Chronic Testicular Pain: Causes & Physical Therapy Treatment

is chronic testicular pain serious
Dr. Garrett Stroup. Physical Therapist in Roseburg Area.


Dr. Garrett C. Stroup

DPT, VRC - Owner and Founder

We help athletes and active adults regain control of their injury without expensive surgeries or medications, so they can keep going.


Chronic testicular pain is a condition that silently affects a significant portion of the male population, diminishing their quality of life. Unlike acute pain that may result from a clear injury or a temporary condition, chronic testicular pain exists, often without a straightforward diagnosis. Understanding this condition is crucial, not only for those directly suffering but also for healthcare providers and caregivers. 

This blog aims to explore the causes, symptoms, and, most importantly, the treatments available for chronic testicular pain, with a particular focus on physical therapy interventions. By diving deep into this topic, we aim to offer hope and practical solutions for those seeking complete pain relief from this persistent ailment.

What Is Chronic Testicular Pain?

Chronic testicular pain (CTP) is defined as intermittent or persistent pain in the testicles lasting for three months or more, often without a clear trigger. This condition affects a significant number of men, leading about 100,000 men in the United States to seek medical attention each year. The pain can vary in intensity, from mild to severe, interfering with daily activities and overall well-being. It can be localized or radiated to the groin, abdomen, or legs, further complicating the patient’s experience.

The complexity of CTP lies in its diverse causes and manifestations, making it crucial for affected individuals to seek medical advice. The pursuit of effective treatment options, including physical therapy, has offered hope and relief to many.

Testicular Pain Risk Factors

Lifestyle Factors

The choices we make daily, from our diet to our bad habits like smoking and excessive alcohol consumption, can significantly impact our health. This includes the risk of developing chronic testicular pain. These lifestyle factors can contribute to conditions that, in turn, can lead to pain.

Physical Activities

Certain physical activities and sports that involve heavy lifting or the risk of injury to the groin area can increase the likelihood of chronic testicular pain. It’s essential to understand the balance between staying active and protecting one’s health.

Age And Health Conditions

Age plays a crucial role in the risk of developing chronic testicular pain, with most males experiencing testicular pain being in their mid to late 30s. However, according to research, the disorder can occur at any age, from adolescent to elderly, indicating that while older men may be more susceptible, younger individuals are not immune. 

Additionally, pre-existing health conditions such as diabetes or infections can increase this risk, highlighting the importance of managing overall health across all age groups.

Causes Of Chronic Testicular Pain

Causes Of Chronic Testicular Pain

Understanding the root causes of chronic testicular pain is important for effective treatment. These causes can be broadly categorized into physical and non-physical factors.

Physical Causes


A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins that can occur in the legs. This condition can cause not only discomfort but also a feeling of heaviness that worsens over the course of the day. It’s one of the leading physical contributors to chronic testicular pain.

Kidney Stones

Though not directly related to the testicles, the pain signals from kidney stones can radiate into the groin area, imitating testicular pain. This referred pain is significant because it can lead to a misdiagnosis if the possibility of kidney stones is not considered.


An inguinal hernia occurs when tissue, such as part of the intestine, extends through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when coughing, bending over, or lifting heavy objects. This can affect the groin area, leading to chronic pain.

Non-Physical Causes

Psychological Factors

Stress and anxiety can have a profound impact on our physical health, including causing or worsening chronic testicular pain and other forms of genital pain. The mind-body connection plays a crucial role in pain perception, and psychological distress can manifest physically, often without a clear physical cause.

Chronic Pelvic Pain Syndrome

This syndrome is a type of chronic prostatitis (prostate inflammation) but can affect the area around the testicles, leading to chronic discomfort and pain. It’s a complex condition that can be influenced by both physical and psychological factors.

Symptoms Of Chronic Testicular Pain

The symptoms accompanying chronic testicular pain can differ widely, making diagnosis and treatment challenging. Recognizing these symptoms is the first step toward seeking relief.


The most obvious symptom, pain, can range from a dull ache to sharp and piercing. It may be constant or intermittent, affecting one or both testicles.


In some cases, especially if the pain is due to injury, bruising around the scrotum can be observed.

Nausea And Vomiting

Severe pain from conditions like kidney stones can also cause nausea and vomiting, indicating the need for immediate medical attention.


Swelling in the scrotum can indicate an underlying issue such as an infection or varicocele.


A fever accompanying testicular pain could signify an infection, such as epididymitis or orchitis, requiring prompt medical intervention.

