A spinal cord injury is damage to the spinal cord that changes how signals travel between the brain and the body below the injury. It can affect movement, sensation, and sexual function in ways that vary by the level and completeness of the injury, and many people adapt intimacy successfully with information and support.

Neuropathy is damage to peripheral nerves that can cause numbness, tingling, pain, or reduced sensation, often in the hands, feet, or genital area. Because it can change how touch is experienced, it may call for adjusting the type or intensity of stimulation.

Positioning aids are wedges, pillows, and supportive furniture designed to hold the body at comfortable angles during intimacy. Unlike ordinary pillows, they keep their shape under pressure to reduce strain on joints, muscles, and healing areas.