Posts Tagged ‘intimacy’

Guest Post: My wife, Donna on living with someone in pain.

Monday, October 18th, 2010

I didn’t really talk about it here, as it was really just too damn painful to talk about at the time, but last week, I finished dealing with a 2 week long stint of kidney stones. This was not the first time I’ve had them, but hopefully will be the last. For those of you who don’t know, kidney stones are about the most painful thing people can feel, and they are truly awful. Donna wanted to share a few insights about her experiences dealing with me while in pain:

Gripping the chair with two blanched knuckles, my husband stops, mid-sentence, to wince in pain.  It’s been nearly a week, and the kidney stones have not let up.  He’s still seeing patients, manages to return phone calls, keep up on his blog, and even stand-up and give a toast at his best friend’s wedding.  Others could be clueless about the stones; the medical student marvels at Andy’s ability to hold it together while in the patient room, for example.

But for all these little heroics, the pain starts to fray him, and all of us, around the edges.  Dealing with the kidney pain leaves him little energy for anything else and cuts his patience short.    Forget the chores and although he wants to find affirmative ways to live in his body, the experience challenges our intimacy.  Who could blame him, really?

Thankfully, the kidney stone passes after a week, but we discover that it’s left a cousin behind.  By the end of the second week, the second stone passes.  Within a day, I start to get back in touch with what an amazing, funny husband I have.  “Andy’s back!” I post on Face Book.  How wonderful.

Luckily, our ordeal was short-lived.  It left me feeling a heightened sympathy not only for those in the Back Together world who live with pain, but for their beleaguered partners and children.  I was too caught up in the experience to think of too many helpful tips this time around.  But I did notice myself involved in a strategies that helped a bit.  First, marveling at my husband’s heroics helped somewhat, (but I also allowed myself a cynical moment or two: “Great, he can keep it together for his patients, but what about the kids?”).  Second, although I remained empathetic, I tried my hardest to not personalize his pain.   Finally, I sought out the sympathetic ear of friends.  This was easy, because everyone knows how trulyawful kidney stones are.  As well, when I complained, I didn’t do it too loudly or too often, so I don’t think that people felt like I sounded like a broken record.

During this little ordeal, I don’t think that I evolved great insights about living with a partner who is in pain.  I simply renewed my sympathies.  I wonder what others out there do or need and I invite those of you whose partners live in pain to share their thought and strategies.

In appreciation,

Donna


Valentine’s Day; time to get Back Together- romantic tips for back pain, Happy Chinese New Year.

Friday, February 12th, 2010

At the heart of my Back Together program is the couples based approach to finding relief. A spouse or partner has more to gain from you feeling better than just about anyone else, so what better resource could one ask for?

We kind of think of Valentine’s Day as a ‘Hallmark Holiday’- an excuse to buy flowers and go out for an expensive dinner (I would love to know what the gross dollar amount spent on cards is!!!) I would like to propose a new addition to your Valentine’s day festivities…

Take a moment to talk with your partner. Ask them about how they are feeling- are you doing all you can for each other to find ways to feel good? I don’t mean sexually (although that’s important)- I mean with regards to your pain. Are you helping with the tasks that you or your partner cannot do? For many in pain, communication and validation from a loved one can help to relieve discomfort as much as anything else. While you are talking, touch each other- again, not sexually- therapeutically. Gently run you hands up and down each others backs- find tense or tender areas and gently rub and caress those areas. Take a moment to be aware of how each of you feels, and do some simple things to relieve any pain or stress. These tips are not just for those who complain of back pain- they are great for anyone with daily stress, folks who work too much, have too much housework- pretty much all of us!

Here are a few other suggestions:

-If you are having a romantic night out, before taking the suggestions I posted above, take a few deep therapeutic breaths while holding each other.

-If you choose to do an impromptu romantic massage, invest in a small bottle of massage oil- perhaps one with a soothing natural scent- lavender is always nice. It will help even a novice masseuse get better than expected results.

-If sex is on the menu for your evening, prolonged foreplay can help to enhance the release of endorphins associated with lovemaking, providing natural pain relief.

-If you have consumed a lot of wine, be sure to drink plenty of water between the time you finish dinner and the time you go to bed. It will help to prevent the alcohol from having a deleterious effect on your back & neck discomfort.

-Most of all, take a few moments to show and feel true gratitude for your lover. As I said above, your loved one is often the best resource for pain relief- feel and express some thanks.

