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Lower back pain and sore testicles: Causes and when to see a doctor

Causes and when to see a doctor

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Many people experience lower back pain from time to time. However, lower back pain that occurs along with testicle pain is less common and can indicate an underlying condition that requires medical treatment.

In this article, we discuss some possible causes of lower back and testicle pain. We also cover when to see a doctor.

Lumbar spondylolisthesis is a condition in which one of the vertebrae in the lower part of the spine, called the lumbar region, slips out of place. Spondylolisthesis can occur due to injuries, repetitive strain on the spine, or general wear and tear as a person gets older.

Lumbar spondylolisthesis can cause lower back pain if the slipped vertebra places pressure on one of the spinal nerves. This pain can sometimes radiate down to the testicles or legs.

Other symptoms can include:

These symptoms may improve when a person is sitting or leaning forward.


Treatment options for lumbar spondylolisthesis include physical therapy to strengthen the lower back muscles and anti-inflammatory medications to reduce pain and swelling. For people with more severe symptoms, a doctor may prescribe steroid injections.

Surgical treatment may be necessary for people with lumbar spondylolisthesis that does not improve with other treatments and for those with a loss of nerve function.

Urinary tract infections (UTIs) can occur when bacteria build up in the urinary tract, which includes the bladder, kidneys, ureters, and urethra.

UTIs can cause pain or a burning sensation while urinating, and this pain may extend to the testicles. A person may also experience a constant urge to urinate.

Severe pain in the lower back or abdomen alongside fever, nausea, and vomiting can indicate a kidney infection, which is the most serious type of UTI.


People with symptoms of a UTI, particularly a kidney infection, should see a doctor as soon as possible.

Doctors typically prescribe antibiotics for individuals with a bacterial UTI. It is important to follow the doctor’s instructions when taking antibiotics and to complete the entire course.

Drinking plenty of water and urinating frequently can help speed up recovery. Over-the-counter (OTC) medications can also help relieve pain and discomfort.

Epididymitis is the swelling of the epididymis, a duct that stores and transports sperm from the testicles to the vas deferens.

The swelling of the epididymis can cause pain in the scrotum and testicles that sometimes radiates to other areas of the body, including the groin area and the lower back or sides.

Possible causes of epididymitis include sexually transmitted infections, such as chlamydia, and UTIs. However, there is not always an obvious cause, and in some people, epididymitis can be a chronic condition.

Depending on the cause, a person with epididymitis may also experience symptoms that include painful urination, fever, and a frequent urge to urinate.


The type of treatment for epididymitis depends on the cause. A doctor will usually prescribe antibiotics for people with a bacterial infection.

Resting and elevating the scrotum can help reduce swelling. OTC anti-inflammatory medications, such as ibuprofen and naproxen, may also provide relief from pain and discomfort. Ibuprofen is available for purchase online.

Kidney stones are hard mineral deposits that can form in the kidneys. Small kidney stones do not always cause symptoms, but larger stones can block the flow of urine from the kidneys.

Blockages can result in sharp pain in the lower back and sides that may also radiate to the lower abdomen, the groin area, and the tip of the penis.

Other symptoms of kidney stones can include:


The treatment options will depend on the severity of the symptoms and the size of the stones.

Smaller stones do not always require treatment and may leave the body in the urine. Drinking plenty of fluid can help the stones pass out more quickly. Doctors may also prescribe pain relievers and medications, such as tamsulosin, to relax the ureter.

A doctor may recommend a medical procedure to remove kidney stones that are large, very painful, or affecting kidney function. Removal procedures can include surgery or the use of shock wave therapy to break the stone into smaller pieces that a person can pass.

Rarely, lower back and testicle pain can be a sign of testicular cancer.

The most common first symptom is either a lump on the testicle or the testicle becoming swollen or larger. Testicular cancer can sometimes cause pain in the testicle and a feeling of heaviness in the scrotum or lower abdomen. Some people may also notice breast soreness or unusual breast growth due to hormonal changes.

If testicular cancer spreads to other parts of the body, it can cause additional symptoms, such as:


Treatment varies depending on the type and stage of testicular cancer when the doctor makes the diagnosis. Treatment options can include:

Pelvic floor dysfunction involves difficulty controlling the muscles of the pelvic floor. It forces the surrounding muscles to contract rather than relax.

A person with pelvic floor dysfunction may have difficulty controlling their urination and experience pain in the testicles. This pain is particularly likely to occur in younger patients.

The condition currently affects around 100,000 men in the United States each year.

Other symptoms can include:

  • painful urination
  • constipation
  • pain and pressure in the pelvic region
  • muscle spasms in the pelvis


Treatment options include pelvic floor exercises, with an emphasis on contraction, and biofeedback, which involves learning to control bodily processes that are usually involuntary.

Doctors may also prescribe muscle relaxants to help prevent the pelvic muscles from contracting.

If a person has certain accompanying issues, such as rectal prolapse, a doctor may recommend surgery to loosen the pelvic organs.

People with lower back and testicle pain should see a doctor if the pain is severe, does not get better, or is interfering with daily life. It is also important to seek medical advice if the pain occurs along with other symptoms, such as an unexplained lump or swelling in the testicles.

