Lower back pain during sex: position changes for your back type

Hey clinicians, before we start, I'm going to draw your attention to the premium version of the podcast that we have that we released back in January. It's going very well. It releases once a week and it's all the stuff that you care more about than some of the general conversation you might get in some of these free version podcasts. So it's about 15 minutes long. We do case presentations, all of the stuff that we tried, things that work, things that didn't work, and a little bit more specific to you and the things that you wish might be in there too. It's very affordable. You can quit at any time. There's a link in the description below.

Go check it out. You'll love it. Now onto the podcast. You're listening to the Restoring Human Movement podcast, where movement experts discuss the latest evidence-based practices to help you and your clients move with mastery. And now your host, Dr. Sebastian Gonzales. Hey everyone, it's Sebastian, your host with the Restoring Human Movement podcast. Thanks for joining the Movement Movement. If this is your first time on the show, welcome. You've missed a lot. You should probably go back in the archives and check things out. We're going to talk about sex and lower back pain today. It's a taboo topic. I don't think a lot of people cover it. I thought I would cover it because not a lot of people cover it. In fact, I wrote this pretty large scale article that I have hosted on our website that you can find in the link description, which will go a little bit more in detail about some of the things I will glaze over a little bit more so today. But this is a common thing. People don't bring it up. They're embarrassed to talk about it. We're embarrassed to talk about them about it. And so I thought we'd cover about 30 minutes or so about the topic today and some simple things that might put your mind at ease and might help out with the situation. Obviously, it should be seen by a healthcare provider. Who knows what they're doing in regards to examining your back? Not just sticking a random diagnosis on you. They should actually figure out what your back likes and doesn't like and then they can say yes things and modifications of even sex positions if that's something you guys want to discuss. This is a podcast that's been going for about 250 different episodes. It's very lay public friendly. It's very easy conversation. And there's always reference to things that you can look at. We have lots on our website if you haven't been there before. It's p2sportscare.com. There's lots of articles. We have a YouTube channel with so many different YouTube videos that some on this topic. And it's funny, YouTube has kind of limited their distribution because of the topic of sex. It's nothing gross.

It's nothing risque. It's just talking about the things that you guys should probably learn about. All right. So if you want to go to our YouTube channel, you can on the little search bar and just type up sex and you'll probably find sex with lower back pain. And we're gonna do some over the course time with hips and so on because everybody has different problems. We've seen people with pain with lower back pain with intimacy. We've had people with hip problems, groin pain, sciatica, and so on. So we're just going to cover some of the general concepts today. If your clinicians do take note that we have that premium version that will recover things like this, but more in a clinical fashion. So the first thing that you guys should obviously know is that part of being able to be intimate with your partner, and by the way, I should note too that just for the sake of, because a lot of the research has been done on female male subjects, that's what I'm going to be talking about today. Obviously, I know everybody's a little different in their preferences and so on. Don't get offended.

