Management of Backache
Sex and the Back
If you or your spouse is suffering from back or neck pain, sex is one of the first activities to be put at the bottom of the list of things to do. Lower back pain, even if it is temporary, can have a significant impact on the ability to have a satisfying sexual relationship. Many people are unable to enjoy sex because they are not able to get into a comfortable position due to neck or back pain. The pain can ;make certain positions uncomfortable. These can be easily overcome with experimentation. Positions that are not comfortable in your day – to – day activities will not be comfortable during sex either. However, do not be afraid to experiment, there is no right or wrong, normal or abnormal.
The situation should be handled delicately. Take your time and start slowly. Emphasises on the non-physical aspects of the relationship. Talking, communicating, hugging, kissing, massaging are all pain free, and can take away much of the emotional and physical stress of sex. Ease into sex gradually. If your partner is the one in pain, offer to start with a hot bath or shower together. Most conditions respond favorably to gentle massage with some warm oil. The massage works to decrease pain, relax the muscles and mind, and can be stimulating. Share your feeling land enjoy . The rule is ‘If it hurts do not do it’.
Use a firm surface. Lying flat on the back puts strain on the lumbar spine, therefore, put a pillow under the knees, to keep the legs slightly bent. This will take some of the pressure off the lower back. A rolled-up towel under the curve of the lumbar spine may also help.
Most positions of lying, kneeling, and sitting can be reasonably accomplished without increasing the back pain, if done carefully. If any pain or strain is felt, change the position. The body doesn’t lie, and if the position is awkward, the body will tell you. Listen to your body !!
What follows are some positions which may be more comfortable for certain conditions :
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The person with a back problem lies supine on the floor or bed with knees bent. Pillows or towels may be used for support.
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Partner without back pain is on top, but cautious and gentle.
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The woman with the back problem lies supine in the comfortable position supported by pillows or towels. Her hips and knees are bent and crossed over the back of her partner. He enters her while facing her.
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A woman with a back problem, especially disc related, may be more comfortable in the prone position. When she lies in the prone position, on her stomach, there is less pressure on her discs. The partner enters her from the back.
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A woman may rest on her arms and knees while her partner is positioned posteriorly. While kneeling, the knees should be padded for appropriate height and comfort.
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With non-disc related spine problems, sitting may be more comfortable during sex. The partner faces and enters from the front.
