Pain for pain: the benefits and challenges of BDSM participation for people with chronic pain - An exploratory study

Research is beginning to find that many BDSM (bondage/discipline, domination/submission, sadism/masochism) practitioners experience benefits beyond sexual pleasure. Additionally, given the relationship between pain and pleasure common in BDSM, there may be certain unanticipated benefits for practitioners reporting chronic pain (PRCP). We conducted an online survey of an international convenience sample of BDSM practitioners (N = 525). Participants were asked about self-perceived benefits and challenges related to participating in BDSM with CP. Using chi-square, independent sample t-test, logistic regression, and linear-by-linear association, responses were combined with demographics, participation timelines, co-participants, motivations, and frequency of activities to identify differences between PRCP and not reporting CP. PRCP do not appear to initially seek out BDSM for pain management but report both physical and mental benefits and identify mental health as a motivation for continued participation. Many PRCP also report at least some short-term pain relief resulting from BDSM participation. Importantly, they are more likely to engage in higher intense sensation activities (e.g. edge-play) more frequently. This study provides a foundation for further investigation into the nuanced relationship between CP and BDSM participation, especially in relation to the intensity and type of activities engaged in.