Sex positions for back pain

Finding Comfort in Intimacy: Best Sex Positions for Back Pain Relief

Explore the Top Sex Positions to Help Alleviate Back Pain and Improve Your Sexual Experience.

Back pain can be a debilitating condition that affects millions of people worldwide. It can limit your mobility and reduce your quality of life. However, there are ways to alleviate this pain, including using specific sex positions that can help reduce the pressure on your back. In this article, we will explore some of the best sex positions for people with back pain.

Sex Position: Spooning

One of the most popular sex positions for people with back pain is the spooning position. This position involves lying on your side with your partner behind you. Your partner can then penetrate you from behind while you support yourself with a pillow or cushion. This position is great for people with back pain because it doesn’t put any pressure on your spine.

Sex Position: Cowgirl

Another great sex position for people with back pain is the cowgirl position. In this position, the woman straddles her partner while he lies on his back. The woman can then control the pace and depth of penetration, which allows her to adjust the pressure on her back as needed. This position is also great for people with back pain because it doesn’t require any bending or twisting.

Sex Position: Modified Missionary

If you prefer a more traditional position, the missionary position can also be modified to reduce back pain. Instead of lying flat on your back, try placing a pillow or cushion under your hips to elevate them slightly. This will help reduce the pressure on your lower back and make the position more comfortable.

Helpful Tips: lube and taking breaks

In addition to using specific sex positions, there are other things you can do to help alleviate back pain during sex. For example, using lubrication can help reduce friction and make penetration more comfortable. Additionally, taking breaks and changing positions frequently can help prevent fatigue and reduce the risk of exacerbating your back pain.


It’s important to note that not all sex positions will work for everyone with back pain. Some people may find certain positions uncomfortable or even painful. It’s important to listen to your body and experiment with different positions until you find what works best for you.

In conclusion, there are several sex positions that can help alleviate back pain. The spooning position, cowgirl position, and modified missionary position are all great options for people with back pain. It’s important to listen to your body and experiment with different positions until you find what works best for you. By doing so, you can enjoy a fulfilling sex life while managing your back pain.



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Healthline. (2021, April 20). Sex Positions for People with Back Pain. Retrieved from

SpineUniverse. (n.d.). Sex Positions for People with Lower Back Pain. Retrieved from

Cosmopolitan. (2019, July 12). 10 Sex Positions for People with Lower Back Pain. Retrieved from

Man is experiencing back pain

Understanding Back Pain: Causes, Treatment, and Prevention

A comprehensive guide to managing back pain, the common condition that affects millions of people

Back pain is a common condition that affects people of all ages and can have a significant impact on their quality of life. Furthermore, according to experts, back pain affects approximately 80% of people at some point in their lives. Additionally, back pain can be caused by a variety of factors, ranging from poor posture and muscle strain to more serious conditions like herniated discs and spinal stenosis. To understand back pain, read more about the causes, treatment, and prevention of it below.

Causes of back pain

Muscle strain or sprain often causes acute back pain, which is the most common type of back pain and typically lasts for a few days to a few weeks. Those suffering can manage acute back pain with rest, ice, and over-the-counter pain medication. However, if the pain persists for more than a few weeks, it may be a sign of a more serious underlying condition.

In contrast with acute pain, Chronic back pain is defined as pain that lasts for more than three months, and can be caused by a variety of factors, including degenerative disc disease, spinal stenosis, and arthritis. Chronic back pain can significantly impact a person’s quality of life, making it difficult to perform daily activities and affecting their mood and mental health.

In addition to these physical causes of back pain, there is also a strong link between back pain and psychological factors, such as stress, anxiety, and depression. Physical and psychological factors are equally important. While this point is often overlooked, research shows that people who experience chronic back pain are more likely to encounter depression and anxiety. As a result, treating these psychological factors can help to reduce the severity of back pain.

Treatment of back pain

Doctors offer several treatment options for back pain, ranging from conservative measures like physical therapy and chiropractic care to more invasive treatments like spinal injections and surgery. However, the type of treatment that is most appropriate will depend on the underlying cause of the back pain, as well as the individual’s overall health and medical history.

If you are located in the Tri-state area, schedule a consultation with Dr. Carl Spivak, MD. Not only is he an award-winning neurosurgeon based in New Jersey, Dr. Spivak specializes in back pain. Throughout many years of practice, he has relieved thousands of patients. While many surgeons solely suggest surgery and procedures, Dr. Spivak, on the other hand, evaluates each patient individually. Without doubt, each patient is different and has unique needs. For some patients, surgery is the only viable option. As for others, procedures will only make their back pain worse.

