I had a problem with tearing and had to have corrective surgery a year later to deal with the scar tissue, which was what was hurting. my doc removed the scar tissue (basically, they had me on the operating table and she poked around, everywhere that i said hurt she marked then removed once I was out) then I took sitz baths in the kind of salt used for salt water aquariums (apparently this was very embarrassing for my husband to buy, as the sales people were asking what kind of fish it was for, and he had to say it was for his wife to soak in, hee) which the doc recommended b/c it disolves better in water than regular epsom salt. My mom kept telling me I was just being a baby, but I'm glad I pushed it and had the surgery, as it was pretty painful before that.
After I had healed from the surgery, i still had a little pain, and my doc prescribed a testosterone cream, which I rubbed on my thigh every night before bed, and it did the trick, finally, after a year and a half, pain free.