My problem is how use this information. My wife and I have had a wonderful marriage of 30 years, but about a year ago she had a severe back problem.
In the beginning it was understandable not to have intercourse. She and I are both extremely fit and she is following a program of exercises that have been very beneficial. She has had a remarkable improvement, she is even using the treadmill. She is extremely paranoid about sexual intercourse, she is convinced she will end up an invalid for the rest of her life. I have done a fair amount of reading about this subject and conventional wisdom indicates that intercourse is not harmful and there are positions that can be used to avoid aggravating a spinal pain problem. And your input further supports the idea that a spine issue should not stand in the way of sexual intercourse. My dilemma is how to approach her so that I don't come off sounding selfish and uncaring and only interested in my own gratification.
Hello,
Having intercourse will not cause lower back pain unless and until some reproductive organs are involved or there are adhesions in the abdomen. The commonest causes of chronic low back pain are lumbar strain, nerve irritation, bone and joint conditions (arthritis), osteoporosis, lumbar radiculopathy, narrowing or stenosis of the spinal cord cavity. Even bad posture can lead to low back pain. It is extremely difficult to find out the cause without detailed information.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.