A person should seek immediate medical attention for symptoms of kidney stones or a kidney infection. These can include:

  • fever and chills
  • blood in the urine
  • nausea and vomiting
  • severe pain in the sides, back, lower abdomen, or groin area
  • pain or difficulty urinating

When testicle pain occurs along with lower back pain, it can indicate an underlying condition. Possible causes include kidney stones, infections, and spinal problems.

People should see a doctor if the pain is severe, does not go away, or occurs along with other concerning symptoms.

3 Causes of Back and Testicular Pain

Back pain is a common problem that is sometimes accompanied by testicular pain. While some men may be hesitant to discuss back and testicular pain with a doctor, especially if the pain is a dull ache, tingling, or only lasts for short periods of time, it is not something to ignore.

Lower Back Pain Symptoms, Diagnosis, and Treatment


There are many potential causes of back pain and testicular pain occurring together. Getting the correct diagnosis early can help bring pain relief sooner.
Lower Back Pain Symptoms, Diagnosis, and Treatment

Here are some possible causes of back and testicular pain that require a doctor visit to determine the best course of treatment.

See Causes of Lower Back Pain


1. Spinal nerve compression

Spinal problems are commonly overlooked causes of testicular pain in men. Some examples include:

  • Facet joint osteoarthritis. Degeneration of a facet joint can lead to bone spurs (osteophytes) and narrowing of the intervertebral foramen, which can impinge a spinal nerve. If the L1 spinal nerve is compressed, it could radiate pain and/or tingling into a testicle on the same side. Similar symptoms could occur with spinal nerve compression anywhere from the bottom of the thoracic spine to the top of the lumbar spine (T10 down to L2).1

    See Osteoarthritis of the Spine

  • Herniated disc. If a disc herniates and inflames any of the spinal nerves from T10 to L2, it could also radiate pain and/or tingling into a testicle on the same side.1

    See Lumbar Herniated Disc: What You Should Know

  • Sacroiliac joint dysfunction. Any type of dysfunction or degeneration that develops in the sacroiliac (SI) joint could potentially compress sacral spinal nerves. If S2, S3, or S4 becomes compressed, it could radiate pain into the scrotum.12

    See Sacroiliac Joint Dysfunction (SI Joint Pain)

Other spinal levels or problems in the spine may also be capable of referring pain down to the testicle(s) and/or scrotum.

See Lumbar Spine Anatomy and Pain

2. Epididymitis

Epididymitis involves inflammation of the epididymis, which is tubing located toward the back of the testicle. It is most commonly caused by a bacterial infection but can also result from a virus. Symptoms typically include testicular swelling and pain on one side, which may start out as dull but can become more intense or sharp. In some cases, pain may also be felt in the abdomen, pelvis, or low back.

See Lower Back Pain Symptoms

Epididymitis is the most common cause of acute testicular pain in the U.S. and occurs in more than 600,000 men each year.3 As such, it is common for this condition to be suspected in cases of acute testicular pain. While epididymitis can occur at any age, it is most likely in men ages 20 to 39.3


3. Testicular cancer

This form of cancer is relatively rare, but it is the most common cancer in younger men. Testicular cancer typically starts as a lump on one of the testicles but pain may not develop until much later. Many symptoms of testicular cancer can be similar to epididymitis, such as the testicular pain and swelling. Back pain is not usually present unless the testicular cancer has reached a more advanced stage.4

See Diagnosing Lower Back Pain

There are many other potential causes of back pain and testicular pain occurring together, and sometimes they have separate causes. If you have back and/or testicular pain that persists or is accompanied by troubling symptoms, such as any numbness or weakness, seek medical attention. Getting the correct diagnosis early can help set you on the path to recovery and pain relief sooner.

See Getting an Accurate Back Pain Diagnosis

Learn more:

Early Treatments for Lower Back Pain

Lumbar Spine Anatomy Video


  • 1.Patel AP. Anatomy and physiology of chronic scrotal pain. Tranl Androl Urol. 2017; 6(Suppl 1):S51-56. doi: 10.21037/tau.2017.05.32
  • 2.Leone JE, Middleton S. Nontraumatic testicular pain due to sacroiliac-joint dysfunction: a case report. J Athl Train. 2016; 51(8):651-7.
  • 3.Trojian TH, Lishnak TS, Heiman D. Epididymitis and orchitis: an overview. Am Fam Physician. 2009; 79(7):583-7.
  • 4.Signs and symptoms of testicular cancer. American Cancer Society Website. https://www.cancer.org/cancer/testicular-cancer/detection-diagnosis-staging/signs-and-symptoms.html. Updated May 17, 2018. Accessed March 6, 2019.

10 Things to Know About Testicular Pain — Flow Rehab

1. Developing testicular pain might be an emergency, especially if you’ve never had it before. Go to your medical provider, walk-in clinic, or emergency room if the pain is severe. One of the potential culprits of new onset testicle pain is testicular torsion, in which the cord that travels from your lower abdomen to the scrotum is twisted. This twist, or torsion, can cut off blood supply to your testicle and that is why quick intervention is needed. Oftentimes, a simple procedure such as an ultrasound is all that is needed to find out if this is the cause.


2. Even if not an emergency, testicular pain could be an infection or a mass, so making sure that all is well can ease your mind and help keep you healthy. It is also helpful to ease your mind so that you don’t worry too much about your symptoms. Some men find that worrying increases their testicular pain, and it is possible to create testicular pain by constantly squeezing your testicles to see if there is a lump! Doing self-exams is important, but you want to avoid over-doing the checking, and always apply a gentle pressure as the testicles are sensitive structures. 


