Chronic Orchialgia Stemming From Lumbar Disc Herniation: A Case Report and Brief Review
| Autor: | Arnold Y.L. Wong, Eric Chun Pu Chu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Health (social science) chiropractic 030232 urology & nephrology Case Report discogenic disease Intervertebral Disc Degeneration testicle lumbar disc herniation 03 medical and health sciences 0302 clinical medicine Humans Medicine DISCOGENIC DISEASE Pathological Orchialgia Lumbar Vertebrae orchialgia business.industry Public Health Environmental and Occupational Health Pain management medicine.disease Chiropractic Magnetic Resonance Imaging Surgery Lumbar disc herniation business Low Back Pain Intervertebral Disc Displacement 030217 neurology & neurosurgery |
| Zdroj: | American Journal of Men's Health, Vol 15 (2021) American Journal of Men's Health |
| ISSN: | 1557-9891 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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