We here at Fusion Wellness PT consider pain free sex an important factor of aging healthfully! Today we talk about two common orthopedic complaints when engaging in penetrative sex: achy backs and bad hips.
As we all know, sex is an important activity for many and an important aspect of quality of life, especially as we age. In this article we’ll cover some common orthopedic issues associated with penetrative sex that people have with sex as they age and some suggestions for what you can do about it.
If you have a human body, you have pelvic floor muscles and these muscles can be dysfunctional, causing pelvic pain in the low back, pelvis, groin, genitalia, and hip region. Pelvic pain is often described as a "headache in the pelvis," but can often times have more acute pain areas including painful penis and testicles. Read on for more information.
Over the years, some literature has shown a connection between bicycling, pelvic pain, and sexual dysfunction including erectile dysfunction. Fortunately, studies also show there are some specific preventative strategies in terms of how you’re riding and the equipment you’re using that can help mitigate the risks.
In the end, there are many health benefits to cycling, including improved cardiovascular health, better weight control, and decreased risk of breast cancer in women (Greenberg, 2019).
Doctors have known for decades that smoking affects lung and heart health, greatly increasing risk of both lung cancer and heart disease. In recent research, they have been finding that smoking increases risk to various urologic diseases as well.
Cigarette smoking triples the risk for bladder cancer when compared with the risk in nonsmokers, about 50% of bladder cancer in men and 20% in women can be attributable to smoking (Freedman, 2011). Cigarette smoke contains about 60 different carcinogens, and many of these are identifiable in the urine of smokers (Manatonski, 1981). Cigarette smoking is one of the largest risk factors we can control to prevent the development of bladder cancer in men and women.
Although the cause of prostate cancer is not clear, some researchers believe it may be due to various factors including genetics, diet, inflammation, infectious agents, hormonal imbalance, or exposure to toxins like cigarette smoke (Dwivedi, 2012). A 2012 study by Dwivedi found that smoking increased
Commonly reported sexual dysfunction in male survivors of pelvic cancer including prostate cancer, testicular cancer, and bladder cancer include ejaculatory dysfunction, low sexual desire, ED, and orgasmic dysfunction.
Surgery, chemotherapy, and radiation therapy are often used to treat cancer, including pelvic cancers. While surgeons and oncologists always use procedures to minimize nerve damage and tissue damage, these negative side effects cannot be completely avoided (Twitchell et al., 2019).
A home program for our patients is something we have always emphasized, and with great success. The founder of Fusion Wellness, Heather Jeffcoat, DPT, even wrote a book that emphasizes self care.
While we are not denigrating the beneficial effects of hands-on therapy as one part of the solution for pelvic pain, incontinence, chronic pain, etc., there is still much to be gained from simply observing one’s movement and using that information to lead us towards the rest of our clinical exam.
Here at Fusion Wellness & Physical Therapy, we are following COVID-19 along with the rest of the world. Our offices have always followed Universal Precautions and follow CDC infection control guidelines. LA Mayor Garcetti's Executive Orders have specifically listed Physical Therapy as EXEMPT from the order, allowing our offices to remain open at this time. In order to reduce patient and therapist risks, we have a number of policies in place to reduce exposure. Related to the COVID-19 per CDC’s website, “the White House Coronavirus Task Force and CDC advised Americans to wear cloth face coverings when leaving home" and to "Cover your mouth and nose with a cloth face cover when around others". Additionally Los Angeles County and the City of Glendale (where our Montrose office is located) mandates people have face masks going in to any business.
In addition, CDC recommends following everyday preventive actions, such as washing your hands, covering your cough, and staying home when you are sick.”
This pain is often caused by instability in the pelvic girdle and can be exacerbated by sport injuries and pregnancy. Common sport positions that include deep squatting (hockey, catcher's position, soccer goalie) can exacerbate the discomfort. Pregnancy is also a common exacerbation, in a study by Mogren (2006), 50% of pregnant women have some type of pelvic girdle pain prior to 20 weeks gestation.
Pubic symphysis pain can make daily activities like working, walking, and doing chores, painful if not impossible, and can can also negatively affect quality of life and sexual life.
For instance, women believe that something must be wrong with them if they have to use a lubricant.
Yes, there are natural causes with aging that can cause vaginal dryness, but our society has also skewed the way we view our natural lubrication. Every woman has glands in their vagina that secrete various amounts of lubrication. My thought is why not add to the fun, because lubricants can definitely be that!
Using a lubricant can enhance the pleasure, decrease friction, prevent pain/discomfort, and prolong sexual excitement, so why wouldn’t you want to use it. Now finding the right lubricant for you can be a challenge, but no worries this will help you get started. We will start with some basics when looking for your soulmate lubricant.
Radical prostatectomy is a procedure that is often performed on men to remove cancerous prostate tissue after a prostate cancer diagnosis. Approximately 85% of men who undergo the surgery complain of erectile dysfunction (ED) after the procedure. Erectile dysfunction is defined as the inability to achieve and maintain an erection for satisfactory sexual performance. Around 6-8% of men report urinary incontinence after radical prostatectomy.
During a nerve-sparing radical prostatectomy, the nerves and blood vessels surrounding the prostate can be damaged during the procedure. This trauma can contribute to the loss of oxygenated blood flow to the penile soft tissue which may further result in damage in the smooth muscles of the penis, thickening fibrosis of the penile tissue, and a decreased ability to hold blood in an erect penis.
I just returned to Los Angeles after completing an amazing eight day trip to Beijing, China. There I had the opportunity to work with the Chinese Olympic Committee,their rehabilitation staff and athletes. I gave two lectures with hands-on labs to their physiotherapists on Hip Impingement and Cyclist's Syndrome (Pudendal neuralgia in cyclists). Did I talk about the pelvic floor muscles in both lectures? You bet I did! Monica is my awesome Mandarin translator pictured standing next to me below.
Complete with four treatment rooms and a large gym space including a pilates reformer and tower (with more equipment to come soon!), we are even better able to support our patients’ needs specializing in orthopaedic and pelvic floor physical therapy. We look forward to hosting classes, seminars, and course trainings for our community.