It's just what the research is kind of indicating. And when it comes to partner A, partner B, it's going to be a little easier to discuss men-female models. So we're going to do that today. But it can be carried over. Mechanics aren't biased against your preferences and so on. Okay. So the communication between you and your partner is pretty important. I think it's very common that there is relationship strain sometimes when someone's dealing with an ache and pain. And then something like intimacy comes up and it's like, oh, I don't feel like it today. My back hurts. You know, and we know that back pain is a super common thing. I want to say there's, as I'd understand, understood that I want to say billions and billions of dollars spent every year to solve back pain for people right up there with like diabetes and heart disease and all that kind of stuff or cardiovascular disease. And it's common. So it's not uncommon for people to have a little bit of marital strain or relationship strain arise when intimacy can occur. So talking to your partners and saying, look, this is what I desire, but I have this physical problem. Maybe we can find some other ways around it or something of that nature. And in this podcast today, I'm going to tell you a couple of ways that could be worked around it. Obviously, the suggestions that we could give people would be based upon the exam and history taking findings that we take. We have to learn the mechanics of what your likes, what your back likes and doesn't like before we can actually further suggest. Again, check out the YouTube videos. They are going to be very useful and check out that article. So we have on the article, some works referenced. Stuart McGill, as well as some related researchers have done some research on the, on the topic. Um, and say back in 2014, there's been other ones done since as well. Um, so there's a lot of things I'm citing today are based upon what I've learned from those, uh, uh, works as well as what I've learned from working with patients directly, uh, and mechanically figuring out theoretically what would be going on because non-mechanical low back pain, there's not really a lot of it out there. A lot of your back pain is probably mechanical and it can be resolved in such fashion as well. So the first thing we should probably do is talk about why and how your back hurts and figure out just general mechanics. And I should probably note that not everybody is clear cut as this, but this is kind of how we can classify it in a general fashion. A lot of times people will have problems with their spine that don't tolerate movements like bending forward. Uh, we call this flexion intolerant low back pain, or at least me and some of my colleagues do, uh, not to generalize the diagnosis, but for the most part to figure out that currently the spine does not like rounding forward. Typically it does not mind being neutral or being arched or being extended in the other position. So a lot of times people will have this, we call directional preference, like it doesn't like bending forward, but it's okay bending backwards.

And so those are kind of like safety zones that we can use to modify things like sex positions while your back pain is settling itself. Um, there are certain components of the spine, which generally will fall into the category of flexion intolerant or rounding intolerant. Um, and I'll describe what I mean by flexion or rounding in a couple of minutes here, but usually, so we have, um, if you would imagine a spine, if you guys want to Google, you can Google low back spine or something like that, and it'll probably pop up. We'll show all these little bones. It'll show all these little nerves and then disc and these little bony promises that pop off the back, those spines and so on, all the bumpy parts. And generally speaking, if you kind of drew a line where all the nerves are at, we have the front side of the spine, we have the backside of the spine. So the front side of the spine is things like the disc, the vertebral bodies, um, and so on. And so a lot of times people who can't tolerate bending forward, a lot of times they are some type of disc pathology, um, which is the jelly donut between the bones, or it could be something even like a fracture in the front of the spine, um, compression fracture or an end plate fracture or some other type of fracture to the bony area in the front of the spine. So a lot of times people will have the pain with coughing or sneezing or bearing down, going to the restroom, um, bending forward to get out of, uh, to put their shoes on and getting out of cars, twisting, turning worse the first hour or so in the morning.

And then it starts to sell and get itself to go away. Typically things like sitting is not really good on it. It hurts or it hurts more of the transitional movement of staying, of sitting and then going to standing, walking around that people tend to like to have a problem getting upright. Like their hip flexors are tight. And then after a couple of steps, five, six steps, they tend to work themselves out and they get no problem whatsoever. And so a lot of times these are more disky type of components, but obviously there could be other things happening as well. I don't want to say these symptoms are mutually exclusive to a disc. Um, but there are, uh, a lot of times that, that is it. I'd, I'd estimate to say that probably if I had to guess that the clients that come into our office, if they're dealing with some type of low back pain with sex, I'd say probably easily 50% of the time or more, it's going to be some type of disc type of thing.

Whether what type of disc severity is, is, um, up for debate. Um, typically these people don't require surgery medications or injections to get better. I should probably note that as well. At least we found that, um, we have had to send some people out for some more advanced interventions, but for the most part, people don't require that. They just need some good old fashioned programming and know exactly what to do. Um, a lot of times we modify, uh, life for them, for a slight period of time and removing things like rounding, uh, what this might look like in regards to sex is, uh, let's just say, um, let's just say we're, uh, the male in this situation and something like being a woman on woman on top position and you have a bed that's really soft.