3. Getting a blow or kick to your groin is not an uncommon way to feel temporary pain in the testicles. Once the initial injury has calmed down, if pain persists, follow-up with a medical provider to make sure everything is healthy, and you will likely be advised to use conservative strategies such as a cold pack, rest, and maybe lightly compressive shorts to give a lift and support to your scrotum. 


4. Sometimes the nervous system gets a bit overactive and can tell the smooth muscles around the testicles and scrotum to pull up, and up, and up. So much so that the testicle can even retract into the lower abdomen. Although it’s not always the case, for some men this can be very painful. Learning to identify the triggers for this such as cold, stress, low back pain and then identifying strategies to avoid or alleviate this issue can be accomplished in pelvic rehabilitation.


5. Because the testicles are supplied by nerves that branch off of your spine at the level of the low back, even a bout of low back pain may be related to developing pain in the scrotal area. Don’t be surprised if your therapist wants to examine your thoracic and lumbar spine, your abdomen, pelvis, or another nearby region. Many men who sit for really long periods of time every day have symptom improvement when they include more movement and less sitting into their day.

Testicular Pain | The Urology Group of Virginia

Testicular pain Is a common condition that occurs frequently in men.

What does the testicle do? What are the other parts in the scrotum?

The male anatomy is shown in the following picture.

The Male Anatomy

The scrotum is the name for the sac, and the testes and its adjacent structures sit inside the scrotum. The testicle has two functions. It makes testosterone, the male hormone, which is carried from the testis through the blood stream. It also makes sperm.

Sperm travels from the testicle into a series of tubes that form the epididymis. The epididymis sits to the side and in back of the testis. Sperm leaves the epididymis by way of the vas deferens (this is the tube that is divided during a vasectomy) and the vas deferens joins the seminal vesicles and prostate. The vas deferens travels through a structure known as the spermatic cord, which also includes the artery and vein that provide the blood supply to the testis, and the lymphatic vessels that drain the testis. Sperm delivered from the vas deferens, mixes with fluid from the seminal vesicle and prostate to produce the semen, which is the fluid that comes out from the penis at the time of ejaculation.

What can cause a lump in the scrotal contents?

A variety of conditions may cause a lump in the scrotal contents. This lump may be felt by the patient, or may be detected by a healthcare provider during a physical exam.

Conditions that can cause a lump in the scrotal contents include hydrocele (fluid around the testicle), spermatocele (a cyst in the epididymis), nodule or inflammatory change in the epididymis, and varicocele (a dilation of the veins around the testis). As a general rule of thumb, hydrocele, spermatocele and varicocele do not cause scrotal pain.

Testicular tumor is the word used to describe a mass or growth within the testicle itself, which may represent testicular cancer.

When a mass is detected within the scrotal contents, scrotal ultrasound (sonogram) may be carried out to determine if the mass is within the testis itself or in one of the structures adjacent to the testis.

What can cause testicular pain?

A variety of conditions can cause scrotal or testicular pain, including epididymitis (inflammation of the epididymis), orchitis (inflammation of the testis), hernia (weakening of the abdominal wall, with bulge in the inguinal region), torsion (twist of the cord and the blood supply to the testis) and testicular tumor.

There may also be referred pain to the testis, which means there is pain that originates elsewhere, but is felt in the testis. This can occur if there is a pinched nerve in the back or in the groin area.

By far, one of the most common causes for pain in the scrotal contents is inflammatory change in the epididymis or testes. Inflammation can be due to a variety of causes, including urinary infection, viral illness elsewhere in the body, minor physical trauma, or reaction to medication. In many cases, the exact triggering cause of the inflammation cannot be identified.

How is testicular pain treated?

It should be recognized that epididymitis is typically an inflammatory rather than infectious issue. Measures to address inflammation, including sitting in a warm bath for 20 minutes a day, scrotal support with athletic supporter or brief-style underwear, and anti-inflammation medication (Advil 2-3 tablets 3 times a day, taken with food to avoid stomach irritation) can provide relief.

In some cases, antibiotics may be used to address possible infection. It should be noted that if infection is not present, prolonged use of antibiotics is to be avoided to prevent potential overexposure to antibiotics.

At times, scrotal pain can be vexing to treat, and some men may notice it may take 2-4 months until symptoms subside. On some occasions pain can be persistent, and consultation with one of the pain management specialists may be carried out so that additional treatment can be attempted in an effort to achieve pain relief.

Take Home Message

In summary, the primary goal is to make sure there is not underlying disorder, such as testicular cancer, hernia, or testicular torsion which would put the patient’s health at risk. Once those conditions have been excluded, then an effort is made to achieve symptom relief as best as able.