I wish all of you a wonderful Valentine’s Day weekend.  And, if I may take the liberty of wishing my wife, Donna a wonderful Valentine’s day. I love you- thank you for all you do….

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The Year of the Tiger:

I would also like to take a moment to wish any of my Chinese viewers who are celebrating the new year this weekend a happy holiday. This year is the year of the Tiger- and for a whole host of reasons, I am expecting it to be a good one. My family will be spending the holiday in Philadelphia’s Chinatown. The Chinese Cultural Center of Philadelphia always pulls out all of the stops. If you go, bring your earplugs!!

.                  Gong Ci Fa Cai, Xin Nian Kuai Le

The Year of the Tiger

The Year of the Tiger

Have a wonderful weekend and be well,

-Andy

New study on integrated movement, follow up on the comfortable sex piece from yesterday, and a brief note about Back Together…

Wednesday, January 27th, 2010

Study on Integrated Movement from University of Gothenburg, Sweden:

A new study from the university discussed the concept of integrated movement- a process where patients are encouraged to have more body awareness in an effort to reduce their pain. I touched upon this concept in my book, Back Together, in the chapter discussing the learned neurologic response.

It is widely known that injured patients will subconsciously limit their range of motion on certain movements following an injury in an effort to find less painful ways to accomplish various tasks and activities. Unfortunately, these self imposed modifications become learned, and the altered body mechanics remain even after the injury has resolved. This can lead to further problems down the road because of irregular wear & tear on joints, as well as a higher likelihood of being re-injured.

This study focused on the use of Sensory Motor Learning, which is an extension of the concepts of the Feldenkrais Method (A widely utilized modality which encourages body awareness, and focuses on postural stability.) Basically, they found that patients who focused on these body skills had better control over their back pain and improved their mechanics.

Again, I love it when a study reinforces what I see clinically. When I have patients recovering from back or neck injury, I often have them address the learned neurological response as part of their recovery. Basically, if a patient has pain performing a specific movement, I will ask them to look at their daily activities and try to identify and analogous, or mechanically similar movement which does not cause them pain. I will encourage them to take time from their day to do repetitions of the non-pain inducing movements followed by a few repetitions of the pain inducing movement- paying attention to the mechanical similarities and differences between them. Over the course of days or sometimes weeks, they will gradually shift the balance towards the movement which was originally causing them pain- but with progressively less discomfort, undoing the altered, damaged body mechanics established following their injury.

Follow up on the sex furniture piece from yesterday…

Thank you so much for all of the great feedback on yesterday’s piece on products to help  find comfortable positions for sexual activity. As happened with the previous post on this topic, I received several emails where people shared their successes and failures in this regard. Some folks were very grateful for the information, and were also glad to find that they were not alone with this difficulty. As I suspected, this is a really neglected issue for back pain sufferers.

A quick note about Back Together:

I created Back Together in an effort to provide a useful resource for people and their partners or spouses whose lives have been adversely affected by back pain. I hope to help as many people as I can to rid their lives of back pain. You may have noticed that I go to great lengths to use egalitarian language wherever possible, and I do this to underscore that back together is here for EVERYONE. In the past month I have received about ten emails from individuals asking me to refrain from using the word ‘partner’ in addition to spouse. Again, Back Together is for EVERYONE- And I want to be very clear that I do not and will not discriminate against anyone based on race, religion, sexual orientation, age- or anything else for that matter.

My wish is to slowly develop a community of people who are finding ways to lead pain-free lives- and that everyone is included and welcome, so you really don’t need to send me any more of these emails. Thanks.

Coming up:

-A new ‘One Thing’ segment with Pilates instructor, Amanda Mitchell.

-Some thoughts on preventing back injuries relating to falls.

-Reviews of two new studies regarding back pain and medications.

-As always, new Tips o’ the Day.

- And a whole lot more.

Thanks for visiting. Be well!

-Andy

Cynwyd Elementary participating in Treats for Troops- sending care packages to U.S. troops stationed in Afghanistan.

Cynwyd Elementary participating in Treats for Troops- sending care packages to U.S. troops stationed in Afghanistan.

Comfortable Sex: Some products for satisfying sex while recovering from back pain.

Tuesday, January 26th, 2010

When back pain occurs, it truly does affect virtually every aspect of your life. It can potentially change everything. For those of you who are familiar with my work, and my emphasis on your partner or spouse as a resource for healing, you know that I feel it is particularly important for back pain sufferers to be able to get back in touch with as much of their life before back pain as possible. One of the worst things that can happen when back or neck pain becomes a (temporary) part of your life is to abandon sexual intimacy, and all of the positive benefits that come with it.