Uh, also you have the weight of someone else on top of you. And so it might sag you into the bed a little bit. And so it might round your back or let your back sag into the bed. One modification we can make, make is simply putting like a towel underneath the low back or putting like a lumbar support or something of that nature underneath the low back. And this might just make it so woman on top positions is okay. So that's what I mean by modifying. We're not trying to avoid it completely, or they can just go on the ground, probably being on the floor or in a harder bed might just, uh, solve the problem too. So that's what I mean by modifying. We don't need to avoid the movement because avoiding the movement will have dangers all of its own. You just want to modify for a period of time so it can settle itself down and become less sensitive to that rounding movement. Okay.

If you guys are sitting there right now, you can explore a little bit of rounding probably by pushing your back backwards and then kind of sitting up tall, good posture, AKA good posture, the good posture or excessively good posture is the extension or arching of the low back or the booty out position. And then the other one is kind of like, I call it like teenage posture. It's like, come on, do I really have to do that? You know, like rounded sloppy. Um, some cases sloppy position makes people feel better. If you're a parent out there, you should probably note too, that sometimes kids with back pain, which is, you know, high school teenagers, like people who are, um, playing a rotational sport. Sometimes they have fractures that happen in their spine and the only way they can get out of pain is to slouch their back. You should go see a doctor for that. But the reason I bring it up is because sometimes good posture actually makes people feel worse. So we generally classify people in generally two different categories, flexion intolerant and extension intolerant, extension intolerant. Some of these people might not like arching their back really big. In my experience, this happens to people who are a little bit older. It happens to people who have had a lot of back pain pain in the past versus you're a 20, 30 year old person and you've had your first incident of back pain. A lot of times these people will think very much so about posture and that big posture will actually tend to, um, increase their problem. So sometimes removing like 10% of perfect posture will make it so they feel much better. So generally speaking, when we test these people, we can see what makes them feel better or worse. And you'll notice that a lot of the habits that they have, things that bother their back will tend to resonate the same type of experience. So bending forward to touch the toes, if we have them do that in our facility and that makes their back really start to feel as in, like there's a knife going through their spine, it's probably going to be more of a flexion intolerant back. Bending backwards might not feel great, but it won't feel perfect either sometimes. But if bending backwards sends searing leg pain down your, down your leg and bending forward makes it feel better, then you might be an extension intolerant back. And we can use those mechanics as well as, uh, other tests. We'll, we'll confirm this by the way. It's not just one single test. Uh, a lot of times these mechanics will help us out in figuring out how to modify things for people. Now, what do we do if it hurts to bend forward? Now we're going to get into some of the nitty gritty stuff and I'll probably, um, pose some scenarios where, you know, food for thought.

So does it hurt to bend forward? Men, if it does, they might consider versions of doggy style. Okay. Um, or we can say quadruped position. I think that's what they say in the research. Now there's different hand positions, which might make things, uh, matter. Notice that if you were in a doggy style position as the man, uh, or the, um, is the, the, the, the one kneeling versus the one on all fours, uh, having your hands closer to your body versus extended away from your body makes your back round in different degrees, reaching farther out. Like you're trying to touch the other person's shoulders will actually make it so your low back will round more. And if your back is not tolerant of rounding at the moment, then it might increase your pain with sex. Uh, also reaching down towards the bed, um, will probably increase the problem, but resting the hands upon the other person closer to your body will actually make it. So you probably feel better. Okay. And so this is a way to modify things. Obviously people have different preferences of positions. That's the hardest thing with this. Um, and if we had a wide variety of like, say 20 different positions, you can certainly find one that's going to work at least, um, mechanically, uh, for pleasure. It's hard to tell, right? That's all personal preference. Things you want to want to avoid as a man with a rounding intolerant back is avoiding spooning and maybe, maybe, maybe women on top positions. This is arguable mainly because we don't know the quality of your bed. Is it sagging? Are you on a hard floor? Are you on a hard bed?