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Urology | Scrotal And Testicular Conditions Signs & Symptoms

The signs and symptoms of testicular and scrotal conditions

vary depending upon the condition, but there are a few symptoms that are common to many conditions. The most common signs and symptoms include:

  • Pain in the testicles or scrotum
  • Swelling of the testicles or scrotum
  • Lower abdominal or groin pain
  • Heavy or achy feeling in the lower abdomen, groin or testicles
  • Tenderness or soreness in the testicles and/or scrotum

Symptoms of specific testicular conditions

Testicular torsion

The most obvious symptom of testicular torsion is severe testicular pain that begins very suddenly. Usually only one testicle is involved, so the pain may feel one-sided. Other signs and symptoms that often accompany testicular torsion are:

  • Tenderness in the scrotum or testicles
  • Swelling or redness in the scrotum or testicles
  • Nausea and vomiting
  • Abdominal pain
  • Fever
  • Elevation of the affected testicle (one testicle is resting higher than the other)

Testicular torsion is a medical emergency and must be treated quickly in order to save the testicle

. If you have any testicular pain, especially if it’s severe and comes on suddenly, seek emergency medical treatment.


Usually, the pain of epididymitis starts slowly and builds gradually. Pain can range from mild to severe. Other signs and symptoms may include:

  • Tenderness of the scrotum and/or testicles
  • Swelling or redness in the scrotum or testicles
  • Nausea and vomiting
  • Abdominal pain
  • Fever
  • Discharge from the penis
  • Burning during urination
  • Feeling the need to urinate frequently and/or urgently

Because some symptoms of epididymitis can be similar to those of testicular torsion, it’s important to let your doctor know how your symptoms started and how quickly they progressed to help him or her make an accurate diagnosis.


Typically, the only symptom of a hydrocele is swelling in the scrotum. It doesn’t usually cause pain. However there are serious testicular and scrotal conditions that also cause swelling, so if you notice testicular or scrotal swelling, contact your doctor.


A varicocele doesn’t always cause symptoms. If it does cause symptoms, they may include swelling or pain and discomfort in the scrotum.


The symptoms of orchitis usually include sudden onset of the following symptoms:

  • Testicular or scrotal pain that can range from mild to severe
  • Swelling in one or both testicles
  • Tenderness in one or both testicles
  • Nausea and vomiting
  • Fever


Hypogonadism in adult males can cause signs and symptoms, such as:

Testicular cancer

Signs and symptoms of testicular cancer include:

  • A lump in either testicle
  • A change in size or texture of your testicle
  • A dull ache or mild pain in the lower abdomen, back or groin
  • A heavy feeling in the scrotum
  • Pain (rarely)

Learn more about testicular cancer and how it is diagnosed and treated.

If you ever experience testicular pain, it’s important to seek medical attention immediately.

Although most causes of testicular pain are not urgent, some can be severe and even life threatening. If you have other symptoms of testicular or scrotal conditions, contact your doctor to make an appointment.

Learn more about scrotal and testicular conditions:

Testicle pain Causes – Mayo Clinic

Testicle pain has a number of possible causes. The testicles are very sensitive, and even a minor injury can cause testicle pain or discomfort. Pain might arise from within the testicle itself or from the coiled tube and supporting tissue behind the testicle (epididymis).

Sometimes, what seems to be testicle pain is caused by a problem that starts in the groin, abdomen or somewhere else — for example, kidney stones and some hernias can cause testicle pain. The cause of testicle pain can’t always be identified.

Causes of testicle pain or pain in the testicle area can include:

  1. Diabetic neuropathy (nerve damage caused by diabetes)
  2. Epididymitis (testicle inflammation)
  3. Hydrocele (fluid buildup that causes swelling of the scrotum)
  4. Idiopathic testicular pain (unknown cause)
  5. Inguinal hernia
  6. Kidney stones
  7. Mumps
  8. Orchitis (inflamed testicle)
  9. Prostatitis
  10. Scrotal masses
  11. Spermatocele (fluid buildup in the testicle)
  12. Testicle injury or blow to the testicles
  13. Testicular torsion (twisted testicle)
  14. Urinary tract infection (UTI)
  15. Varicocele (enlarged veins in the scrotum)

Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.

  • Definition
  • When to see a doctor

Nov. 23, 2019

Show references

  1. Eyre RC. Evaluation of acute scrotal pain in adults. https://www.uptodate.com/contents/search. Accessed Sept. 24, 2019.
  2. Scrotal pain. Merck Manual Professional Version. https://www.merckmanuals.com/professional/genitourinary-disorders/symptoms-of-genitourinary-disorders/scrotal-pain. Accessed Sept. 24, 2019.
  3. Belanger GV, et al. Diagnosis and surgical management of male pelvic, inguinal, and testicular pain. The Surgical Clinics of North America. 2016; doi: 10.1016/j.suc.2016.02.014
  4. Rottenstreich M, et al. The clinical findings in young adults with acute scrotal pain. The American Journal of Emergency Medicine. 2016; doi:10.1016/j.ajem.2016.06.066.
  5. AskMayoExpert. Scrotal pain (child). Mayo Clinic; 2019.
  6. AAP Committee on Infectious Diseases. Recommendations for prevention and control of influenza in children, 2018-2019. Pediatrics. 2018; doi:10.1542/peds.2018-2367.
  7. Sullivan JE, et al. Fever and antipyretic use in children. Pediatrics. 2011; doi:10.1542/peds.2010-3852.
  8. 201.314 labeling of drug preparations containing salicylates. Electronic Code of Federal Regulations. https://www.ecfr.gov/cgi-bin/text-idx?SID=76be002fc0488562bf61609b21a6b11e&mc=true&node=se21.4.201_1314&rgn=div8. Accessed Sept. 24, 2019.


