For many of the millions of Americans who suffer with back pain, trying to maintain a healthy sex life can be frustrating. But back pain doesn’t have to mean no sex, though it may mean taking a different approach to lovemaking. And that can be a good thing. As the saying goes, “Where there’s a will, there’s a way.” The first step is to get a sound back pain diagnosis from a doctor or therapist. Remember that sexuality is an integral part of normal, healthy relationships. So be sure to ask how a specific back condition might affect it, and follow the advice received. Ideally, both partners should be present so both hear the same advice.
Emotional and Psychological Issues With Sex
Low Back pain or Back Pain Lower
Understandably, the limitations brought about by back pain may  produce stress that can damage a relationship. The person who doesn’t  have the pain often finds it difficult to understand what his or her  partner is experiencing. The negative effects that pain has been causing  in a couple’s sex life can sometimes spill over into other aspects of  the relationship.
Good communication is critical. Otherwise, one partner may mistakenly  interpret a reluctance to engage in sexual activity as an excuse for  not wanting to be close, which can lead to feelings of rejection and  resentment.
To reduce the tension, try to create an atmosphere in which neither  partner will feel rushed. Be patient with each other. Many therapists  suggest setting the stage with a gentle massage, a hot bath or shower,  or the application of a pain cream - any of which can relax the muscles  and ease pain. Even under the best of circumstances, back pain may occur  during sex. Knowing this, couples should plan how they’ll respond ahead  of time, so they can avoid becoming angry or frustrated so Sex under.
quote : http://www.spine-health.com/conditions/back-pain/back-pain-and-sex 
 
 
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