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07/Oct/2021

The people in our lives bring so much colour and richness to our days. Our family and friends, work colleagues, local baristas, intimate partners, food deliverers, healthcare providers, neighbours, fellow gamers and dog walkers – all of the ordinary and intimate relationships we have are important and connect us to our world.

Apart from the warm fuzzies we get from having these people around us, healthy relationships are good for our physical and mental health. They help us feel less stressed, reduce feelings of loneliness, distract us from pain, boost our immune system and make us feel happier and more optimistic. They’re practically a tonic for all that ails!

And that’s why it’s so important that we nurture these relationships.

This is the first of two articles exploring ways we can tend to our close relationships, to ensure they remain strong and supportive. We begin with the relationship with a partner, spouse, or significant friend.

Physical vs emotional intimacy

When we think about intimate or close relationships, we often think of physical acts of intimacy – holding hands, cuddling, kissing, hugging and sex. They’re an essential element in our romantic relationships. But we also need emotional intimacy for deeper connections with those we have, or hope to have a committed relationship with.

Emotional intimacy involves each person opening up to the other, allowing their vulnerabilities to show, and sharing their deepest feelings and thoughts. To do this, each person needs to feel safe and supported to be themselves, ‘warts and all’. This level of intimacy takes time. And it requires open, honest communication and ongoing work.

“Intimacy is the capacity to be rather weird with someone
– and finding that that’s ok with them.” Alain de Botton

Emotional intimacy occurs not only within committed, romantic relationships, it can also happen within platonic relationships, for example, with your bestie, BFF, a sibling, or with someone else you have a close bond.

The following strategies are focused on nurturing romantic relationships, however most can be used for platonic relationships as well ?.

Strategies for nurturing your relationship

Share your deep, inner thoughts, feelings, beliefs, fears, needs, pain and worries – not just the superficial stuff.
To really develop that deep connection and understanding of each other, share the things that make you ‘you’. We’re all so different and have had different experiences, challenges, traumas, victories and lifestyles. This shapes who we are, and we tend to keep much of this to ourselves.

However, sharing these things with your partner over time creates intimacy as your relationship grows and deepens. This has to be a two-way street. You both need to be open and honest about the things that matter to you, as you feel comfortable and safe to do so.

“Never idealize others. They will never live up to your expectations.
Don’t over-analyze your relationships. Stop playing games.
A growing relationship can only be nurtured by genuineness.” Leo F. Buscaglia

Share how much they mean to you.
We all like to hear how much we mean to someone – especially when it’s out of the blue. Try not to become complacent with your relationship or take your partner for granted. Tell them how much you appreciate them and how much they bring to your life. Show them how much they mean to you – buy the book they’ve been wanting, prepare a picnic full of their favourite things, give them a hug, fold the laundry, place little love notes or tokens in unexpected places. Be creative and be honest ?

“Love is a two-way street constantly under construction.” Carroll Bryant

Share, learn and explore sexual desires so you both feel satisfied.
This adds to your emotional connection. However, sometimes our condition, pain, anxiety and the madness of life in general can impact our desire to be physically intimate. Check out our blog on sex, intimacy and musculoskeletal conditions for tips to help you get your groove back.

“Sex without love is merely healthy exercise.” Robert A. Heinlein

Share time together outside of your day-to-day routine.
Remember the excitement when you first met? The first thrilling time your hands brushed, when you couldn’t wait to see each other? Try to rekindle some of this excitement so that you get to be together as lovers, partners, friends – not as mum/dad/worker. Make the time to check in with each other, even when it feels like the world is taking over. This can be really challenging – we’re all so busy. So you may need to schedule time for this (not sexy, but often necessary). And make sure you unplug from all technology and put your phone away. It’s worth the effort. Take this time as a loving couple to talk about your day, feelings, needs, hopes and dreams, and just connect.

“A dream you dream alone is only a dream.
A dream you dream together is reality.” John Lennon

Share the difficulties, and where possible, work on solutions together.
If you have problems or difficulties that relate to your condition, job, other people etc – share them. Don’t keep them bottled up. Having someone to discuss your issues with can help bring clarity. Or at least help you feel your emotions are important and validated.

If the problems relate to your relationship or home life, this can be tougher. Especially if you both have strong feelings about the matter. In this case, it’s really important to be respectful to each other, listen, and work together to come up with a solution. And be prepared to compromise, so the solution feels fair to both of you. Remember, we’re all different, and we do and see things differently. This is a good thing (how boring would it be if everyone saw things the same way?), but it can sometimes be really frustrating. So if you become angry, take some time to breathe, reflect on the situation, and come back to it when you both feel calm.

