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Anal fissure botox is a game changer for treatment of anal fissures, which are small cuts or tears in the lining of the anus, specifically as it relates to the bottoming community, and is used quite regularly. Injecting botox into muscle around the anus (back passage) will cause it to relax and reduce muscle tension. This should reduce any pain and will increase the blood flow to the fissure, encouraging it to heal naturally. Botulinum a toxin (botox) injections are an effective treatment for pain from muscle spasm in many parts of the body. It is effective in treating acute and chronic anal fissure or anal pain. You should have some relief in your pain after treatment with botox. Botulinum toxin or botox is increasing in popularity as a treatment for chronic anal fissure. Not only does it come with few side effects, but it is a non-surgical and less invasive alternative to other treatment methods. Chronic anal fissure is a painful condition that may prove difficult to treat for some patients. Interestingly, botox, a popular cosmetic treatment, may be the treatment patients turn to help manage their pain and resolve the disorder. sitz baths, or hip baths, can promote healing of an anal fissure. By soaking the rectal area in a tub of warm water -- two or three times a day for 10 to 15 minutes -- you can clean the anus. The fissure is gently debrided, removing tags and chronic scarring we aim to return the fissure to a fresh wound so that it can then heal. If you are having botox, 30-50 units of botox are injected into the internal anal sphincter on each side. Botox for chronic anal fissure is it useful? A clinical experience with mid-term follow-up acta biomed. Authors giuseppe piccinni 1 , elisabetta poli, anna angrisano, andrea sciusco, mario testini. botulinum toxin (eg, onabotulinumtoxina botox) has been used to treat acute and chronic anal fissures. Optimal dosing of botulinum toxin for treatment of chronic anal fissure a systematic review and meta-analysis. Author information (1)1 faculty of medical and health sciences, the university of auckland, auckland, new zealand 2 department of surgery, the university of auckland, auckland, new zealand.