Shibari, or Japanese artistic rope bondage (kinbaku), is one of the most popular forms of bondage in BDSM. For many, the moment a rope tightens around the chest and wrists brings intense sexual arousal and a strange calm. Biological research on BDSM shows that both the reward and pleasure system and the stress system are engaged, and practitioners describe reaching a trance-like sexual state. But rope is not risk-free: the most common injury is pressure on arm nerves. Here we explore why shibari is arousing, what Freud said about submission, and how to enjoy it safely.
This article is presented by Dr. Saeed Behckam, clinical psychologist and sex therapist practicing in Iran (Tehran) and Canada (Toronto, Richmond Hill & Vancouver), for the readers of Behckam.com.
What exactly is shibari and how does it differ from ordinary tying?
Shibari is, at its core, an aesthetic method of rope bondage: thin jute or hemp ropes are wrapped around the chest, arms, waist, and thighs in regular diamond-shaped patterns and knots. The difference from simply tying someone with cuffs or a ribbon is that the process of tying is itself part of the pleasure—long minutes of touch, closeness, synchronized breathing, and gradual submission. The person who ties, the rigger, holds control, while the person being tied consciously and consensually hands over control of their body.
Shibari is practiced at different levels, from a decorative harness over underwear and tying the wrists to the bed to full suspension from the ceiling. The distinction matters because, as we will see, in the only published report on shibari nerve injuries, the injuries followed full-body suspension. If you are new to this world, learning about BDSM negotiation before the first experience is helpful.

Why is being tied with rope so arousing?
Labrecque et al. (2021) analyzed the narratives of 227 people who enjoy masochism or sexual submission and identified 16 themes. Their reasons for these practices fell into three broad categories: power exchange between two people, the experience of physical pain, and an altered state of mind accompanied by sexual arousal. The researchers noted that these interests had often been present since the early years of life. Rope offers all three at once: immobility, gentle and continuous pressure on the skin, and complete surrender of control.
The systematic review by Wuyts and Morrens (2022), which summarized 10 biological studies on BDSM, found that in the submissive partner cortisol, the stress hormone, changes after a BDSM session, while the endocannabinoid system—part of the pleasure and reward system—is also engaged. Interestingly, in the dominant partner the measured pleasure depended more on power play than on pain play. In plain terms: for the rigger, the pleasure lies in control and direction; for the person being tied, it lies in releasing control. This is the same dynamic seen in spanking and being tied, but rope makes it slower and deeper.
What are the real risks of shibari and which nerves get hurt?
Khodulev et al. (2023) examined experienced riggers and participants who had been injured and found 10 people with 16 nerve injuries. The injuries appeared immediately after full body suspension and involved the radial, axillary, and femoral nerves. The radial nerve was the most commonly injured structure: 90.0% of the injured people had damage at this level. In a case report in the same paper, a 29-year-old woman who had been suspended for 25 minutes with 6 mm jute rope developed wrist and finger drop and reduced sensation in her hand; nerve conduction testing showed a 77.3% nerve conduction block, and full recovery took five months.
The practical message is clear: according to the same researchers, the radial nerve lies at the back of the upper arm at the level of the deltoid tuberosity, and a rope that presses there can disable it within minutes. Warning signs include numbness, tingling, a cold hand, and weakness when lifting the wrist. If any of these appear, the rope must be released immediately, and if symptoms persist after release, seek prompt medical evaluation. Safety scissors beside the bed, repeated checking of the fingers, and a safe word are basic principles, and rope should never be placed around the neck.
Sprott et al. (2021), in a sample of 1,398 kink-identified people, reported that 13.5% had experienced a kink-related injury in their lifetime. More concerning, 58.3% had not told a physician and 49.6% had not told a mental health therapist about their kink, and 19.0% had delayed or avoided seeking treatment because of fear of stigma. In other words, part of the risk comes not from the rope itself but from shame and silence. [needs further review: the sample in this study was convenience-based and voluntary, and it does not report injury rates specific to shibari separately.]

What does Freud say about the pleasure of being bound and surrendering?
In Three Essays on the Theory of Sexuality (1905; SE Vol. 7), Freud regarded sadism and masochism as a pair of “component instincts” that are the active and passive forms of a single drive. He argued that these instincts are rooted in the sexuality of every human being, not only in a special few. This insight illuminates shibari: the rigger and the person being tied are two sides of one relationship, and both poles often exist in both people. That is why many rope enthusiasts sometimes switch roles.
