Testicular Pain

testicular pain Missouri City

Not only is testicular pain a sensitive topic, it’s also a sensitive area to treat. Regardless if experienced as a one-off event or something that has been lingering for quite some time, it’s an issue that isn’t meant to be taken lightly. Testicular pain can be caused from a variety of reasons, including trauma or medical health conditions, and medical help is required to help relieve the pain symptoms as well as ensure that there isn’t a more serious issue at hand. The Texas Pain Care team in the Sugar Land, Missouri City and Houston areas is here to help comfortably provide a proper diagnosis and the best treatment to provide relief as well manage any underlying issues. Get relief from testicular pain in Missouri City.

What is Testicular Pain?

Testicular pain can affect anyone with testicles, at any age. Testicles are egg-shaped reproductive organs that are located inside the scrotum behind the penis. Most people assigned male at birth have two testicles, and pain can be felt in either or both. While pain can originate and be felt in the testes, there are instances where the pain can be coming from another part of the body, such as the groin or stomach. This is called referred pain. 

Pain can be described as acute or chronic. Acute pain means that it develops suddenly and doesn’t last very long. Chronic refers to pain that gradually increases and lasts for a significant amount of time. Due to the fact that the testes have many sensitive nerves, the pain can be severe. Most often, the pain is reported as sharp and shooting, or a constant and dull ache. 

It is not normal to experience pain in the testicles. While temporary pain can be expected after a traumatic event, any pain that lasts longer than an hour would require immediate attention as there is a need to ensure there isn’t a larger medical issue causing the pain. 

What Causes Testicular Pain?

There are many reasons why a person might experience testicular pain, the most often being trauma, which usually happens during physical or sports-related activity in younger men. This type of pain is usually temporary. 

Infections are the next most common cause of testicular pain. The most prevalent is epididymitis, which is an infection or inflammation of the epididymis (the duct through which sperm passes). This is generally caused by STDs or an enlarged prostate. Most patients who have epididymitis report a scrotum that swells and feels hot to the touch. The infection can last for weeks. Additional symptoms can include fever, vomiting, painful urination and painful intercourse. If left untreated, this condition could lead to orchitis, which can also be caused by the mumps virus.

An example of referred pain is an inguinal (groin) hernia. This happens when a part of the intestine pushes through a weak park of the abdominal muscle near the groin. Symptoms include pain and bulging in the groin and scrotum that is worse with heavy lifting. 

Less common causes of testicular pain include diabetic neuropathy, kidney stones, UTI, testicular cancer, mumps, scrotal masses and more. 

When is Testicular Pain Serious?

While all causes of testicular pain can be described as incredibly painful, there are a couple instances where the pain requires immediate medical attention. The first is testicular torsion, which happens when the spermatic cord, which provides blood flow to the testicle, rotates and becomes twisted. Severe pain, vomiting and swelling can be experienced, and immediate care is required to save the testicle. The other option is testicular rupture, usually caused by trauma to the testicles, which requires surgical intervention. 

Again, if pain is felt for longer than an hour, or the pain is unbearable and due to an acute traumatic injury, it’s important to seek the help of a medical professional right away. 

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What are the Best Treatments for Testicular Pain?

The best and most effective way to treat any form of testicular pain is to partner with a trained pain management specialist who can properly diagnose and treat all testicular pain conditions. It’s especially helpful for the provider to be able to treat the cause of the pain as well as the symptoms, so the patient can get out of pain as quickly as possible. 

The most common treatment options include: 

Comfort measures: ice is a great tool to help the sudden instance of testicle pain.

Medications: over-the-counter, prescription (including antidepressants) and antibiotics (if infection is present) have proven to be helpful for relieving inflammation and pain.

Acupuncture: this alternative therapy method has proven helpful for reducing chronic pain in the epididymis, reducing scrotal swelling.

Biofeedback: helping patients to recognize and control the body’s processes allows them to control and manage their own perception of pain.

Nerve block: if testicular pain is being caused by a neuropathic issue, a nerve block has proven helpful in keeping the brain from receiving the pain sensations, thereby reducing the feeling of pain. This has been particularly helpful for patients who are dealing with chronic testicular pain.

Spinal cord stimulation: a great option for patients who haven’t found pain relief with the aforementioned conservative methods, spinal cord stimulation (SCS) is a minimally-invasive technique that introduces an electrical current into the epidural space near the source of the chronic pain impulses, essentially replacing the feeling of pain with a mild tingling or buzzing sensation.

Surgery: most often used when all other pain management tactics haven’t provided long-term or sufficient relief, surgical options, which include Spermatic cord denervation and a reversal of vasectomy have been able to provide patients with relief.

While there are many instances where testicular pain can resolve itself in a relatively quick period of time and by utilizing at-home methods, there are times when it’s imperative to reach out for help. If you are suffering from severe or sudden pain, or the pain has gotten worse over time even with using over-the-counter medications and making lifestyle changes, it’s in your best interest to partner with a pain management specialist who can both treat your testicular pain as well as either ensure that there isn’t a larger and more serious medical issue happening or who can treat said medical issue. The Texas Pain Care team in the Sugar Land, Missouri City and Houston areas knows this is a sensitive part of the body to both talk about and treat, which is why all measures are taken to provide the most comfortable and effective care possible. Please schedule an appointment today. 


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