Do you actually have a lumbar support? Do you arch your back when someone's on top? Um, so maybe using something like that would, um, that would support the arch of the low back and the small, the back might be one of the easiest things to do. And that would open up a lot of women on top, uh, possibilities. Spooning is one that's actually pretty rounded. Um, some missionary is a probably a little bit more rounded depending upon, uh, exactly the mechanics of what you're doing. But if you were to imagine, so the kind of a, I guess, we'll say gyrating movement of intercourse, sometimes we'll get the, imagine your pubic bone flashing up towards your face. If you're seated right now, you can probably do it. Um, in rehab, we call us a posterior pelvic tilt. We might call that in training too, almost like you're tucking your butt under. Um, if you're like a dog that had a tail and you had the tail come up between your legs and try to tap in the nose, that's a posterior tail, which also includes rounding of the low back, which in this scenario, your spine doesn't like it. So maybe doing that type of movement is what's aggravating your problem. And maybe just going short of that movement and going more of a tail between your legs and going forward towards the wall versus to the ceiling might actually work better. Maybe it's not your style. Maybe it's not Jerry Seinfeld's move, but at the same time, it might help you out a little bit. Now, women who are having problems with, um, a rounding intolerant back or, uh, women in this scenario, um, might actually prefer versions of doggy style as well.

Uh, mainly because they can arch their back to whatever position they want, whatever position is more tolerable. Obviously now the, the partner comes in into play here where they might lean on them, which is maybe not what they want. Maybe if they lean their hands or elbows on the pelvis versus the actual spine or love handles is probably going to be a little better. Um, or sorry, uh, on the pelvis is going to be better than, than, than pushing on like the love handle or low back area. Um, also, so it depends what, what the partner's doing. This is where communication is so important with things. Um, but generally you can go hands or elbows and it might fare a little bit better. I would imagine hands would be better than elbows down because then that would might round your back a little bit more. Also probably avoid spooning legs up positions when you're on your back, uh, Eagle, probably certainly for most people who are kind of tight around the pelvis anyways, and women on top positions might be a no-go unless you're leaning backwards. So the gyran movement that I've kind of talked about earlier, which, you know, come almost like the tail coming up between the legs and tapping you in the nose. If you were doing that position from a seated position, like you are, uh, maybe right now, uh, when you listen to this podcast, it might actually increase and ping your symptoms every time. And so you might know that, well, yeah, my body doesn't like that. So maybe if I lean backwards a little bit and do part of the same gyrating movement, it actually might make it generally feel better. Crazy, right? Uh, I'm sure some of you listen to this podcast, you're like, well, that didn't change anything for me, but some of you might say, oh my gosh, that actually changes things. It's crazy. So a lot of times in rehab, what we do with people with, um, rounding intolerant backs is we actually expose them to extension exercises, um, like banded bridges, uh, hip extension exercises, uh, sometimes hip flexor stretching, bird dog, um, deadlifting, if with good form split squats, their extension based or posterior chain backside of the backside of the spine exercises, they can be very helpful that can actually work better than any medication or surgery can. Um, and a lot of the times we've found phenomenal results with people who have been suffering for months to years with this problem, thinking they're just going to have to live with it. And then lo and behold, something like a simple bird dog or laying on their belly on their elbows actually helps out dramatically, especially when removing the triggering event. Obviously, um, I should rewind it a second is you don't always have to change things like sex. Again, as I mentioned earlier, you don't have to remove all aspects of rounding from your life. If your back doesn't like rounding, um, you just have to remove maybe part for a little bit or modify parts. Generally speaking, it might be easier to use something that you're doing more of throughout the day, such as sitting.

If you're sitting with bad posture, use a lumbar support or perch off the end of the seat. Uh, if you're taking a lot of phone calls or zoom calls throughout the day, cause your job requires it. If you don't have to show your face, maybe do it on your phone and pace around, walk around the house, walk around the block or something like that. So there's other ways to rob you of that rounding time that you're spending throughout the day that we don't have to really think about it during intimacy. doesn't like arching. Then it's almost like we can use the opposite of things. So men, if you have problems with your back hurting with arching, then things like versions of men on bottom and spooning actually might actually feel fine. You know, it might be therapeutic. And it's really funny when people come in with pain in the backside elements of the spine that usually go hand in hand with things like arching pain. We actually give them exercises that look, they look very similar to that tail between the legs up to your nose and tap you in the nose type of thing. We call these posterior tilt exercises and we're trying to get the belly wall to react. We're trying to get the lumbo low back pelvic pelvis, like rhythm to come back. And we're trying to make it so you open up the backside of the spine. As I alluded to earlier, but didn't finish the thought was there's the front side and backside of the spine, which can create symptoms that seem very similar to each other. We mentioned the dividing line is the little holes or where you see on the spine on the model, you see the little nerves come out and then you have all those bumps and protrusions and stuff like that. This is where people end up having things like your facet syndrome, your stenosis, foraminal or central stenosis.