However, sometimes it can be hard to get past an issue, and you may need external help to resolve it. See the section below on managing conflict.

“Nothing is perfect. Life is messy. Relationships are complex.
Outcomes are uncertain. People are irrational.” Hugh Mackay

Share the load.
We like to think of ourselves as superhuman at times and try to do it all without asking for help. Even when it may be needed ?. But this isn’t sustainable. We’ve all ended up in a heap doing this.

Again, it comes down to open, honest communication. Someone who doesn’t have a musculoskeletal condition can’t fully understand what it’s like, how frustrating it can be to be fine one day and thoroughly shagged the next. If there are things you’re struggling with – all the time, or just occasionally – discuss these with your partner. Look for ways to share the load – with your partner, children, housemates, other family members, or even hiring someone to do the chore/task.

“Being deeply loved by someone gives you strength,
while loving someone deeply gives you courage.” Lao-Tzu

Share fun times.
Make time for having fun, being silly and finding (and celebrating) the joy in life. This can be challenging when you live with pain, the uncertainty of living through a pandemic, work stress and household craziness. But it’s so rewarding. Watch a silly movie, dance in the back garden, share funny memes during your day, go skinny dipping after dark ?. Laughter and shared fun create another level of intimacy, as well as a twinkle to the eye and a healthy glow to the skin (especially if the water is cold ?).

“We’re all a little weird. And life is a little weird.
And when we find someone whose weirdness is compatible with ours,
we join up with them and fall into mutually satisfying weirdness
– and call it love – true love.” Robert Fulghum

Have outside interests (and share yourself).
In case you’re starting to feel nauseated by all the saccharine togetherness ?, it’s also really essential that each person has independent interests. There are often things that make us really happy but are of no interest to our partner – think sports, book clubs, crafts, parents groups, community gardens, study groups, cooking classes, gaming etc. Instead of dragging your partner along, take that time for yourself. It helps you pursue the things that make you feel fulfilled, and you can share your experiences and happiness with your partner. When you both have these opportunities, life is more exciting and rewarding.

“A great relationship is about two things:
First, appreciating the similarities and second, respecting the differences.” Unknown

When it isn’t always smooth sailing: managing conflict

All of the suggestions we’ve provided require commitment, time and ongoing work. But sometimes you can work, and work hard, but arguments and conflict still arise. Especially when you’re living with the stress of unpredictable health issues, COVID-19, family commitments and all the other complicated things adulthood brings with it.

If you’re both committed to working through these issues, but feel like you can’t resolve them on your own, consider talking with someone you trust about it. This may be a close family friend or family member, or it may be a professional.

Getting help
Family Relationship Advice Line is an Australian Government service that helps families affected by relationship or separation issues. It can also refer callers to local services that provide assistance. Call 1800 050 321.

Relationships Australia provides a range of counselling services, delivered face-to-face and online. Find out more about the counselling services available on their website. Or call 1300 364 277.

Ending a relationship
If you’re not committed to resolving relationship issues and want to end it, read ‘Fourteen ways to break up better: How best to minimize the pain in a painful situation’.

Abuse or violence
It’s never OK to use power, abuse or violence against another person. If you need help, it’s available. For safety and support, call 1800 RESPECT (1800 737 732) for confidential information, counselling and support. They operate 24 hours, 7 days a week.

Read the second instalment of this series: Nurturing relationships: Family and friends

“Maybe you don’t need the whole world to love you.
Maybe you just need one person.” Kermit the Frog

Contact our free national Help Line

If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

More to explore


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22/Apr/2021

Sex, intimacy and musculoskeletal conditions

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Note: This article was written from my perspective as a heterosexual woman in a long-term relationship. If you’d like to share your tips and advice about intimacy when you live with a musculoskeletal condition from a differing perspective, that we could share in another blog, we’d love to hear from you. Contact lisa@msk.org.au 

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Living with a musculoskeletal condition/s can sometimes interfere with your sex life. Pain, fatigue, body image issues and side effects from medications, can really interfere with this aspect of your life. Added to the physical and emotional effects of your condition, the everyday pressures of work/study, family, finances and COVID, can also affect your desire to be intimate.

If this sounds familiar, you’re not alone. In our report Making the Invisible Visible, we revealed that 32% of people said their condition had affected their ability to be intimate with their partner.

