Those are injuries caused by hard stools may be due tightening of anal rings , As your are using annovate /anobliss , you are having chronic issue of fissure problem . If you are having relief by ointments/ sitz bath and other tablets you can continue those measures. If you are feeling discomfort even after these medication , please consult surgeon , he can give surgical options like anal dilatation or lateral spincterotomy according to your severity . You can decide after assess the pros & cons of the treatment
Next Steps
You should continue sitz bath , plenty of fluids , low protein diet , high fibre diet , stool softer if stools are too hard