Some procedures Dr. Spivak offers are Minimally Invasive Decompression, Minimally Invasive Stabilization, and Pain Management Procedures. Find out what options are best for you by visiting Executive Spine Surgery in Newton, NJ.

Prevention of back pain

Most importantly, preventing back pain is an important consideration. Specifically, there are several strategies that can help to reduce the risk of developing back pain. In fact, these techniques include maintaining good posture, staying active, and avoiding activities that involve heavy lifting or repetitive motions.

Even though back pain is a common condition, it can significantly impact a person’s quality of life. In general, there are many factors that contribute to back pain, including physical and psychological factors. However, there are also many treatment options available to help manage and alleviate the symptoms of back pain. By taking steps to prevent back pain and seeking appropriate treatment when needed, individuals can reduce the impact of back pain on their daily lives.



Executive Spine Surgery. (2023). Arthritis of the Spine. Retrieved from

Executive Spine Surgery. (2023). Degenerative Disc Disease. Retrieved from

Executive Spine Surgery. (2023). Herniated Disc. Retrieved from

Executive Spine Surgery. (2023). Spinal Stenosis (Narrowing). Retrieved from

Mayo Clinic. (2021). Back Pain. Retrieved from

National Institute of Neurological Disorders and Stroke. (2019). Low Back Pain Fact Sheet. Retrieved from

Are there any age limits to a vertebroplasty and kyphoplasty procedure?

There are no specific age limits for vertebroplasty and kyphoplasty.  Many surgeons do not recommend these procedures for young people (under 40) due to the unknown risk of living with plastic in the body for decades. Most of these procedures are done on elderly people with osteoporosis.   People with significant medical diseases and the very elderly are at higher risk of complications, there has even been reports of death during or after these procedures.  The majority of people will have very good results (that is 50-90% reduction in pain).  Please click Kyphoplasty for more information on vertebral compression fractures.

What are the alternative treatments to vertebroplasty or kyphoplasty?

The alternative treatments to vertebroplasty or kyphoplasty are living with the pain, rest, wearing a back brace, physical therapy for core muscle strengthening and pain medicine.  Please click on Kyphoplasty for more information on vertebral body compression fractures.

I broke my back. Who do I see for vertebroplasty and kyphoplasty?

I would recommend seeing a spine surgeon if you are considering vertebroplasty or kyphoplasty.    You should bring your x-rays, CT and MRI to be reviewed and interpreted to determine the best treatment for you.  For more information about spinal compression fractures, vertebroplasty and kyphoplasty, please click Kyphoplasty.

Click Schedule an Appointment to learn more how Executive Spine Surgery can help you.  Good Luck!

What are the Risks of Vertebroplasty and Kyphoplasty?

Vertebroplasty and kyphoplasty are common, safe, and helpful procedures, but like any other procedure or medication, there are many risks.  Some of the risks are related to fracture, a person’s health, anesthesia, and procedure.  Fortunately, the risk of these procedures are generally low, but risks include death, stroke, heart attack, pneumonia, blood clots in lungs and legs, fat embolus, plastic spreading to the lungs, lung collapse, spinal cord or nerve injury causing pain, numbness, weakness, bowel and bladder incontinence or paralysis, infection, bleeding, but not limited to these complications. People with one fracture are at increased risk of future fractures.

For more information on vertebroplasty and kyphoplasty please click on Kyphoplasty.

What are the Results I should Expect from a Vertebroplasty or Kyphoplasty?

The results from some clinical studies have been controversial. I have found very good results with vertebroplasty and kyphoplasty if you have a recent fracture, back tenderness, and acute to subacute (recent) swelling of your fracture on MRI and do not have back nerve or spinal cord compression or instability in the spine. Most patients’ pain improves.  Even though uncommon these procedures may have risks.  Please contact Executive Spine Surgery if you have a vertebral body compression fracture.

For more information please click Kyphoplasty.

spinal arthritis

5 Signs Your Back Pain May Be Spinal Arthritis

50% of all working Americans deal with back pain symptoms every single year. This doesn’t include the number of young adults who may have scoliosis or a back-related sports injury, or retired or unemployed personnel who also struggle with back pain.

When you think of everyone around you who understands how serious back pain can be, it’s nice to know you’re not alone. But, this doesn’t make the pain go away. You still need to get treatment for the pain you’re dealing with, especially if you think you have a condition like spinal arthritis.

Spinal arthritis causes the protective cartilage of the spine to wear down. This can lead to even more pain in the spine and lack of spinal mobility.

Keep reading to see if you have any of the common signs of spinal arthritis.

