Testicular pain returned after lifting something heavy scared it might be serious again - #24724

Totally understood your situation, But nothing to worry since your reports are normal which is confirmed by a urologist. For your current pain you can have

1.Punarnava guggulu 1-0-1after food 2.Chandraprabha gulika 2-0-2 after food These two medicines will helps to reduce the inflammation and the vata dosa that is aggravated locally.

PAIN IN B/L TESTIES SOME TIME’S DUE TO INFLAMMATION AND STRAIN ON TESTICULAR NERVES AND LIGAMENTS … BUT YOUR REPORTS ARE NORMAL AND UROLOGIST INVESTIGATE YOU SO DONT PAINK YOU ARE COMPLETELY CURED WITH IN 3 MONTHS TREATMENT…

DIVYA PUNARNAWADI MANDOOR DIVYA CHANDRAPRABHA VATI DIVYA SILAJIT RASYAN VATI=2-2 TAB AFTER MEAL TWICE DAILY

DO KEEGAL EXERCISE (PELVIC FLOOR EXERCISE) REGULARLY… TITILIASANA.VAZRASANA…

WEAR LANGOOT OR FRENCY UNDERWEAR IN WORK TIME…

DNT LIFT HEAVY OBJECTS …

Thank you for sharing based on your history it sounds like that the pain may be due to pelvic floor tension or nerve sensitivity since the reports are normal heavy lifting could have re irritated a nerve or muscle Avoid strain Do gentle pelvic floor stretches warm compresses and continue pelvic floor work If it persists or worsens follow up at urologist Focus on rest exam prep everything is going to be ok

Doing light pelvic floor exercises will really help. Avoid heavy lifting.and going on z wheelers on rough surface roads. Wear appropriate size, a little smaller underwear during the day, Take chandraprabha vati 1-0-1 after food with water Shilajit satva 2drops in the morning before breakfast with milk. Apply mahanarayan oil in testicular area.

Hello Pranav I can understand your concern and thanks for reaching out and sharing a detailed history - thats really helpful.

Based on follwing factors like ✅Normal Reports ✅Episodic testicular pain ✅ Pain aggrevated by prolonged sitting or lifting heavy objects ✅ pain relieving by doing pelvis exercises

We may suspect chronic pelvic pain syndrome Nothing to worry it is not infectious or not due to testicular torsion

👉IT MAY BE DUE TO ✔️ pelvic floor muscle tension ✔️nerve irritation ✔️ Referred pain from back ✔️ triggered due to wrong posture or lifting heavy weights

In cpss, no structural abnormality is there so your ultrasound came normal It is mostly neuromuscular

What you can do ? CONTINUE PELVIC MUSCLE RELAXATION EXERCISES- 1 Reverse kegels 2 stretches that helps- child pose Supine hamstring and hip stretches Practice this for 10 mins daily (even when you dont have pain)

**Practice 5-10 mins mindfulness or guided meditation

**INTERNAL MEDICATION THAT WILL HELP ** 1 Chandraprabha vati 2-0-2 after food twice daily 2 Balaristham 30ml-0-30ml after food daily

**SOS MEDICINE- if pain is more keep mahadhanwanthram gullika 2-2-2 in your mouth

If you ever get- ✅Sudden, severe pain ✅Swelling , redness or high fever ✅Vomiting with pain Rush to ER just to rule out torsion or any other acute issues

You r 19 , healthy and your testucles were cleared of serious causes. What you re expetrencing is common in many young men , often tied to pelvic floor imbalance , nerve tension and posture - not something dangerous

One of my patient’s son also had this problem he was even hesitated to tell his problem just i advised him some exercises and then since may be 9-10 months he didnt had any pain so dont worry

Hope you found this helpful 😊

Regards Dr snehal vidhate

HELLO PRANAV,

You’ve had testicular pain that: -was dull and chronic at first - became acute once(dec 2024) -then resolved, only yo return after lifting something heavy

PROBABLE CAUSES

1) PELVIC FLOOR DYSFUNCTION- HIGHLY LIKELY -the pelvic floor muscles support the bladder, bowel, and reproductive organs - when these muscles are tight, overactive or fatigued, they can refer pain to the testicles or perineum. This often causes- a deep acting, dragging, or burning pain, -pain worsened by sitting, lifting, bowel movements -no obvious swelling or infection, making it hard to diagnose through scans

You mentioned light pelvic floor exercises helped you earlier. This is a strong clue that the pain may be muscular and nerve related.

2) REFERRED PAIN FROM LUMBAR SPINE OR GROIN MUSCLES -lifting awkwardly can strain - lower back muscles, groin, nerves like ilioinguinal or genitofemoral nerve

-These nerve pass through the inguinal canal and can refer pain directly to the testicle, inner thigh, or lower abdomen. -commong in athletic young men or students who sit a lot.

3) SUBCINICAL VARICOCELE OR SPERMATIC CORD TENSION -a varicocele is a dilated vein(like a varicose vein) in the scrotu. -sometimes, even if it’s not a big enough to be diagnosed in a standard ultrasound, it can cause -dull, dragging sensation, worse with standing or physical exertion - relief when lying down

The fact that lifting triggered recurrence hints at pressure buildup in the pelvic veins.

