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Title: Chronic orchialgia stemming from lumbar disc herniation : a case report and brief review
Authors: Chu, ECP
Wong, AYL 
Issue Date: May-2021
Source: American journal of men's health, May 1, 2021, v. 15, no. 3, p. 1-6
Abstract: Chronic orchialgia can be the result of pathological processes of the scrotal contents or stem from non-intrascrotal structures. Successful pain management depends on identifying the source of localized 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 provided 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.
Keywords: Chiropractic
Discogenic disease
Lumbar disc herniation
Orchialgia
Testicle
Publisher: SAGE Publications
Journal: American journal of men's health 
ISSN: 1557-9883
EISSN: 1557-9891
DOI: 10.1177/15579883211018431
Rights: © The Author(s) 2021
This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
The following publication Chu, E. C. P., & Wong, A. Y. L. (2021). Chronic Orchialgia Stemming From Lumbar Disc Herniation: A Case Report and Brief Review. American Journal of Men's Health, 15(3), 15579883211018431 is available at https://doi.org/10.1177/15579883211018431
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