1. You Back Pain Is Getting Worse and Worse

The thing about spinal arthritis is that the pain doesn’t just come and go. It’s a constant pain that lingers throughout your day, every day.

The pain may increase and decrease depending on your level of activity or lack thereof. But, it’s still there as you do everything from making breakfast to driving to work, to completing your work out.

More importantly, spinal arthritis in the back causes the pain to get worse.

You may have first experienced pain in the lower back that spread up the spine. Or, you could have noticed a bit of pain in your mid-back at first which has now spread up or down. However it began, if your back pain is spreading on the spine and/or increasing in intensity, you’re likely dealing with spinal arthritis.

2. You Have a Stiff Back

Another sign of spinal arthritis is immobility in the back. If you have trouble bending over or moving your spine side to side, you have a stiff back. This means you feel pain when performing simple tasks – like tying your shoes or lifting a load of laundry.

The stiffness stays with you throughout the day. Even if your back pain goes away when you sit, stand, or lay down for an extended period of time, you feel the stiffness when you try to move and shift positions.

This isn’t something to brush off or feel like you have to live with. It’s a spinal condition worth getting medical attention for as soon as possible.

3. Your Back Pain Causes Trouble Sleeping

Does the back pain you feel throughout the day follow you to bed at night? Is it hard for you to find a comfortable position to sleep in because your spine hurts?

This is another sign of spinal arthritis worth paying attention to. As common as back pain can be, it’s not normal for it to affect your quality of sleep.

Not to mention, a low level of sleep quality can make your back pain even worse. When you sleep poorly, you don’t have as much energy to take on your day. This can result in lower levels of activity and spending more time with your back in a fixed position. It can also lead you to hunch over at work from being groggy, which doesn’t do any good for the spine, either.

4. You Wake up with Back Pain

Maybe it’s not that you have trouble falling asleep because of your back pain but that you feel it the moment you wake up. Maybe you feel it in your sleep and the next morning, too.

Either way, you’re likely dealing with spinal arthritis. Remember, this affects the cartilage of the spine, not the bones themselves (at least, not right away). Lack of cartilage means lack of cushion for the bones.

This could result in a herniated disc or a pinch in the nerves. Cartilage is essential for healthy bone functions and placement. When it starts to degenerate, the surrounding area may inflame and cause more discomfort than the body is already experiencing.

As such, the pain you feel when waking up in the morning is a lowering of the inflammation that occurred during sleep. If the pain lasts throughout the day at a more intense level than normal, it could be that your spinal arthritis has caused a herniated disc, which should be taken care of right away.

5. Other Parts of Your Body Also Hurt

As if all the pain and discomfort caused by spinal arthritis isn’t enough, keep in mind this condition can spread. Pain in the spine may lead to discomfort in the neck or a tingling in the legs.

This tingling can reach as far as your toes if you’re not careful and you go too long without treatment. The tingling may end up as more of a numb sensation throughout your whole leg or it can concentrate in a certain area such as the knee.

Still, there’s no sense in putting yourself through this when help is available.

Get the Help Your Spinal Arthritis Needs

It’s one thing to recognize the symptoms of spinal arthritis and understand you have it, and another to actually get the treatment your spine needs.

Don’t go another day without taking care of your back. Make an appointment with an experienced spinal professional right now to get the treatment you deserve.

Before you know it, your back will feel as good as new and your pain will feel practically nonexistent! Click here to discover more about spinal arthritis and what Dr. Carl Spivak, MD, and his team can do for you.

bulging disc treatment

The Best Bulging Disc Treatment for Pain Relief

Lower back pain is one of the most common health complaints worldwide. Approximately 31 million Americans are struggling with this issue at any given time. In some cases, the pain can worsen and become chronic.

This condition can have a variety of cases, from poor posture to arthritis and injuries. Sometimes, it results from a bulging disc.

Also known as a disc protrusion, bulging discs typically occur in the lower back between vertebrae L5 and S1 or L4 and L5. Their symptoms vary from one individual to another.

Some people may experience no symptoms at all, while others report excruciating pain.

Bulging disc treatment involves medications, physiotherapy, massage, or spinal manipulation. In severe cases, surgery is the only option.

Before discussing these options, let’s see what a bulging disc is in the first place.

What Is a Bulging Disc?

Spinal discs are cartilaginous joints that hold the vertebrae of your spine together. Their role is to absorb shock and allow movement at each spinal level. The spine has a total of 23 discs.

These anatomical structures are subject to wear and tear. At birth, about 80 percent of their content is water. As we age, our discs dehydrate and their cartilage becomes stiff, which may cause them to bulge out.

