Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 27513
  Title Chronic orchialgia stemming from lumbar disc herniation: A case report and brief review
Journal Asia-Pac Chiropr J. 2023 Apr;3(4):8
Peer Review Yes
Publication Type Case Report

Abstract: Chronic orchialgia can be the result of pathological processes of the scrotal contents or stem from nonintrascrotal structures. Successful pain management depends on identifying the source of localised or referred pain.

This is a case report of a 39-year-old male sports coach who presented with low back pain, right orchialgia, and sciatica refractory to conservative management. Magnetic resonance (MR) imaging revealed disc protrusion at L3/L4 and L4/L5 levels.

Positive outcomes in relieving back and testicular pain were obtained after a total of 30 chiropractic sessions over a 9-week period. The evidence of the subjective improvement was corroborated by regression of the herniated discs documented on the repeat MR imaging. While chronic orchialgia is not an uncommon problem for men of all ages, it has seldom been described in association with lumbar discogenic disease.

The current study provides preliminary support for a link between orchialgia and lumbar disc herniation. Chiropractic manipulation had provided a mechanistic alleviation of noxious lumbar stimuli, leading to symptomatic and functional improvements.

Author keywords: Chiropractic - Discogenic disease - Lumbar disc - Herniation - Orchialgia - Testicle - Men's health 

This abstract is reproduced with the permission of the publisher; click on the above link for free full text. Online access only.


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