Later, in “The Economic Problem of Masochism” (1924; SE Vol. 19), Freud described “erotogenic masochism”: a fundamental bond between sexual arousal and tensions that the body registers as unpleasant. The pressure of the rope, the immobility, and the temporary helplessness create exactly this tension—and because they occur within a safe, consensual frame, they are transformed into sexual pleasure. From a psychoanalytic standpoint, being tied allows a person to set down the burden of control and responsibility for a time and to experience desires that are repressed in everyday life. Today’s findings on altered states of mind and the simultaneous involvement of the stress and reward systems describe in biological language what Freud had already formulated in the language of instinct and desire.
Read more: Pain and pleasure in BDSM · Dominant, submissive or switch?
Read this article in Persian: شیباری؛ چرا بستن با طناب در سکس تحریککننده است؟
Frequently Asked Questions — Behckam.com
Is an interest in shibari and rope bondage a sign of a mental disorder?
No. The Wuyts and Morrens (2022) systematic review shows that the research perspective has moved away from pathology toward viewing BDSM as a form of intimacy. Freud also understood sadism and masochism as component instincts rooted in every human sexuality. What matters is informed consent, safety, and the place of this desire within the whole sexual life.
What is the most common physical injury in rope bondage?
In the Khodulev et al. (2023) report, the most common injury was acute pressure on the radial nerve of the arm: 90.0% of injured people had involvement at this level, with wrist and finger drop and hand numbness. In this report, the injuries followed full suspension rather than simple bed tying.
Why do some people reach a calm or trance-like state while being tied?
Labrecque et al. (2021) found in the narratives of 227 people that one of the three main reasons for this experience is an altered state of mind accompanied by sexual arousal. The 2022 biological review also reported cortisol changes and endocannabinoid system involvement, meaning both the stress and reward systems are engaged.
Should I tell my doctor or therapist about my kink interest?
Yes, and this is part of good care. In the Sprott et al. (2021) study of 1,398 people, 58.3% had not told a physician and 49.6% had not told a mental health therapist, while 19.0% had delayed or avoided care because of stigma. A kink-aware therapist does not judge and helps with safety and consent.
Conclusion: rope, trust, and informed pleasure
Shibari, for many couples, is a way to experience deeper trust, submission, and sexual arousal. The research indicates that this desire is not a sign of illness and that it engages both the pleasure system and altered states of mind—something Freud had already located in the structure of sexual desire many years earlier. By learning the pathways of the arm nerves, avoiding suspension without proper training, keeping safety scissors and a safe word at hand, and maintaining honest dialogue, rope can become a tool for greater closeness and safe, enduring pleasure.
Looking for professional support with your relationship or mental health?
For evidence-based, confidential guidance on your sexual, emotional and mental wellbeing, you can book a private consultation with Dr. Saeed Behckam, Iranian clinical psychologist and sex therapist serving clients in Tehran, Toronto, Vancouver and worldwide online.
References
- Khodulev V, Klimko A, Charnenka N, et al. Acute Radial Compressive Neuropathy: The Most Common Injury Induced by Japanese Rope Bondage. Cureus. 2023;15(5):e39588. PMID: 37384078. DOI: 10.7759/cureus.39588
- Wuyts E, Morrens M. The Biology of BDSM: A Systematic Review. J Sex Med. 2022;19(1):144-157. PMID: 34876387. DOI: 10.1016/j.jsxm.2021.11.002
- Labrecque F, Potz A, Larouche É, Joyal CC. What Is So Appealing About Being Spanked, Flogged, Dominated, or Restrained? Answers from Practitioners of Sexual Masochism/Submission. J Sex Res. 2021;58(4):409-423. PMID: 32486920. DOI: 10.1080/00224499.2020.1767025
- Sprott RA, Randall A, Smith K, Woo L. Rates of Injury and Healthcare Utilization for Kink-Identified Patients. J Sex Med. 2021;18(10):1721-1734. PMID: 34481743. DOI: 10.1016/j.jsxm.2021.08.001
- Freud S. (1905). Three Essays on the Theory of Sexuality. In: Strachey J, ed. The Standard Edition of the Complete Psychological Works of Sigmund Freud, Vol. 7. London: Hogarth Press: 123-245.
- Freud S. (1924). The Economic Problem of Masochism. In: Strachey J, ed. The Standard Edition of the Complete Psychological Works of Sigmund Freud, Vol. 19. London: Hogarth Press: 155-170.
Image Credits
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