If you're wondering about those, I have lots of articles on the website about them or pinched nerves that are not from disc primarily. Sciatica sometimes, but sciatica can also be rounded and tolerant is the last category. Even things like fractures, pars fractures, and I'm sure I'm missing a few, but there's other things that can create these pain with arching your back. So usually these things really respond well to almost like, it almost looks like you're teaching people. Like one of the cues we use to some people is we round them over a, we have a Swiss ball, like a big ball, and we tell them to pop the ball with their pubic bone. If they don't get that, we say, look, can we be, can we be brash? Hump the ball. Like, and so when they do it, it looks, it's almost embarrassing to do it, you know, and sometimes we'll do the movement with them, you know, to make it so they're not embarrassed because they barely know us. We barely know them, but we're trying to get them to get that posterior tilt because it opens up the backside of the spine.

It helps out decompress the backside elements. So we can almost use that motion of the ocean a little bit with, uh, intercourse to help out. So it actually could be therapy. Um, men versions of men on bottom or spooning might work fine because that sag in the low back with men on bottom might work. Spooning, you have to almost do tails to the face or tail to the nose type of thing, but you might want to avoid things like doggy style, especially with hands closer to your body. And you might actually want to reach further and put hands on love handles. If it's okay with your partner or a little bit further towards the shoulders or even the bed below you or the ground bed below you, those might actually feel generally fine. You know, once you find one that works, it's going to be magic. It's going to be great. And your partners are going to thank you for tinkering with things because it would help out with intimacy. Um, especially if that's something that's missing women versions of women on top will probably work because the tail goes to the nose and taps you in the nose. Spooning will also work too. Um, I would probably avoid things like doggy style and spread Eagle, uh, spread Eagle mainly because sometimes people have, um, radiculopathies or pinched nerves with this. They have nerve root impingement and it can create things like sciatica, which the more the knee is extended, with any of the positions that you do versus bent, then the more nerve tension you might have, and it might start to spread down your leg and even to your foot. So a lot of times, again, we take the rehab approach that mirrors the mechanics that we find that work with the person.

Typically we spend about 20, 30 minutes doing like interview. We talk, we talk with the person, figure out the mechanics that bother them. As I mentioned earlier, a lot of the things are people who are doing throughout the day, people who are extension intolerant pain. Sometimes it hurts to walk and golf, but better to sit down. You know, people who have pain with rounding their back, it hurts to sit too long. It starts to creep up on them. They start walking around and it feels better, you know? And so using those mechanics that are pretty opposite of each other, we can derive a custom program that helps them out to reduce their pain very quickly and then build a support system. I should probably mention as I do in some of the other podcasts that reducing pain does not need to take a long time. I'm going to say it again because it's something that glazes over people very quickly and I do really mean it. In most cases of back pain or hip pain, pain does not have to take a long time to go away. It can be as simple as, as I mentioned earlier, it hurts to sit, never sit again, go walk, which is not a good long-term solution, but as long as you walk, you won't have pain. You're like a shark, right? So as long as you recognize that pain is goal number one, if we can reduce pain, we can then start restoring function. Okay. Restoring function comes in the form of building support systems for your spine, which was sensitive to a certain movement. All right. A lot of you will have probably repeated back pain incidences over your life.

