Design of the study:~A prospective, randomized, blind, paired (right/left) comparison.~Materials:~Measurement tool:~healing of anal fissure,~Wexner Constipation Scoring System~anal pain intensity by means of a 10-point visual analogue scale (VAS)~Therapeutic instruments:~•. shock waves~• topical application of 0.4% glyceryl trinitrate (GTN) ointment~Methods:~• Testing procedures: The assessment will be performed before commencing treatment, after 4 and 8 weeks of the treatment.~• Treatment procedures: Patients will be assigned randomly into two groups equal in number: shock waves Group: twenty patients will receive the shockwaves on perianal area of for 4 weeks (3 sessions /week). control Group: twenty patients will receive the recommended routine medical treatment include topical application of 0.4% glyceryl trinitrate (GTN) ointment only..
the study conducted to assess if there is an effect of Extracorporeal Shock Wave Treatment on anal fissure