This topic is about someone who had a proctectomy, often referred to as a "Barbie butt" surgery, back in 2019. Recently, they've started experiencing sharp, needle-like pain in the area where the surgery was done, even though everything seemed to be healing well before. There are no visible signs of issues like redness or sores, and their stoma is working fine. Unfortunately, regular painkillers aren't helping, so they're looking for some advice or possible explanations for this discomfort.

Here are some suggestions and insights that might help:

1. Check if the surgeon stitched the butt cheeks together during the surgery. Sometimes, the tension or pull from scar tissue in that area can cause intermittent needle-like pains, even years after the procedure.

2. Notice if the pain happens only when sitting or in certain chairs. An awkward seating angle or lack of proper padding can put pressure on the scar line, leading to sharp pain. Try adjusting your seating position or using cushions. If the pain persists regardless of your position, it might be a good idea to consult a doctor.

3. Consider the possibility of sciatic nerve involvement. After surgery, there might be less tissue padding, which can lead to pressure on the sciatic nerve, causing stabbing sensations. In such cases, nerve-specific pain medications, like nerve blockers, might be more effective than regular painkillers. It's best to discuss these options with a physician.