A 54-year-old woman presents with reports of rectal and vaginal pain that has been present for at least 4 months. She reports worsened pain with defecation, reports no constipation, and states the pain is also present with prolonged sitting. She mentions that there is always discomfort but these actions exacerbate the pain for several hours. On examination, she has minimal benign appearing skin tags, no anal fissure is present, and digital rectal examination is painful upon palpation of the puborectalis and levator muscles. Magnetic resonance imaging (MRI) of the pelvis and colonoscopy are unremarkable. The most appropriate next step in treatment is to
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