Ask the Doctors: Sex Positions and Spinal Cord Injury

I have a spinal cord injury and have very little leg movement (I’m a man with a female partner). What sex positions can you recommend?

Besides the obvious one, where you’re on your back with your partner astride you, most other sex positions will require a little help. It’ll also depend on how much upper body strength and mobility you have, so you may need to experiment a bit. Spooning, or face to face on your sides might work. Try propping yourself or your partner with pillows, either behind you to give you support or under a raised leg.

One easy way to change things up is to sit on a couch or in a chair. But if that’s not quite right for you, try the Liberator Esse. Its gentle shape makes it easy to recline or sit up and you’ll both get lots of support. Plus, the cover is machine-washable. You could also try the Wedge.

I’ve also heard of people taking a gliding rocking chair and removing the arm rests. If your partner lies on a low surface like a coffee table and puts her legs on your shoulders or around your waist, you can move more-or-less horizontally pretty easily. But from what I’ve heard, it depends on getting the height just right.

Although I haven’t read it, I’ve heard good things about the book Sexuality After Spinal Cord Injury : Answers to Your Questions. And while it doesn’t focus on SCI, The Ultimate Guide To Sex And Disability is an amazing resource.

We’re dedicated to getting you the information you need about sex, pleasure and your health. If you have any questions, please email our staff experts, Dr. Carol Queen and Dr. Charlie Glickman, at! For product-related questions, please email or call our customer service staff at

Dr. Charlie Glickman

Charlie Glickman is the Education Program Manager at Good Vibrations. He also writes, blogs, teaches workshops and university courses, presents at conferences, and trains sexuality educators. He’s certified by the American Association of Sexuality Educators, Counselors, and Therapists, and loves geeking out about sex, relationships, sex-positivity, love and shame, communities of erotic affiliation, and sexual practices and techniques of all varieties. Follow him online, on Twitter at @charlieglickman, or on Facebook.

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