Anterior testicular pain is pain that is experienced in the front of the testicle. Unless there is local tissue damage (ie torsion, varicocele, etc) more likely than not the damage is related to dysfunction along the path of the nerves that feed the front of the testicle. Nerves are like two year olds. They pitch a fit unless they get what they want: motion, blood, and space.

The nerves that feed the anterior testicle come from the mid-back, or thoracolumbar junction. They run from this junction along with either the abdominal muscles or through and along one of the hip flexors. They run along these muscles until they get to the groin when they enter the spermatic cord, then they travel down the spermatic cord to the testicle and innervate the front portion of the testicle.

If you want to learn more about this anatomy you can see it in a video here. 

If, after a full men’s health physical therapy assessment, it becomes clear that this is the source of your anterior testicular pain, restoring normal electrical, chemical, and mechanical function of the associated tissues will be the main priority to eliminate your pain. 

Often men dealing with this pain have been dealing with it for a long time. Those men may be wondering whether or not after several months or several years, there is any hope for this pain to be alleviated. The short answer: yes. The slightly longer answer: yes, but the pain may need to be managed. Oftentimes if these tissues are in dysfunction for a long period of time it is because they are stuck in dysfunction, not because they are progressively degenerating. So, as soon as you are willing and able, locate a skilled Men’s Health physical therapist. and start getting the help you need to alleviate your symptoms.

If you are not sure where to start feel free to reach out here and ask any questions you may have. 

Soli Deo Gloria,

Todd Rundell, Doctor of Physical Therapy

Men’s health specialist

P.S. 

At Renewal Physical Therapy we want to give our patients the tools to take care of their body so they can spend less on medical professionals and more on the rest of their lives. The first step in this process is making sure our patients are well educated. We are happy to answer your questions or to send you more material to help you better understand your condition.