Kraus Back & Neck Institute: 281.446.3876(281.44.Neuro)

Pain Library

Sex and Lower Back PainTips on Sex with Back Pain

Back pain doesn’t have to mean the end of intimacy or satisfaction in your relationship. It does mean, however, that you have to take affirmative steps to understand and manage it so that it doesn’t get out of control and cause bigger problems and stresses in your relationship and your body.

When attempting sexual intimacy, try to use a firm surface and ease into positions gradually. Talk with your partner and find a comfortable position. Keep in mind that lying flat on one's back puts strain on the lumbar spine. Instead, try a pillow under the knees, keeping the legs slightly bent. This will take some of the pressure off the low back. A small roll under the curve of the lumbar spine may also be of benefit. When on your side, support the upper knee with a pillow to keep strain off the hip.

Things to remember:

  • Don't feel guilty about physical intimacy limitations due to back pain
  • Communicate with your partner and don't be afraid to try different positions using pillows and cushions as needed
  • Emphasize the non physical aspects of the relationship
  • Call your doctor if pain persists or worsens
Gary Kraus, MD,
Neurosurgeon, is Board Certified
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Masaki Oishi, MD,
Spine Fellowship at the University
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