Hello Jette - I avoided taking ibuprofen and Tylenol. The few times I did take either (or both), I did not get much relief. What helped the most is two homeopathic OTC medications [Arnica Montana and Hypericum Perforatum (St. John’s wort)]. I used the Boiron brand but there are several available. That said, I cannot say I was pain free, but the combo did help. I did not pursue stronger Rx medications (although I sure thought about it). The Rx compounded ointment that I mentioned initially also helped with reducing the pain and inflammation. Do you feel the nifedipine/lidocaine ointment you are now using is reducing your symptoms?

I have read that acupuncture may be helpful, but did not investigate further. Certainly, checking out functional alternatives is worth it (my opinion). I see an integrative/functional medicine MD periodically for other concerns and it has been helpful. I hear you on the expense though!

One thing I did not mention is that I found sitting on a heated gel pack / heating pad when things were at their worst provided a lot of relief. Alternating that with casual walking seemed to help.

I mentioned that pelvic floor therapy was helpful. In my case, it was a game changer. If you’ve not already been for an evaluation, you might want to ask your colorectal surgeon for a referral. There are things a therapist can do externally to ease the pain while you are healing internally – at least, that was my experience. I discovered through this process that I had some very tight muscles in numerous adjacent areas that were contributing to my pain.

Hang in there. If it helps, I was told by both my physician and physical therapist that progress is not linear and to expect ups and downs. Praying for healing and relief for you. You will get there.