Staying Sexy in an Aging Body: Joint Pain

You can’t ignore joint pain — but don’t let it push you into avoiding sex! When sexual positions and activities worsen pain, we can find props and positions that work for us so we feel the pleasure, not the pain. Julie Weingarden Dubin interviewed me about sex and joint pain for, and the interviewgot me thinking about more tips I’d like to share with you. Here they are.

What can we do to minimize joint pain before and during sex?

  • Schedule sex! Spontaneity is vastly overrated when it comes to sex at our age! We get more pleasure if we plan for it, and that’s true for avoiding joint pain especially. Make a “sex date” in advance, whether you’re newly dating or long-time partners. This way, you can both anticipate it and make time for it, which raises the pleasure and decreases the stress. Turn off the phone ringer, the computer, the gadgets, lock the door, and just enjoy each other.
  • Time your anti-inflammatory medication so it kicks in before your “sex date.”
  • Get some physical exercise before getting naked. This lubricates the joints and gets you in touch with your physicality. Dance, walk, cycle, do yoga — whatever you like to do.

  • Get a supportive sex cushion (no kidding, they exist) to make any position more comfortable. For example, the Wedge by Liberator is terrific for assisting back, hips, knees. 
  • Have lots of warm-up/ foreplay/ arousal in a comfortable position. This
    way you’ll need less time in a less comfortable position when you get to
  • Use a sex toy to hasten orgasm, minimizing the time in a less comfortable position or action. For example, if your partner likes manual stimulation (and who doesn’t?), but that hurts your arthritic wrist or hands, use a sex toy to help out. A vibrating cock ring or masturbation sleeve for the man doesn’t require the partner’s wrist. For the woman, try one of the many vibrators that “rests” in the right position with no or minimal effort to hold it in place. I review sex toys from a senior perspective – which includes whether they’re easy on arthritic wrists! – right here on this blog. Look for the label “sex toys” or “vibrator reviews” in the right-hand column.
    See these reviews  for ideas. 

I’ve been asked, “What would recommend as the BEST sex positions for seniors?” I have to answer this way:

There’s nothing that “seniors’ in general will agree on, whether politics, movies, or the best sex position. We’re all individual in finding positions we find comfortable, and maybe your favorite position isn’t comfortable for your partner, or doesn’t do much for you sexually. It’s all a matter of trial and negotiation. Creativity and a lot of laughter help, too! 

Do you have any tips for avoiding joint pain during sex? Please comment!


  1. Joan Price on November 5, 2012 at 4:17 pm

    Dan, I'm glad you decided to try this idea. Let us know how it went for you!

  2. Dan on November 5, 2012 at 1:47 pm

    We took your advice and the other day said, "Noon, OK." Both of us in the past have pretty much as creative types bristled at the seemingly mechanical or staged approach. Approaching our mid 60s, our "scene" the last few years has be limited to (very wonderful I might add) the standard date night romance thing: dinner, movie…followed by candles, music, low lights, the divine bonk. But I've been reading about setting up hot scenes of late; planning, setting the stage. Well, why not. It's making an appointment for sex, right? Hey, blog more on this. We need it!

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