Thanks for all the info. Hopefully I don't have anal fissures!

During this painful phase it's hard to lie on my stomach and when I lean back or do mckenzie exercises, it pinches so bad that I can't do it. but hopefully after the nerve root block today I'll be able to do these. I have done them in the past as well as inversion table/traction with no relief.

When the pain is not as bad I've noticed that as I lean back it starts to increase pain and pinch, then it relaxes as I go further back...not sure what that means!