As I mentioned before, billions and billions of dollars have been spent on helping people resolve back pain. Quite honestly, a lot of people that come in to see us, they have not really done a good rehabilitation program. They've done a lot of pain management strategies, which nothing wrong with doing. And I'm not talking about going to a pain management doctor. I'm saying they're managing their pain. They're avoiding activity. They're avoiding intercourse. They're avoiding, um, sitting, they'll lay in their belly, you know, a bunch. They'll avoid driving to places like Yellowstone because they, they can't sit that long. They're avoiding it, which does decrease their pain, but it doesn't make them any more resilient. Typically resiliency comes in challenging the body in a way that doesn't hurt, but build support for the spine. So it can be happy again. All right.

The spine likes support. There's no mystery. I think we all really know the core is helpful. I think we all probably really, really know that the glutes and the hips help. Maybe some people are not super familiar with things like the mid back or thoracic spine helping, or that the body is one big unit and it works in, uh, works with each other. But realistically speaking, we haven't even met a lot of people who have done the right amount of time or diligent work to do simple things like side planks and bird dogs and, um, things like hard planks, which are exercises that we give on a daily basis over here at performance place. Now they're not, they're not coach the same for everybody, but they're good starting points. And we can tinker with the exercise. Typically we tell people three things when we see them on day one. We say, number one is we need to figure out a good diagnosis for you and figure out a complimentary way for you to reduce your pain at will. Meaning you can reduce your own pain like this. Like if it hurts with doing doggy style and you know that actually round or arching your back hurts, then maybe after you do doggy style, maybe just lay on your belly a little bit and over a pillow and let your low back just round a little bit. It'll cool your pain down really quickly. Then it opens up all these possibilities of these risky, quote unquote, risky things you can do with your body and not really have a negative repercussion of it ramping up into a multi-day incident of you not being able to move. Ideally, it takes you working with someone knowing what they're doing and knowing how to coach you to find these things out. So that's number one diagnosis and complimentary way to manage your own pain.

Number two is activating the support systems or sorry, I take that back. Number two is, um, is, is identifying the things that you're doing to create this problem unknowingly. And I do mean unknowingly many people will have ongoing back pain and not know why, you know, while other people have back pain and it just goes away on its own. It's crazy. It's like, I'm so jealous of you. Like it just goes away. So a lot of people's pain will remain because they're unaware of the things they're doing throughout the day, which are provoking them. Uh, Stuart McGill, which is a great resource, um, of education for low back pain. He called it picking the scab. Um, had, had him on twice in the podcast here. He wrote a lot of the research articles as well as with other affiliate. I apologize to the other researcher. Uh, I think your name's Lisa. Um, but you can find in the research articles, um, that they did a lot of, they did a lot of work to figure out what the spine likes and doesn't like.

Um, and he mentioned over and over again in a lot of his, uh, writings about picking the scab. And so the things that you're doing, like sitting 10 hours a day is picking the scab. You can easily change that simple habit by robbing yourself of like an hour a day of sitting rounding by just doing something like take one zoom call on your belly, take one zoom call going for a walk. Or we can find out, you know, maybe this person likes to have sex 10 times a day. And that's a big majority of time in their day. And then we would modify having sex, you know, modify the position that works for you. Because if you keep triggering the problem, it's hard to get this, the spine to scar itself up and you want it to settle itself down. You want it to scar itself up so you can feel better. Sensitivity goes down, pain goes down, but if you keep poking the bear, it won't go down. The third thing we like people to have people do is build some type of supportive system. We'd like to activate the support system. So activating the support system of the spine is, is, um, it works really well with isometric exercise to begin with. It obviously depends on the severity of the problem that you have, but you know, things like McGill's work has mentioned the McGill big three, really good starting point for a lot of people. Uh, he has a great book called the back mechanic, which is a good starting point to read. There's lots of the first chapter will probably change your life. It's all these questions. It's like, do I need surgery for back pain? And he answers them. He spent years and years researching spine biomechanics in a lab in, in Canada. Um, I suggest all my patients who have back pain, who are unaware and, um, fearful of things that might happen to them to get the book. I want to say it's like 30, 40 bucks on Amazon back mechanic from Stuart McGill. Um, but yeah, McGill big three is a good starting point. Side bridges is part of that side planks dependent upon your activity level and tolerance. We prefer hard style planks. Um, but McGill gives them a McGill modified curl up, which is a good starting point as well.

