Right Testicle Pain After Walking: Causes and Solutions

Pain in the right testicle and above the testicle after walking a certain distance?

Sometimes my thighs and buttocks feel sore, but the pain goes away when I sit down or lie down.
This started about a week ago and has recurred since then.

Hong, 10~19 year old female. Ask Date: 2016/08/17

Dr. Chen Jiansheng reply Urology

Based on the symptoms you described, it may be necessary to consider varicocele.

Reply Date: 2016/08/17

More Info

Experiencing right testicle pain after walking can be concerning and may stem from various underlying causes. Given the symptoms you've described, including associated discomfort in the thigh and buttocks, it is essential to consider several potential explanations.

Possible Causes
1. Referred Pain: Often, pain in the testicles can be referred from other areas, such as the lower back or pelvis. Conditions like a herniated disc or sciatica can lead to nerve irritation, causing pain that radiates to the testicular region.

2. Muscle Strain: If you've recently increased your physical activity or changed your walking routine, you might have strained the muscles in your groin or pelvic area. This strain can lead to discomfort in the testicles, especially after prolonged activity.

3. Testicular Conditions: Conditions such as epididymitis (inflammation of the epididymis), orchitis (inflammation of the testicle), or even testicular torsion (a medical emergency) can cause pain. Epididymitis is often associated with discomfort that worsens with activity and may be accompanied by swelling or tenderness.

4. Varicocele: This condition involves enlarged veins within the scrotum and can cause a dull ache or heaviness in the testicle, particularly after physical activity.

5. Inguinal Hernia: An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles. This can lead to pain in the groin and testicular area, especially during activities like walking.

Recommended Solutions
1. Rest and Ice: Initially, it may be beneficial to rest and apply ice to the affected area to reduce inflammation and alleviate pain. Avoiding activities that exacerbate the pain is crucial.

2. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help manage pain and reduce inflammation.

3. Gentle Stretching and Strengthening: If muscle strain is suspected, gentle stretching and strengthening exercises for the pelvic and lower back muscles may help. However, it's essential to avoid any movements that increase pain.

4. Consult a Healthcare Provider: Given that testicular pain can be indicative of various conditions, it is crucial to consult a healthcare provider for a thorough evaluation. They may perform a physical examination, ultrasound, or other diagnostic tests to determine the underlying cause of your symptoms.

5. Avoid Strenuous Activities: Until you have a clearer understanding of the cause of your pain, it may be wise to avoid strenuous activities, including heavy lifting or intense exercise, which could exacerbate your symptoms.

When to Seek Immediate Care
If you experience severe pain, swelling, or any other alarming symptoms such as fever, nausea, or changes in urination, it is essential to seek immediate medical attention. Conditions like testicular torsion require urgent intervention to prevent complications.

Conclusion
In summary, right testicle pain after walking can arise from various causes, ranging from muscular issues to more serious conditions. It is vital to listen to your body and seek medical advice if the pain persists or worsens. Early diagnosis and appropriate treatment can significantly improve outcomes and alleviate discomfort.

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