Pelvic floor muscles chronic pain. Pain?

Yes, your half-bending, half-squatting posture used consistently for 7 years is a reason that could very well be a primary contributor to your ongoing chronic muscle tension and incomplete evacuation. Pelvic Floor Hypertonicity: Urinating or maintaining posture in a half-squatting, semi-standing position forces the pelvic floor and sphincter muscles to stay partially contracted (hypertonic) rather than completely relaxing. The pelvic floor must relax to allow normal evacuation; hovering or awkward leaning forces these muscles to brace dynamically to keep you stable. Doing this for 7 years trains your nervous system and pelvic floor muscles into a chronic state of guarding and high tension. Muscles lose their automatic ability to "let go," mimicking or exacerbating the exact spasm patterns you are trying to heal from post-surgery. Having undergone four anal surgeries (including kshar sutra and fissure tissue removal), your anal sphincter and local tissues have experienced significant trauma and localized inflammation. A chronically tight, posture-induced pelvic floor places constant mechanical stress on that healing area, causing cramps and incomplete evacuation even when the original surgical wounds are healed. Given your history of multiple surgeries, physical exhaustion, and weight loss, avoiding further surgery is entirely understandable. Shifting focus away from surgical interventions toward non-invasive neuromuscular rehabilitation can help break this cycle: Adopt Complete Relaxation Posture for Elimination. Warm Sitz Baths and Local Desensitization. Pelvic Floor Physical Therapy. Consult a specialized pelvic floor physical therapist. They do not perform surgery; instead, they use specialized internal and external myofascial release, biofeedback, and retraining techniques to teach chronically contracted sphincter and pelvic muscles how to lengthen and relax voluntarily.