![]() This may result in bulging of the abdominal structures, thereby compressing the genitofemoral and ilioinguinal nerves. ![]() First, an imbalance between the abdominal and hip adductor muscles results in a weakening of the posterior wall of the inguinal canal. There appear to be three different pathoanatomic mechanisms for genitofemoral, ilioinguinal, and/or iliohypogastric nerve entrapment. Finally, physical compression of the nerve(s) may not be appreciated upon imaging, but instead, observed during surgical exploration. Genitofemoral and ilioinguinal nerve entrapment or injury is more common following herniorrhaphy. In cases where nerve entrapment is suspected, several factors must be considered. Idiopathic ilioinguinal nerve entrapment is rare. ![]() spermatocele, varicocele, trauma, epididymitis, and tumor), trauma, sports hernia, low back injury, post-vasectomy syndrome, prostatitis, pelvic floor dysfunction, and nerve entrapment. Potential causes include structural disorders (i.e. In up to 50% of cases, the exact cause of chronic testicular pain is undetermined. Approximately 100,000 men per year experience testicular and groin pain. While patients primarily experience testicular pain, pain external to the testicle can be noted along the spermatic cord, groin, suprapubic region, flank, abdomen, and perineum. ![]() By combining sacroiliac joint osteopathic manipulation, iliopsoas stretching, and soft tissue mobilization utilizing a vacuum suction cup, the patient was symptom-free on the fourth visit after suffering from testicular pain for a year. At a one-year follow-up, the patient remains pain-free.Ĭhronic testicular pain, or orchialgia, is defined as intermittent scrotal pain of a three-month duration that significantly affects the patient’s function. In approximately 50% of the cases, the cause of pain is undetermined. Patients with testicular and inguinal pain may undergo extensive workup that overlooks potential neuropathic and musculoskeletal causes remote to the testicle. This case study describes the application of a conservative treatment program targeting presumptive chronic genitofemoral and/or ilioinguinal nerve entrapment along the course of the inguinal canal for the treatment of chronic testicular pain. The diagnostic differential is extensive and can be seen as a diagnosis of exclusion after structural disorders specific to the testicle are ruled out. Chronic testicular pain is a condition commonly experienced by males. Potential causes of testicular pain can be pathology localized within the testicle or referred pain from surrounding tissues or spinal conditions. ![]()
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