Oh no :( im so sorry to hear this. Steroids always give me a flare too! They dont work at all for me! Maybe lidocaine cream can make life easier for you and relieve pain?
Ebanel 5% Lidocaine Topical... https://www.amazon.com/dp/B019D7MQMK?ref=ppx_pop_mob_ap_share
My physical therapist recommends this one and I’ve used it. I got it from amazon prime overnight. It stings when it goes on but 5 minutes later you’re numb!
I like this just as much as my Rx stuff: https://www.amazon.com/Ebanel-Painkilling-Anesthetic-Hemorrhoid-Discomfort/dp/B019D7MQMK