3. The Medical Side
The following remarks aren't meant to scare people off, but to show them how to prevent accidents during bondage.
Generally one can
say that any spots where you can feel the pulse of a person can't stand
any direct pressure. Especially dangerous for obvious reasons are throat
and neck. You mustn't ever put a rope around the neck. If the neck is
involved in some other kind of tying up you should be aware that there
is a tug forward to a pressure lateral to the neck vein. Especially when
the passive part is standing up or suspended this may lead to the CVS
reflex (Carotis Sinus Vein reflex), which in turn leads so immediate unconsciousness.
Other places particularly
at risk are the armpits, the inner upper arm, the inner wrist and the
upper part of the rather sensitive thumb tendon (when using handcuffs
you should always push the engaging safety device, and when tying up the
wrist with a rope the hands should be laid together with the palms), the
inner ellbow, the groin, the back of the knees and the Achilles' tendon.
In these places you often find arteries, sensitive tendons and lymph vessels.
To reduce the pressure you can pad the ropes with foam rubber, sweat bands
With bondage while standing up, particularly when the arms are outstretched, or supension bondage with the head upwards, there can be circulation problems. Especially people with low blood pressure or tall people tend to have such problems. Therefore you have to take care that the tied up person can't collapse uncontrolled. If you know about existing circulation problems you should rather tie your partner up sitting or lying down. Indications for such problems are: Paleness, cold sweat everywhere, flat, barely perceptible breathing, reduced responsiveness (that's the reason why maybe the necessary negative feedback is missing). What you have to do is the same as with SCV reflex; see above - free your partner, put his/her legs up; maybe the stable lateral position.
Circulatory problems may - intentionally or unintentionally - occur in
tied limbs, too. A shortterm congestion of blood in the vessels may sometimes
be quite exciting - for example in the penis -, but this can lead to problems
rather quickly. (For people with disposition for varicose veins for example
such a buildup of blood may lead to a worsening or even to real varicose
veins. In the worst case even a vescular obstruction is possible, so you
should take care NEVER to pull the rope too tight around the legs when
there are varicose veins.) Indications for a blood congestion are a blue
discolouration of the skin, cool skin, a numb feeling, the feeling of
pins and needles or prickling. Measures: Immediate untying of the rope,
a soft massage of the limb. If varicose veins develop a visit to the doctor.
Some men like it, many women hate it: The ligature of the breasts. The more or less tight wrapping of the breasts with rope or elastic band sensitizes the skin of the breasts and especially the nipples. At the same time the pressure to the glands can be extremely painful, and the consequences like absolutely unerotic and distressing irritations of the glands can be immensely protracted. Some women do have an aesthetical problem with tied up breasts; especially when they begin to go blue because of the congestion. A good active should show consideration.
To tie up someone nakedly in a chilly room is not the way. Especially with women this may lead not only to a bad cold but to a cystitis as well or even worse. Because a bondage session is often very exciting some victims loose the feeling for the temperature and don't notice when they are freezing. So it's the responsibility of the active part to take care of adequate heating and check whether the victim is all right in that department, too. Even when for the eye it's not the most pleasant of sights sometimes it's quite useful to put on some ski socks. To keep the shoes on can prevent cystitis, too. Attention: If you use a fan heater you should never put it less than at least one meter away from the tied up person.
Something that is
often done because it's so much fun is tying a person up and then fucking
her senseless on the carpet. Because of the movement, though, this may
lead to unpleasant burns on the back of the person below. A padding like
a sheet or a blanket is a better idea.
Generally you should
bear in mind that the ropes change the kind of pressure they put on the
body with any movement. So you have to check the tightness of the ropes
trying to repeat japanese bondage like he has seen people so easily doing
in a movie may be confronted with the problem of a dislocated shoulder
joint. In such a case an ice bag should immediately be put on the shoulder
to prevent severe swelling and to make the setting possible. Everything
else should only be done by an emergency doctor.
The feedback of the
passive part should ALWAYS be taken seriously. Something one person can
stand without a problem may be unbearavle for the next. You as the active
part are not tied up, so you can't know what exactly is happening inside;
even if you do have some experience with bondage yourself as a passive
You may think that this has been a kind of horror catalogue for potential
nasty consequences of bondage. But you have to pay attention to the fact
that bondage is the kind of sexual practice where the most small accidents
occur. Mostly they result only in a slight abrazion or a slightly irritated
nerv, but even this can in most cases be prevented by a bit of precaution.
Here you find a Flyer about Nerve Damages: Download!
From Fetlife discussion about falling hand injury:
"The basic first aid for a nerve compression injury is essentially the same as that applied to a bruise:-
Anti-inflammatory drugs also can help (eg Voltaren). Its important however to be mindful of mixing them with other drugs such as Ibuprofen, in short ask a chemist.
Things not to do:-
- Don't rub the injury
Most radial nerve compression injuries will heal within 2 weeks, it's very rare to have one last longer than that.
Also during a rope scene there is a simple test to do that will let you know if radial nerve compression is occurring:
-Get the person to make the stop sign and push against their finger tips,
they should be able to push back quite strongly.
If tingling starts which could be a sign of nerve compression, I prefer
to fix the issue in situe, if the symptoms go away then the scene can
continue. If not bring them down straight away. One of the big reasons
I prefer to try to fix the issue is simply that otherwise the damage is
still occurring even as they are being brought down, also in most cases
a quick dressing of the ropes is all that is required to fix the problem."
And some additional words from me:
The other thing I find out: