and it sometimes happens after you've already been using it for a while...
Can you get your doc to switch you to nifedipine?
Would suck to have a setback just cause the diltiazem was too itchy!
-Tanya

No, I'm pretty sure its not the Diltiazem. It seems to be itchy regardless of what ointment I put on it, or even if I don't put anything on it. Seems to be happening a little less often, I'll just try to wait it out.
I'd rather be crazy itchy than in pain!

I agree with you there!
Itchy is better ; )
-Tanya

I too I wondering about this topic. Sometimes it feels like clenching inside me- it is not painful, just strange. Does anyone else feel like this? The fissure is just one small area. This clenching feels like all over.

Hi everyone. I wonder about this same question. I've had a chronic anal fissure for years. It doesn't cause me pain but it's gradually gotten bigger. So if no pain = no spasms, why hasn't mine healed?
I have appt with CRS tomorrow and I'll ask this question.

HappyButtJoy
I hope you'll come back and let us know what your doctor says. Fissures are complicated and don't follow the same course in everyone. It's really hard to imagine a fissure not hurting, especially if it is deep or wide, but anything is possible.
Good luck at the doctor visit!

I think I get spasm without "pain".
It is just a dull ache. Anal hypertonia.
I think the trouble is that AF can be so painful you can become conditioned to feel that background levels of pain aren't very painful.