And bird dogs are always a good starting point for a lot of people. Now, um, those are the three points that we like to cover with people in the beginning, but it depends on what you want to do with your body later is where you go from there. Uh, I don't want to mislead people in, in thinking that you have to do these corrective exercises for the rest of your life. Cause you don't. All right. A lot of times we just have to get into good old general movement, good old general, um, challenging things, the body being active, being mobile again, like movement is medication, but in the beginning, in the beginning of your recovery, a lot of times a certain movement might be provoking. And that's really the difference between doing good general physical activity and being in a rehab setting, finding out the movements that are provoking and then addressing those and reintegrating them back in restoring human movement, such as the name of this podcast, and then going into all movements again, or the movements that you have left, which is, could be many things. And you, uh, you, um, losing my words, you will be exposed to those movements with day-to-day things like dribbling a basketball. If you decide to play basketball again, it will probably round your back. If you're trying to protect the ball against someone stealing it from you, like, and you're hugging it, like you're in that scruffle, you will probably round your back. And if your back is not intolerant to rounding, that's fine. And it's actually helpful and healthy. All right. And there's other activities like walking the dog, picking up dog poop makes you around your back, walking the dog and holding them from runoff to another dog. It makes you extend your back and it makes a brace. There's a lot of great things that you're doing, um, that can be super helpful to your back, your spine health, your body health. If you treat your body, um, uh, as a big unit. Okay. The body works together. It's one big unit. And after we restore movement back in the spine, all of those sex positions that you wanted to do, or you've been thinking about doing will could probably come into your fruition. It'll, it'll be like your Rolodex. Like you can have so many options. The last thing I should probably cover is, is the concept of sciatica or leg pain. Generally it's classified with pain into the leg past the knee. Uh, it is not just the buttocks area because there's something else that can create that as well, which is simple to reduce. It just takes a little bit of work, but pain down into the leg or numbness and tingling into the foot is normally a lot of times. It's, it's some type of nerve type of thing. Um, the radiculopathy, either it's from something like foraminal stenosis or disc herniation, protrusion, whatever. Uh, a lot of times what will increase that is a knee extended position, hip flexed, knee extended. Think about stretching your hamstring. This is provoking. And so any movements that come along with that in regards to a sex position may provoke your problem. And you might have an incident, uh, uh, after that.

So again, this, this is a large skull article I did. Um, there's pictures. I drew them actually, because I didn't want to have anyone pose for pictures, but there's, there's pictures, there's drawings. I used to draw pictures when I was a kid. And so this is a way of expressing my creativity or my artistry. Um, but yeah, if you guys do want some help, we see people all the time with back pain, sciatica, hip groin pain, piriformis pain, TFL, IT band, groin pain, sports hernia. We see all this that we love that quarter of the body. So if you guys do want help, we do offer in-person and virtual services. We're in Costa Mesa, California. We'd love to help you out. If you want us to, if you, the biggest problem I find that with people, when they, they kind of get stuck in this, I'm old type of mentality, or I'm like, I just can't do that anymore. I'm old. If you want that to be reality, it'll be your reality. Okay. But I met a lot of people of different ages who have improved dramatically to get back in the sport they want to do all the movements they want to do.

I don't ask, but probably all the sex positions that they want to do as well within reason. Uh, and hopefully their partners are happy and they're happy. Okay. Um, but there's this mentality of feeling old, uh, which is, it's, it's hard to come away from. Okay. So if you guys want help and you don't know where to go, we are here, come reach out to us. Our link is in the description or just reach out to us at P2 that's P the letter to the number sports care.com sports is plural. I'll see you guys next time. Take care. Thanks for being part of the movement movement.