The good news is there are many things you can do to overcome many of these issues and enjoy a satisfying and fulfilling sex life.

Tips for happy sexy times

Be open and honest with your partner about how you feel. Only you know what hurts – both physically and emotionally. Show them the positions that cause you the least pain. If you’re feeling sad or depressed about how your body has changed, tell them this. Not letting them in, and not telling them what’s going on, can put a strain on your relationship.

Be kind to yourself. When our bodies change it’s understandable to feel sad or a sense of loss about the things we used to be able to do, or the way we used to look.

But it’s important not to get in the habit of describing yourself in a negative way – both to yourself and your partner – such as ‘I’m fat’, or ‘I’m ugly’. It’s not constructive, and it just makes you feel worse. It certainly doesn’t make you feel sexy! I know this is hard – we really are our own worst critic. Instead focus on the things you do like or love about your body. Take time to really look at your body and be proud of it. Over time look at the parts of your body you haven’t been so happy with, and look at them without the super-critical lens. Admire it…our bodies are amazing! And they’ll continue to change as our health changes and we grow older. So it’s important we become comfortable in our own skin.

Be kind to your partner. They may be worried about hurting you, or self-conscious about their body, or changes to their own health and wellbeing. If you haven’t been communicating well recently, they may be worried that they’ve done (or not done) something. Communication is key.

Talk with your doctor. This may be a little embarrassing or uncomfortable, but your doctor can give you practical advice about pain relief strategies, as well as sexual positions you can try that won’t aggravate your condition. You can also discuss your medications, in case they’re causing loss of libido or issues such as vaginal dryness. You can then explore the potential of alternative treatments.

Have a massage. Book an appointment with your favourite massage therapist and have a relaxation massage to soothe any muscle tension away. Or better still, ask your partner for a massage. A little oil, some light strokes along your arms, and some gentle back rubs, and the next thing you know, things have taken a lovely, sensual turn ❤. Read this article for some tips: How to give your partner a super hot erotic massage.

Plan things. It doesn’t sound terribly romantic or sexy, but putting some thought and planning into sexy times can make things so much easier. Consider taking a warm shower or bath to loosen up your muscles, take a pain reliever, do some stretches, use your heat pack, have a massage, or take a nap. Basically do all the things you know relieve your pain.

By planning, you can choose a time when you’re feeling your best, the kids have been shipped to the grandparents, the phones are off, and there are no other distractions.

Planning also involves setting the mood, so light some candles, wear something that makes you feel desirable and self-confident, dim the lights and put on some music.

Get adventurous! Try new positions – you know your body and what makes it hurt – so avoid those positions, and find new ones. Versus Arthritis (formerly Arthritis UK) has a great booklet that provides a range of different positions for you to try.

Use pillows to provide some support if you need it.

Try sex aids and toys – there’s a huge range available including vibrators, lubricants, feathers, rings, sexy wear – so pop down to the adult store together and find things that excite you both. Or go online and order them if you don’t feel comfortable going into a store.

Read erotica or watch porn together – whatever excites you and gets you in the mood.

Don’t forget the romance. If you’ve been with your partner for some time, cast your mind back to the giddy days when you were getting to know each other. When every look, every slight touch was electric, and you went out of your way to do romantic things together. Now think about your life today, and how you can add some romance or spice things up. Whether it’s a date night, with dinner somewhere special, followed by dancing in your lounge or cuddling on your couch; sending your partner flowers or other love tokens; leaving little notes for them to find; or just surprising them with a good old fashion, toe curling pash (sigh ❤). Put in the effort – it’s well worth it, as it will make you both feel special and loved.

Keep a sense of humour. Inevitably things will go pear-shaped. Your back will spasm, your hips fail you, someone falls asleep, or the children/cat/dog make an appearance. All you can do is roll with it. It’s no one’s fault, so laughing about it, and moving on is your best option.

It’s not all about penetration. Cuddling, touching, oral sex, lying skin-to-skin, masturbation, staying in bed sharing your deepest hopes/dreams/thoughts are also so important when it comes to intimacy with your partner. While sex is great, these things add a layer of richness and depth of feeling that sex alone cannot give. So don’t forget to do the things that strengthen these intimate bonds with your partner.

And have fun ?.

Contact our free national Help Line

If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

More to explore




Musculoskeletal Australia (or MSK) is the consumer organisation working with, and advocating on behalf of, people with arthritis, osteoporosis, back pain, gout and over 150 other musculoskeletal conditions.

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