Sometimes, if you are suffering from chronic or acute joint or muscular pain, sex can be unpleasant, difficult, or even impossible. The pain of getting into the right position, thrusting, and moving in a natural rhythm with your partner increases existing discomfort. For people suffering from these conditions, sex might not seem worth it.
To us, that’s unacceptable.
When pain outweighs the pleasure of sex, couples can lose intimacy and become frustrated with themselves or their partners, which can lead to other relationship struggles. It’s a real problem; a pulled back from lifting something wrong in the yard can have rippling effects throughout a relationship.
Pain is bad enough. Pain that inhibits sex is a multiplying disaster. That’s why we’re so happy to offer these tips and alternative positions to reduce discomfort.
None of these will cure pain, or even lower it in day-to-day life. For that you need your doctor. But these are ways you can manage pain, or work around it, so that you and your partner can have the healthy sex life that you deserve.
There are occasions where your doctor tells you not to have sex, or that excessive physical action will be bad and exacerbate your chronic or acute pain. None of these tips are meant to circumvent that. If they don’t work, or they are painful, don’t do them. These are just ideas that you can practice if pain makes sex difficult.
These tips are just for joint, back, or arthritis pain. They are not recommendations for people suffering from dyspareunia, pelvic pain, vaginal pain, penile pain, or pain caused by STDs. If facing any of those, learn more and see your doctor.
Readers with specific disabilities may find some of these joint and muscle pain tips to be helpful, but for more disability-specific advice, please check out our page on sex toys and positions for people with disabilities.
Remember: Sex Isn’t Only About Penetration
There is something weird about how there is “sex,” but then also “oral sex,” “non-penetrative sex,” “manual sex,” etc... As if sex can only be one thing, and everything else is a variation in a minor key, or somehow lesser. That isn’t true.
Sex can be what you and your partner want to do together, and it doesn’t have to fit into a narrow category. If you are having a lot of trouble moving, making thrusting penetrative sex too difficult, that doesn’t mean you have to forsake intimacy.
Other options include:
Initial Tips to Reduce Pain
There are ways to reduce pain before you have sex, or to prepare your body for action before intercourse. You won’t always have the luxury of planning these in advance, but if you do, they can help make sex less painful and more pleasurable.
- Take a warm bath. This will relax your muscles, leaving you looser and less tense. Less rigidity puts less pressure on your joints.
- Stretch out beforehand. Stretching is always a good idea when you have pain, especially before having sex, which often puts you in some unusual positions.
- Gather more pillows. These can be used under your back or butt to alter the way you’re lying. This can be very good for your back and knees, depending on the position.
- Mediation also relaxes your mind and body both.
- Plan in advance the positions you are going to do, and talk about it with your partner. Because in the heat of the moment, your rational brain isn’t always working, and you may think: I can totally do this reverse doggie-style double screwdriver! We’re not saying you have to have a script, but have in the back of your mind which positions you’ll be wanting to do—or wanting to avoid.
So which positions are the best for you? Well, it depends on what kind of pain you have. Let’s break it down.
Sexual Positions for Different Types of Chronic and Acute Pain
In a wide variety of positions, positioning toys can ease stress on joints by adjusting leverage or moving weight around. These toys can be helpful for many positions, including those we’re going to discuss below. Feel free to use them as you see fit. These are guides, not rules.
Best Positioning Sex Toys For Reducing Discomfort
With anchor pads that allow you to be restrained in any position on the bed, The Sportsheet can help alleviate pain from trying to maintain a position unassisted.
Linking your legs together, the G-Spot Link not only allows for deeper penetration, but also reduces the stress of holding your legs in place, and allows your partner to easily manipulate your legs.
Your arms use The Doggie Style Strap to aid in thrusting, reducing the stress placed on hips or other joints while still allowing for increased penetration in a variety of positions.
A Spreader Bar keeps your legs locked apart, reducing the strain of maintaining that position while letting your partner reposition your legs easily.
If joint pain makes thrusting difficult, wearing a Thigh Strap-On allows your partner to ride the dildo strapped to your thigh, so you can still experience face-to-face penetration without the pain.
If you enjoy standing sex but want to take some of the weight off your joints, Door Jam Cuffs can shift some of that burden to your arms instead, and also aid in stability.
For sex on your back, the Super Sex Sling provides a padded neck strap and cuffs you can hook your feet into, reducing the strain of holding your legs in position.
Attaching to most smooth surfaces, the Suction Handle Bar can help provide stability in a number of positions and locations.
As with the Handle Bar, the Suction Foot Rest will attach to most smooth surfaces, giving you a leg up to increase stability or ease of entry.
Sex Positions for Back Pain
At any given moment, 31 million Americans are suffering back pain. 80% will have back pain at some point or other in their lives. Should that eliminate sex for every one of these people? Of course not. Try these positions.
For more information on sex for those with bad backs, read our Best Sex Positions (Or Toys) For Back Pain or Injury.
Sex Positions for Knee Pain
After backs, knees are the most common form of pain, with over 100 million Americans reporting knee pain at some point in their lives. It may be an injury, arthritis, or you may have just wanged it on the edge of the bed. Whatever the cause, it doesn’t have to end or postpone your sex life.
Sex Positions for Hip Pain
Hip pain and damage can get gradually worse throughout life, and hip replacements are getting more common. Between 2000 and 2010, the number of hip replacements for Americans over 45 more than doubled, and as the procedure gets more advanced, it becomes more common.
It isn’t the end of anything, and people with hip replacements lead long active lives. But pain or replacement may require some sexual modifications and different positions.
For more information on sex for those with hip pain, read our 6 Tips for Enjoyable (and Safe!) Sex After Hip Replacement Surgery.
Sex Positions for Arthritis/Osteoarthritis
Here’s a bit of good news: it turns out that sex can actually help relieve arthritis! But that doesn’t mean it is always easy to do so. Arthritis, which can affect every joint, makes it more difficult to move, to thrust, or to grip, all of which can be vital for sex.
But, if you want to use sex to get better, or just have sex because, well, it is awesome, arthritis doesn’t have to stop you.
Since arthritis can impact your back, legs, knees, or hips (as well as arms and other joints, though those may not apply as much to sexual positioning tips), any of the above positions that correlate with your particular pain should work. Try what works for you.
For more information on sex for those with arthritis, read our Positions and Toys that Let You Have Exciting Sex Regardless of Your Arthritis post.
Make Sex Pleasurable For Both Of You
Our guiding advice is: do what works. Don’t think that you have to have sex the same way, and don’t think that the above positions are the only ones you can do. Experiment. Play around with angles and toys. Modify any positions you want.
After all, no one’s pain is exactly like anyone else’s… and no one’s sex life is exactly like anyone else’s—nor should it be! You and your partner have your own intimacy, your own secrets, your own private games and pleasures, your own favored positions. These might change to different degrees because of pain, but the intimacy and love behind them don’t have to.
Expand your ideas of sex. Change up your routines. Change your ideas. Pain isn’t the end of sex. It’s a call for more innovation. We’re glad to help.