Low back pain and sexual disability from the patient’s perspective: a qualitative study

Abstract

Purpose

The aim of this qualitative study is to investigate, from patient’s perspective, the aspects of the relationship between low back pain and sexual life on physical, psychological and social aspects of individual’s life. In addition, this study aims to explore patients’ opinions on the role of health care providers in addressing and treating low back pain-related sexual problems.

Materials and Methods

Semi-structured interviews were conducted with 26 outpatients referred to physical therapy for subacute or chronic non-specific low back pain; the questions investigated the presence of sexual disability and aspects related to patient’s behaviour. Two independent physical therapists, supervised by a third expert physical therapist and a clinical psychologist proficient in qualitative methodology, performed thematic content analysis to identify categories and themes.

Results

Patients with low back pain consider sexual disability severely limiting and correlated to pain. This study emphasized the perception of invalidity, the importance of the relationship with the partner, the emotions and gender roles in the couple, and the relevance for health care providers to take part in the clinical management. The physical therapist is believed to be a qualified figure to address this issue and specific suggestions on sexual activity could be useful.

Conclusion

Sexual disability in patients with subacute or chronic LBP acquires an important and individual meaning that can be investigated within the therapeutic context, especially by physical therapists.

Implications for Rehabilitation

• Sexual disability related to low back pain is considered an important and meaningful topic from the patient’s perspective.

• This reflects the importance of the emotional relationship with the partner.

• Within the therapeutic context, it is important to provide information to help manage pain during sexual activity.

• The physical therapist is seen to be a qualified figure to address this issue.

Keywords:

• Low back pain
• spinal diseases
• sexual behavior
• sexual dysfunctions
• qualitative research
• physical therapy

Disclosure statement

The authors report no conflict of interest.