Chronic Testicular Pain | Nashville Urology

Thousands of men suffer from a serious, disabling condition called chronic testicular pain (CTP). CTP can be intermittent or constant. Most testicular pain is considered chronic if the patient has suffered with it for at least three months. Approximately 25 percent of testicular pain has no known cause and may be CTP.

In some patients, the pain originates in the epididymis, a crescent-shaped organ around the testicle, responsible for sperm transport and storage. This condition can mimic chronic testicular pain.

CTP can interfere with normal, daily living and the ability to work. Anyone who has suffered CTP knows the frustration of going from doctor to doctor trying to find a treatment. Our urologists offer state-of-the-art treatments and are dedicated to helping patients who suffer from CTP so that they can regain their quality of life.

Some testicular pain happens suddenly; other times, it develops slowly. It can also come and go. Sudden testicle pain can be the sign of an emergency and should be treated immediately. All testicular pain should be diagnosed as soon as possible.


Chronic Testicular Pain (CTP) pain can vary from person to person. Some men with CTP have constant pain, while others have pain that goes away and comes back periodically. Some men only have pain during activities, while others only have pain when the testicle is touched or examined. The pain may be in one testicle, in both, or change from side to side. In some men, pain in the epididymis is mistaken for chronic testicular pain.

Men describe the sensations of CTP in many ways. It can feel like burning, aching, pressure, throbbing, heaviness, pulling or a combination. It can also feel like a groin pull. Some men report that their CTP occurs in combination with lower back pain or pain in their upper thighs or legs.

Sexual activity can aggravate the pain. CTP may also worsen when sitting for long periods of time, such as at a desk job or driving a truck. Doing heavy lifting, manual work, or even swinging a golf club may trigger CTP in a person who is prone to it.

The pain and discomfort may be accompanied by:

  • Swelling and redness of the testicles and scrotum
  • Nausea or vomiting
  • Fever
  • Painful or burning urination or penile discharge
  • Pain with intercourse or ejaculation
  • Blood in semen or urine

Causes of Chronic Testicular Pain

Many conditions can cause or result in chronic testicular pain. They range from trauma, to infections of the testicle (called orchitis) or epididymis, where sperm is stored (called epididymitis), to post surgical pain, hernia, torsion (twisting of the testicle), tumor, kidney stones, blockage, varicoceles, spermatoceles, hydroceles, benign cysts and more.

Sometimes, even after testicular pain with a known cause is treated properly, it does not go away, or it comes back, and becomes chronic.

Occasionally CTP will occur following a surgery. For example, a condition known as nerve entrapment can sometimes occur from scar tissue following a hernia repair, resulting in CTP.

Most conditions that cause testicular pain are easily diagnosed and can be treated effectively through medication, surgery and other therapies.

90,000 Lower back pain in men 9,0001

A strong half of humanity may experience pain in the lumbar spine, due to the presence of concomitant diseases or factors that negatively affect human health.

These are all kinds of gadgets that help to reduce the level of activity in life, or vice versa, excessive physical exertion.

Causes of lumbar pain in men (for more details see http://www.reaclinic.ru/service/nevrology/boli-v-spine/)

Common causes of discomfort may include the following:

Protrusion (exit of the nucleus from the vertebral disc with pinching of the nerve roots).
Infectious diseases.
Failure of blood circulation in the spinal cord, stimulating uncomfortable aching sensations.
Ailments of nearby organs.
Curvature and fracture of the spine.
Stretching muscle tissue.
Spondylosis and osteochondrosis.

Lumbar discomfort often occurs due to prolonged abstinence, twisting of the vas deferens, cysts and tumors of the genitourinary system.

Also, pain in the lumbar region can be given to the testicles.This is due to the structural features of the nervous system.

Methods of treatment of ailment

At the moment when the anamnesis is collected and a thorough examination is made, an accurate diagnosis is established. After that, the attending physician prescribes adequate treatment appropriate to the existing case.

The list of events includes:
Pain relieving medications.
Operative way of treatment (intervertebral hernia or purulent focus).
Local anesthesia (gels or ointments).
Wearing a special corset (minimizes stress on the spine).
Exercise therapy.

In the case of a correctly chosen therapy, the pain goes away within a week, and the complete elimination of the disease is within 1.5 months.

In addition to the classical method of treatment, folk remedies are often used.

For example, compresses, rubbing with lilac, red pepper and eucalyptus tinctures.

An effective method of treatment is recognized, and baths with a decoction of mint or mustard powder, and warming up with sand bags, as well as wearing a warming belt made of dog hair.

Depending on the established cause of lower back pain in men, they take herbal decoctions designed to eliminate the focus of inflammation.

It is important not to endure pain, to consult a doctor in a timely manner to reduce the risk of developing an advanced form of the disease and possible complications that affect the appearance of discomfort in the lumbar spine of a man.

