Sex and Back Pain: What you should know
Being someone who suffers back pain or has undergone spinal surgery does not mean you have to give up sex. However, it is essential to wait a prudent length of time after a surgery and adapt the way you move in order to keep your spine safe. Neurosurgeon Pablo Clavel recommends waiting at least one month after surgery, before resuming sexual activity, and avoiding postures that overly stress the back.
How back surgery can affect your sex life
The type of back surgery and the materials used in surgery can affect your comfort during sex as follows:
Artificial discs (ADR): allow greater mobility and adapt better to the natural movements of the spine.
Fixation systems (rods and screws): these can limit spinal flexion and extension, making certain postures uncomfortable.
Back pain and sexual activity
Suffering from low back or neck pain can keep you from having sex as often as you’d like, or even at all. The solution is to listen to your body and choose postures that don't overstress your spine. Many pains are muscular and improve with rest, massage, or medication, but if the pain is intense or radiates, you should consult a specialist.
Recommended sexual positions for different types of back pain
Disc injuries (herniation or degeneration)
Type of pain: Pain when flexing the spine (bending or curving forward).
Recommendation: Positions that favor extension, such as the missionary. Avoid leaning forward or twisting suddenly.
Nerve compression or lumbar stenosis
Type of pain: Pain when extending or stretching the spine.
Recommendation: Positions using light flexion that relieve pressure on the nerves.
Warm up ahead of time: protect your back during sex
Sex is a physical exercise, and just like any other, it requires preparation:
- Start slowly and adapt movements to your condition.
- Support yourself with hands, arms, or legs to reduce stress on your back.
- If you’re over 50, take extra care due to wear and tear on your joints.
Practical tips for pain-free enjoyment
- Tell your partner what you’re feeling and try to find comfortable positions.
- Avoid sudden movements or rapid changes in posture.
- Listen to your body: If it hurts, stop and adjust.
- If pain persists, consider getting a check-up with a physical therapist.
Conclusion: Enjoy sex and keep your back safe
With the right posture, precautions, and good communication, issues with your back don't have to limit your sex life. Modern surgical techniques and artificial discs facilitate natural mobility and that means you can enjoy sex even after spinal surgery.
Dr. Pablo Clavel
Neurosurgeon and Director of Instituto Clavel
Categories: Spine treatments, Prevention, Wellness