Sex can have numerous benefits for pain sufferers;

-An endorphin release, which acts as a natural pain reliever.

-The slow mobilization of the segments of the lower back, sacrum and pelvis.

-The pleasure of intimate touch, and relief from the feelings of alienation which can sometimes accompany pain.

-The restoration of normalcy in a life which may have been drastically compromised by back & neck pain.

I did a post on this a little while back, and received many emails and messages about how couples found more comfortable ways to have sex- and it was really interesting (and sometimes entertaining really) to hear how people were able to reintroduce sexual activity into their lives. You can tell by the lengths some folks went to,  to see how much of a priority this was for them. More than a few of my viewers have swings installed their bedrooms- an elegant- if complicated solution.

I was contacted by a website, sensuouswife.com about some of the products they sell to help couples achieve comfortable sex. Their site is very interesting, and it is couples-friendly (ie: there are no threatening images of impossibly thin or chiseled models to make either of you feel inadequate.) Their product line is clearly aimed at heterosexual couples, but the products I described below could offer benefits to pretty much anyone. I have attached a few images from their site (with their permission of course) and some descriptions. The company provided some descriptions as well which are included under the images:

Wedge-ramp combination.

Wedge-ramp combination.

The Ramp/Wedge combo (or the individual Wedge and Ramp, for those who don’t want to buy both at once) is probably the best starting place for couples working to make sex less painful.  They give excellent support in a number of configurations, and they are designed to change the height or angle to make penetration easier and more comfortable.  Sex is much less strenuous for both partners – the person lying on the shapes has much better support, and the person on top usually finds that they can get things lined up without supporting himself or herself in odd positions or angles.  The angling also bring the couple closer together, so that they can look into each others’ eyes and talk to each other without straining.

The Esse

The Esse

The Esse.

The Esse.

The Esse is also designed to give support in a variety of positions, allowing both spouses to relax and enjoy each other.  Most users find that the support allows the spine to curve naturally and comfortably.  The Esse also has the advantage of being narrow enough to straddle, which many couples find is easier on the hips and knees, since the legs can be used efficiently and naturally.

The Whirl.

The Whirl.

The Whirl is less well-known, but many people find it very helpful, especially if they are dealing with hip or knee pain, since it can support the movement of thrusting by rolling back and forth.

Each of these products are covered in a velvet-like microfiber fabric, which is very soft and comfortable, but also “grips” other fabrics.  So unlike most pillows, the Liberator Shapes won’t slide around on the bed during use.  This also means that if a couple wants to customize the support by adding another pillow or two (for example, some people find the Ramp more comfortable if they have a pillow behind their head) the pillow will stay put on the shape and not slip around.

In looking over the products, they seem to offer some simple solutions to some ergonomic issues sexually active partners can encounter when trying to find comfortable ways to have sex. The two most useful from a low back pain standpoint would be the Whirl, and the Esse- which has the added benefit of offering neck support for neck pain sufferers. I really like these products- give them a look.

For those looking for more information on sex and back pain, I have posted on this before, but there is also an excellent book available entitled The Joy of Comfortable Sex by Pierre Angier, D.O. (available on Amazon)

I am so happy that there are people and companies out there which are addressing this problem. Sex is way to important to give up. Bringing sexual intimacy back to a relationship which may have even be ravaged by back and neck pain can really help to get things back on track, and help further your quest to get back pain out of your life.

Thanks for visiting, and be well,

-Andy

Sex & Back Pain

Wednesday, November 11th, 2009

Back pain can have an adverse effect on just about every aspect of your life. Unfortunately one of the first things which gets pushed by the wayside when back pain sets in is sexual intercourse. Here are some thoughts on dealing with back pain while trying to still enjoy the pleasures of intimacy.

I am still working on the aspect ratio problem, and it should be fixed by the next post.

The book mentioned- “The Joy of Comfortable Sex” by Dr. Pierre Angier is available from Amazon.com. Here’s a direct link to the purchase page:

http://www.amazon.com/Joy-Comfortable-Sex-Guide-Couples/dp/0979470900/ref=sr_1_1?ie=UTF8&s=books&qid=1257996374&sr=8-1SexualIntimacy

Best,

Andy