Author: Advertising INFPOL.RU

90,000 Pain in the groin, perineum, lower back, testicles – Urology – 12.05.2014


Hello. I am a man, 21 years old.
A month ago, my side ached, drawing pains to the left of the navel to the groin. I went to the doctor, was appointed to do a pelvic ultrasound and tests. Nothing but a hypothetical gallbladder and spleen were found at the upper limits of the norm. The kidneys on ultrasound are normal, the prostate is not enlarged. They said most likely a pinched nerve in the spine.
Several days passed, the pains have changed. To the symptoms was added a burning sensation when urinating, and after. I went to get tested for STDs, took a smear.Answer – The smear is calm, nothing was found. The pains have changed their character.
Every day I feel unwell, and sometimes the nature of the pain changes.
As a result, today I have the following symptoms:
1) Pain in the perineum, testicles, thighs (inner part), behind the knees, in the lower back and slightly below, and in the side are sharp at the level of the navel and below in the left side of the abdomen. Sometimes pain in the pubic area. Pains are often like burning, as if everything were on fire.
2) Pain when urinating and burning. Frequent urge to pee. The jet seems to be good, not intermittent.The nature of the pain changes, sometimes strongly, sometimes weakly. And there is a burning sensation after urination. And sometimes some kind of itching in the urethra. The tip of the penis can be cold. It seems to me that the head has changed over the past 2 weeks, that is, it began to darken around the hole. Showed to the urologist, he said that the lips were just inflamed, tk. sensitive head.
3) Sometimes there are such symptoms: Dizziness and nausea, headaches, it happened that the left leg went numb.
4) There is a Varicocele. There is a referral for an operation.The operation will definitely be done, only in 3-4 weeks. Because now there is no time to go to the hospital. Session, Gosy, Diploma. I asked the doctor and allowed.
5) My temperature did not rise above 37.2. Usually 36.4-37.2. Mostly good – 36.6
My blood pressure is usually around 140-80. Pulse is small all the time 55-68, I think this interval, in a calm state.
Urine tests are good.

I forgot to write. Yesterday I went to the urologist. We touched the prostate. In conclusion: 2×3 cm, tightly elastic, fairly uniform, clear contours, the groove is preserved.That seems to have written everything. Help me please. What can I have? Any suggestions?

Testicular and lower back pain: causes and treatment

Pain in the testicles and lower back can occur in men at any age. Painful sensations can be very strong and accompanied by a gag reflex, hyperhidrosis, and cause psychological discomfort.

Prerequisites for testicular pain

Pain in the testicles can be caused by the manifestation of the following conditions.

  1. Traumatic injury to the scrotum.If a bruise occurs, you need to consult a specialist as soon as possible.
  2. Testicular torsion. The cause of this condition is still unknown, but the consequences for a man can be very serious. In the worst case, the testicle may die off. Doctor’s help in this situation is urgently needed.
  3. Testicular cyst. A cyst can be diagnosed by palpation and as a result of an ultrasound examination. On palpation of the formation, aching pain occurs. The cyst is not dangerous for a man.But if the painful sensations bring discomfort and intensify over time, there are inconveniences when moving, the neoplasm is surgically removed.
  4. An inguinal hernia can cause testicular pain. In this case, you will definitely need a consultation with a surgeon.
  5. Dropsy of the testicle. This disease is associated with the accumulation of serous fluid in the testes. The cause of dropsy, as a rule, is trauma to the scrotum and damage to the lymphoid system in the groin or pelvis.
  6. Varicose veins in the testicle and spermatic cord.The causes of this condition are burdened heredity or excessive pressure in the veins located in the small pelvis. The problem is eliminated by surgical intervention.
  7. Pathology of the kidneys or urinary system, characterized by the appearance of such sensations as severe pain in the lower back and testicles.

Sexual dissatisfaction can also cause testicular pain. In order to prevent it, it is necessary to have a regular sex life.

Pain can be caused by infection

Painful sensations in the testicles can be triggered by the presence of the following pathological phenomena.

    1. Sexually transmitted infections. When infected, testicular pain occurs quite often. In women in such situations, the ovaries hurt. Therapeutic measures are prescribed after the examination and include taking special antibacterial drugs and immunomodulatory agents.
  1. Inflammatory process in the epididymis.It is characterized by such signs as chills, frequent urge to urinate, a sharp rise in body temperature. An important symptom is pain radiating to the lower back. In the presence of such manifestations, the doctor prescribes bed rest and, after examination, determines the necessary treatment.
  2. Orchitis (inflammation of the testicles themselves). This ailment is caused by the mumps virus. In this situation, the testicles swell, the sperm is practically not formed. The patient notes a significant rise in body temperature, while there is a sharp sharp pain.The pain is given to the lower back, perineum and groin. The doctor may prescribe antibacterial drugs, pain relievers, NSAIDs, hormone therapy. Physiotherapeutic methods of treatment are used, bed rest is indicated.
  3. Inflammatory process in the seminal vesicles. The cause of the disease is infection with a purulent infection. Chronic prostatitis and other dangerous infections can lead to inflammation.

Symptoms of the manifestation of diseases and their diagnosis

The pain can be aching, cutting, dull.Painful sensations often intensify with movement, palpation. Pain can occur in the right testicle or in the left, or both. An increase in the local temperature of the diseased organ is possible, while the temperature of the whole body will be normal. Sometimes there is an enlargement of the testicle and hardening of the scrotum. In some cases, patients complain of nausea, vomiting, weakness. An enlarged vein in the scrotum indicates the presence of a serious illness.

On palpation, testicular tuberosity is noted.As a diagnostic measure, the doctor may prescribe:

Spermogram – an important element in the diagnosis of the disease

  • general blood test;
  • general urine analysis;
  • spermogram;
  • ultrasound examination;
  • magnetic resonance imaging;
  • testicular biopsy.