While aging is the most common cause of bulging discs, there are other factors that may contribute to this condition. These include:

  • A family history of spinal problems
  • Direct trauma
  • Sports injuries
  • Poor lifting technique
  • Muscle and posture imbalances
  • Cigarette smoking
  • Obesity
  • Lack of exercise
  • Slips and falls

Sometimes, it takes just one wrong move to develop a bulging disc. That’s why people who participate in contact sports, as well as those whose jobs involve prolonged standing, driving, and repetitive lifting, are at higher risk.

Common mistakes, such as slouching in your chair and sitting with poor posture, can affect your discs too.

This problem is more common in middle-aged individuals. However, anyone can develop a bulging disc. Cigarette smoking, weight gain, and too much sitting can all increase your risk.

Bulging Disc Treatment Options

Unless your condition is severe, you may able to treat a bulging disc with rest and physiotherapy. Pain relievers and anti-inflammatory drugs can help.

Bulging disc treatment options depend largely on your symptoms. Doctors often recommend acupuncture, electrotherapy, ice packs, or soft tissue massage for minor and moderately bulging disc injuries. You might also want to consider chiropractic treatment.

Another option is stem cell disc regeneration. This procedure stimulates the formation of new disc cells, which helps restore and rebuild damaged discs. Patients experience a reduction in pain and discomfort – and improved quality of life.

Surgery is only recommended in severe cases. If your back pain doesn’t settle with a conservative approach, this may your only option.

Let’s take a look at the best ways to treat a bulging disc and what to expect.


A bulging disc can place extra pressure on the muscles and nerves around it, causing pain. Medications only provide temporary relief. Plus, they fail to address the root cause of your problem.

Physiotherapy has emerged as a safe, effective way to treat bulging discs. Certain techniques, such as electrical stimulation, ultrasound therapy, traction, joint mobilization, and soft tissue massage, can relieve pain and improve your range of motion.

Electrical stimulation, for instance, helps reduce muscle spasms. Joint mobilization can increase your flexibility and normalize joint function.

Your physiotherapist may also recommend stretching and strengthening exercises that reduce back pain and improve your posture. He will create a workout plan that can be safely done at home with little or no equipment. The end goal is to improve your body mechanics and restore your mobility.

Furthermore, a physical therapist can show you how to exercise safely and what movements to avoid. The wrong kind of exercises can worsen your symptoms. Leg lifts, sit-ups, overhead weightlifting, and running are just a few to mention.

In general, it’s recommended to avoid high-impact workouts, heavy lifting, and contact sports.

Steer clear of any movements that involve repetitive forward-bending at the waist. Instead, opt for low-impact aerobic activities and stretching.

Ice and Heat Therapy

Unless you have excruciating pain, ice and heat therapy can help.

Ice packs reduce inflammation and swelling around the compressed spinal nerve. All you need to do is to apply ice on the affected areas for about 10 minutes; repeat several times a day.

Heat therapy may relieve muscle spasms and ease your pain. It also helps increase oxygen and blood flow to your tissues, leading to faster healing.

Depending on your symptoms, you may alternate ice and heat. However, be aware that heat isn’t effective against inflammation; in this case, it’s better to use ice.

Stem Cell Disc Regeneration

This quick, minimally invasive procedure may offer complete relief from back pain and other symptoms associated with bulging discs. In clinical trials, it has been shown to slow or stop the degenerative process and increase disc hydration.

As its name suggests, stem cell disc regeneration aims to restore damaged discs to their normal, healthy state. It has been proven effective in the treatment of bulging discs, herniated discs, degenerative disc disease, and other similar conditions.

Since this procedure uses your body’s own stem cells, it’s well tolerated and unlikely to cause adverse reactions. After you receive the treatment, you’re free to go home and resume you

Don’t Let Pain Take Over Your Life

As you see, there are various options for bulging disc treatment. Choosing one over another depends on your symptoms and the severity of your condition.

The sooner you receive treatment, the better. Early intervention can lower your risk of developing complications.

You deserve a pain-free life. Don’t wait until it’s too late. Book an appointment and find out how we can help!

Sacroiliac Joint Fusion with The iFuse Implant


The Sacroiliac (SI) joint may be a pain generator in 15-30% of patients with chronic lower back pain and even higher (up to 43%) for patients with continued or new onset low back pain after a previous lumbar fusion.* Learn about SI joint dysfunction and treatment options from Dr. Carl Spivak, MD, a Neurosurgeon at Executive Spine Surgery.
*Rashbaum – Clin Spine Surg 2016
This event is co-sponsored by SI-BONE, Inc.
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