4) CHRONIC ORCHIALGIA/ NEUROPATHIC PAIN -defined as testicular pain> 3 months without identifiable cause -this can become a “central sensitisation” issue, where nerves remain hypersensitive even when no damage is present. -this can triggered again by stress, lifting, or inactivity.

In Ayurveda, your condition points towards a vata imbalance, particularly -APANA VATA governs= elimination, sexual function, testes, bladder, pelvic organs

when disturbed due to- overexertion, improper sitting posture, irregular eating/sleep, suppression of urges(like avoiding urination or defecation) Apana vata gets vitiated, leading to conditions like -vatakundalika= pain/twisting in testicles -shukrashmari= seminal gravel or blockage -gudabhramsha= pelvic muscle laxity - snayugata vata= tendon/muscle-related vata disorder

INTERNALLY START WITH

1) VRIDDHIVADHIKA VATI- 1 tab twice a day after meals with warm water = especially useful in conditions where vata has lodged in the groin or inguinal canal.

2) YOGARAJ GUGGULU- 2 tabs twice daily with lukewarm water = deep acting on muscular tension, pelvic nerve pain or myofascial trigger points(especially good if there’s associated back pain or stiffness)

3) RASNADI GUGGULU- 1 tab twice daily after meals = anti inflammatory, balances vata kapha, if testicular or pelvic pain is worsened after exertion or cold weather

4) SAHACHARADI KASHAYA- 15 ml with water before meals twice daily = nerve related groin/ testicular pain, especially radiating types

5) BRIHATVATA CHINTAMANI RASA- 125 mg with water mixed ghee once in morning = restore nerve strength, used in condition like chronic orchialgia

6) KANCHANAR GUGGULU- 2 tabs twice daily after meals = especially benefits in hidden varicocele or lymphatic congestion in the groin

EXTERNAL APPLICATIONS

1) OIL MASSAGE daily with Sahacharadi taila or prasarini taila =gently massage lower abdomen, inner thighs, and lower back

LIFESTYLE AND DINACHARYA -avoid lifting heat weights, prolonged sitting, and constipation -take warm sitz baths daily with a pinch of rock salt - maintain a regular sleep schedule and avoid excessive screen time

DIET -warm, cooked meals -avoid dry, cold, spicy, or processed foods -include= ghee, milk with turmeric or ashwagandha, cooked moong dal, dates, figs, soaked almonds -avoid caffeine and excessive tea

YOGIC SUPPORT regular, gentle yoga focusing on -pelvic floor release and hip mobility -supta baddha konasana=reclining bound angle pose -viparita karai= legs-up-the-wall-pose - ananda balasana= happy baby pose

PRANAYAM -anulom vilom - bhramari

SEEK IMMEDIATED MEDICAL HELP IG -sudden severe pain - swelling, redness, or fever -testicle feels firm, irregular or pulled up - nausea or vomiting with pain

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

HELLO PRANAV,

you’ve had -normal usg and urine test -pain improved with rest and light pelvic floor pain returned after lifting something heavy. This history suggest that your pain is likely musculoskeletal or nerve related rather than a disease or infection

POSSIBLE DIAGNOSIS -epididymalgia -referred pain from lower back or groin muscles -pelvic floor dysfunction or tension -varicocele - genitofemoral or iliolinguinal nerve irritation

HOW SERIOUS IT IS you’re not describing -sudden severe pain now like torsion -sweeling or rednes -systemic signs like fever or urinary issues That rules out emergencies, which is reassuring

However chronic or recurrent testicular pain still deserves good management-especially to protect your quality of life and focus during exams

MEDICAL RECOMMED -rest and avoid strain= no lifting, squats, or core workouts until pain settles -warm compress= 15 mins a day can relax tense muscles or veins -NSAIDs= if safe fr you, take for short term use of inflammation -pelvic floor relaxation> strengthening = relaxation exercise like deep diaphragmatic breathing or yoga childs pose over kegel as of now -try scrotal support /jockstrap -especialy when walking or sitting Long hours

INTERNALLY TAKE

- ASHWAGANDHA CHURNA= 1 tsp twice daily with warm milk after meals

-GOKSHURA TABLET= 50 mg twice daily after meals

-YOGARAJ GUGGULU= 2 tab twice daily with warm water

-CHANDRAPRABHA VATI= 2 tabs twice daily after meals

-DASHMOOLA TAILA EXTERNAL APPLICATION = around lower abdomen, groin and lower back - 2 times daily for 15 min

DIET -warm, light, grounding foods -avoid cold/raw/fried food -ghee or sesame oil can help calm internal vata -hydrate well-but avoid cold drinks

LIFESTYLE -stretching=hamstrings, hip flexors, lower back -yoga= childs pose, supta badhakonasana, leg up the wall -stress reduction= meditation, box breathing-tress can tighten the pelvic flOOR

THANK YOU

DR. HEMANSHU MEHTA