To eliminate pain in the lower back and testicles, you need to clearly know the cause. that caused them. An important point is the prior consultation with an andrologist or urologist.Specialists prescribe the necessary examination and, on the basis of its results, select treatment methods.

To prevent the occurrence of pain, it is recommended to lead a healthy, active lifestyle, adhere to a balanced diet, and use contraceptives during sexual intercourse.

Causes of back pain

Pain caused by displacement of the vertebra

Low back pain does not always radiate to the testicles. Most often in men, it is caused by overexertion, excessive physical exertion, and a prolonged absence of any kind of movement.In any case, seeking advice from a specialist is mandatory.

The causes of pain in the lower back can be different.

  1. Fracture of the spine. It can occur with a stab in the back or a sudden fall to the feet.
  2. Stretching the muscles. It occurs as a result of sudden movements or when lifting weights.
  3. Scoliosis.
  4. Osteochondrosis, in any part of the back. Inevitably leads to pain and congestion in the lower back.
  5. Damage to the discs between the vertebrae.The disease is a consequence of osteochondrosis.
  6. Spondyloarthrosis. The joints between the vertebrae are affected. Moreover, the disease is always chronic.
  7. The appearance of benign and malignant neoplasms, as a result of which pain may occur in the testicles and lower back.
  8. Tuberculous lesion of the spinal column.
  9. Stroke. In this case, in most cases, the lower back aches.
  10. Radiating pain in the right testicle or lower back.Painful sensations can be a consequence of damage to other organs.

The cause of pain in the lumbar spine, accompanied by heaviness in the testicles, may be a disease of the spine or urogenital area. If lower back pain is felt slightly below the ribs, the patient may have renal colic. Stones or sand in the kidneys or bladder can cause pain on one side of the spine or the other.

In case of soreness in the lower back, accompanied by increased body temperature, the cause may be a urological disease.In any case, you must seek the advice of a specialist. It is impossible to delay the diagnosis with such symptoms, since this can lead to unpleasant and rather serious consequences.

90,000 Pain in the testicles and scrotum in men, enlargement, edema, induration – causes and treatment

It is important to start treatment for inflammation of the scrotum in the first 5 days!

It is recommended to see a doctor as soon as the scrotum becomes ill . The same goes for other symptoms – swelling of the scrotum, bumps, lumps inside the scrotum, redness, itching, burning, etc.p.

This is especially important for epididymitis. Treatment should be started within the first 5 days. Otherwise, inflammation very quickly becomes chronic and can lead to male infertility.

Chronic prostatitis and vesiculitis in the absence of adequate treatment for a long time can cause impotence and infertility.

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1. Male inflammation

If pain occurs inside the scrotum itself , then one can suspect such diseases as:

If pain is given to the scrotum , most likely the inflammatory process has arisen in other organs, for example in prostate, urethra, kidneys, etc.e. In such cases, doctors often diagnose:

All these diseases can occur either one at a time or in combination with each other.

Urologists-andrologists (in other words, urologists specializing in the treatment of men) are engaged in the treatment of these problems. . With timely treatment, the listed diseases can be cured without surgery, on an outpatient basis.

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2. Conditions requiring surgical intervention

In such diseases, urologists, as a rule, refer to a urologist-surgeon.In a hospital or clinic, where it is possible to carry out small operations on an outpatient basis:

  • Inguinal hernia
  • Varicocele
  • Hydrocele (hydrocele of the testicle)

3. Conditions requiring urgent care (usually surgical)

For such diseases it is recommended to carry out an urgent operation in a 24-hour hospital:

  • Injury to the scrotum and / or testicle
  • Testicular torsion
  • Hematocele


Seals and bumps in the scrotum are not always signs of cancer. Acute or chronic inflammation is more often diagnosed. Therefore, we recommend that you first visit a urologist-andrologist.

If there is a suspicion of a malignant origin of the changes, the doctor will recommend an additional examination and contact an urologist-oncologist.

90,000 Men back pain: main causes identified

In men, lower back pain that occurs with testicular pain is less common and may indicate a medical condition that requires medical attention.

Medical News Today has compiled a list of possible causes of low back pain, which includes the following conditions.

Lumbar spondylolisthesis (vertebral displacement) can occur due to trauma, repetitive stress on the spine, or with age. Pain occurs when pressure is applied to one of the spinal nerves and can sometimes spread down the testicles or legs.

Urinary tract infections (UTI) can occur due to pathogenic bacteria in the organs of the urinary system: the bladder, kidneys, ureter and urethra.UTIs can cause pain or burning while urinating, and this pain can spread to the testicles.

Severe pain in the lower back or abdomen with fever, nausea, and vomiting is characteristic of a kidney infection.

Epididymitis is an inflammation of the epididymis that stores and transports sperm from the testicles to the vas deferens. May cause pain in the scrotum and testicles that sometimes spreads to other areas of the body, including the groin and lower back or sides.

Low back pain. Source: Illustration

Kidney stones – hard mineral deposits in the kidneys. Can block the flow of urine from the kidneys, causing severe pain in the lower back and sides, which can also spread to the lower abdomen, groin area, and tip of the penis.

Testicular cancer – malignant neoplasms in the testicles. Rarely, lower back pain and testicular pain can be a sign of this cancer.However, sometimes you may feel pain in the testicle, heaviness in the scrotum or lower abdomen.

Earlier MedOboz reported that antiallergic drugs can cause infertility in men.

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Vinogradov I.V., Gabliya M.Yu., Alekseev R.A.

Chronic orchialgia – recurrent or persistent unilateral or bilateral testicular pain that lasts for 3 months and is a significant obstacle to the patient’s normal quality of life.

Much attention has been paid to the analysis of the characteristics and causes of various types of chronic pain, especially chronic low back pain, but orhalgia is mentioned in a few publications.

Patients suffering from orchialgia usually complain of compressive, deep pain in the testicle, often bilateral or arising from one side or the other, intermittent and most often associated with lower back pain. A pain attack usually occurs during physical exertion, long journeys in a car, or sitting without support.

All urologists observe orchialgia caused by the presence of calculi in the middle and lower third of the ureter. Testicular pain in this case can be explained by the contact of the ureter with the genitofemoral nerve at the L4 level.

Radiculitis can also cause reflected orchialgia, although there are no reliable physical signs or studies using imaging methods to confirm this.

Aching pain in the testicle can be caused by reflected pain, due to degenerative injuries of the spine at the L3-S2 level.Other causes of reflected scrotal pain include tunnel neuralgia of the genitofemoral or ilio-inguinal nerves, or tendinitis at the insertion of the inguinal ligament to the pubic tubercle.

The cause of orchalgia may be irritation of the branch of the genitofemoral nerve due to an indirect inguinal hernia, Inflammatory diseases of the scrotum, testicular tumors, hydrocele, spermatocele, varicocele, trauma and surgery in the inguinal region can also cause orchalgia.

Approximately 25% of patients with chronic orchialgia have no obvious cause of pain.

On the clinical basis of the department in 2009, 14 patients with orchalgia syndrome were examined without obvious causes of testicular pain.

In a more in-depth study, 8 patients were diagnosed with lesions of the intervertebral discs of the lumbosacral spine.

Scrotal calculi (confirmed by ultrasound data in 4 patients) with sizes ranging from 4 to 8 mm were revealed in 6 patients when performing scrotal R-graphs.All 6 patients were operated on. A revision of the scrotal organs was performed, and free-moving calculi were revealed within the sheath of the testicle. In the postoperative period, pain syndrome is absent in all operated patients.

Conclusion: Testicular calculi are X-ray positive; therefore, it is advisable for patients with testicular pain to include R-graph of the scrotum in the diagnostic algorithm. With prolonged recurrent orchoalgia, surgical treatment is indicated.

Testicular pain (in testicles)

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Definition :

Testicular pain (testicular pain) occurs in or around one or both testicles.Sometimes the pain actually occurs somewhere higher – in the groin or abdomen, but radiates to the testicle (radiating pain).

Reasons :

Pain in the testicles has a number of possible causes. The testicles are generally very sensitive, and even a minor injury can cause severe discomfort in them, accompanied by sharp soreness. Testicular pain occurs both within the testicle itself and in its epididymis.

Sometimes what is perceived as testicular pain actually begins in the groin, abdomen, or elsewhere (for example, kidney stones and some hernias can simulate scrotal pain).Unfortunately, the true cause of testicular pain cannot always be determined.

What can cause pain in the testicles or scrotum :

  • Diabetic neuropathy (nerve damage caused by diabetes)
  • Side effect of drugs (some antibiotics and chemotherapy drugs)
  • Epididymitis (inflammation of the epididymis)
  • Gangrene (in particular Fournier’s gangrene)
  • Hemorrhagic vasculitis, or Scheinlein-Henoch disease
  • Hydrocele (accumulation of fluid causing swelling of the scrotum)
  • Idiopathic testicular pain (unknown cause)
  • Inguinal hernia
  • Kidney stones
  • Mumps (mumps)
  • Orchitis (inflammation of the testicle)
  • Prostatitis
  • Scrotal elephantiasis
  • Spermatocele (testicular cyst)
  • Injury or contusion of testicles
  • Testicular cancer
  • Testicular torsion ( torsio testis )
  • Undescended testicle (cryptorchidism)
  • Urinary tract infection
  • Varicocele (enlargement of the veins of the scrotum)
  • Vasectomy

Sudden, severe testicular pain can be a sign of testicular torsion ( torsio testis ) – its rotation about its axis, manifested by compression of the nerves and great vessels of the spermatic cord, which can quickly lead to loss of blood supply to the testicle and the development of testicular tissue necrosis.This condition requires immediate treatment, otherwise testicular loss is a very likely scenario. T orsio testis can occur in men of any age, although it is most common in adolescents.

If you are experiencing pain in the scrotum, then follow our advice .

Get immediate medical attention if you have:

  • There was a sudden, severe pain in the testicle
  • Testicular pain accompanied by nausea, fever, chills, or blood in urine

Make an appointment with a urologist if you have:

  • Mild testicular pain lasts longer than a few days
  • Lump or swelling of or around the testicle

Self-help .

These measures will help you to relieve acute testicular pain and to survive until you receive professional medical attention:

  1. Take an over-the-counter pain reliever such as aspirin, ibuprofen, or acetaminophen. (WARNING: Aspirin in children or adolescents is highly discouraged! Although aspirin is approved for children over 3 years old, nevertheless, children and adolescents recovering from chickenpox or flu-like symptoms should avoid taking aspirin.