Problems Urinating

Difficulty or pain while urinating can be associated with kidney stones or urinary tract infections, which can contribute to chronic testicular discomfort.

This comprehensive look at the symptoms of chronic testicular pain highlights the condition’s complexity and the importance of a thorough medical evaluation for accurate diagnosis and a detailed discussion of treatment options.

Physical Therapy Treatment For Chronic Testicular Pain

Physical therapy plays an important role in managing chronic testicular pain, offering non-invasive methods to relieve pain and restore function. Here are some key exercises and treatments used in physical therapy:

Pelvic Floor Muscle Relaxation Exercises

Tight pelvic floor muscles can contribute to chronic testicular pain. Testicular pain relief exercises designed to release tension in these muscles can significantly reduce discomfort.

Hamstring Stretches

Tight hamstrings can worsen pelvic floor tension, leading to increased pelvic floor pain. Gentle stretching exercises can help relieve this tension, offering relief.

Hip Flexor Stretches

Similar to hamstring stretches, stretching the hip flexors can reduce strain on the pelvic floor, reducing pain in the process.

Adductor Stretches

The adductors, or inner thigh muscles, play a crucial role in pelvic stability. Stretching these muscles can help in managing chronic testicular pain by reducing unnecessary stress on the pelvic area.

Core Strengthening Exercises

A strong core supports the pelvis and can prevent the worsening of pain. Core strengthening exercises are an integral part of physical therapy treatments for chronic testicular pain.

Yoga And Pilates

Both yoga and Pilates emphasize mind-body connection, flexibility, and core strength, making them beneficial for individuals experiencing chronic testicular pain. These practices also focus on relaxation and stress management, which can be particularly helpful for those whose pain is influenced by psychological factors.

Tailored Physical Therapy

Each individual’s experience with chronic testicular pain is unique, requiring a customized approach to physical therapy. Tailored treatments might include a combination of manual therapy, specific exercises, and modalities such as heat or cold therapy to address the patient’s specific needs.

Education And Lifestyle Changes

Education And Lifestyle Changes

In addition to physical therapy, education about the condition and making certain lifestyle changes can play a significant role in managing chronic testicular pain. Understanding the factors that contribute to pain and how to avoid them can empower individuals to take control of their symptoms. Lifestyle modifications, such as adopting a healthy diet, practicing stress-reduction techniques, and avoiding activities that worsen the pain, are essential components of a comprehensive treatment plan.

By combining physical therapy interventions with informed lifestyle choices, individuals suffering from chronic testicular pain can find significant relief and improvement in their quality of life. This holistic approach addresses not only the physical symptoms but also the psychological aspects of chronic pain, offering a path toward recovery and well-being.

Ways To Prevent Chronic Testicular Pain

While not all cases of chronic testicular pain can be prevented, adopting certain habits and precautions can significantly reduce the risk. Here are practical steps to minimize the likelihood of experiencing chronic testicular pain:

Wear Proper Support

During physical activity, wearing supportive underwear can help stabilize the testicles and reduce the risk of injury or strain that could lead to chronic pain.

Maintain Good Hygiene

Practicing good hygiene reduces the risk of infections that can cause or worsen testicular pain. Regular bathing and keeping the groin area clean and dry are essential preventive measures.

Practice Safe Sex

Protecting oneself against sexually transmitted infections (STIs) by practicing safe sexual intercourse is important, as STIs can lead to conditions like epididymitis, which can cause chronic testicular pain.

Manage Stress

High stress levels can negatively affect the body in various ways, including contributing to chronic pain conditions. Incorporating stress management techniques such as meditation, deep breathing exercises, or yoga can help reduce the impact of stress on the body.

Regular Exercise

Engaging in regular, moderate exercise helps maintain overall health and can prevent conditions that may lead to chronic testicular pain. However, it’s important to avoid activities that put excessive strain on the groin area.

Avoid Heavy Lifting

When lifting heavy objects, using proper form and avoiding excessive strain can prevent injuries that may result in chronic testicular pain. If heavy lifting is unavoidable, consider using supportive gear and techniques that minimize groin strain.

Regular Medical Check-Ups

Routine health screenings, physical examinations, and check-ups can help identify and address potential health issues before they lead to chronic pain. Discussing any concerns about testicular discomfort with a healthcare provider early on is key to prevention and initial treatment. Knowing who to see for testicular pain, such as your primary care physician or a specialist in urology, is crucial for receiving the right care and guidance.

Healthy Lifestyle Habits

Adopting a healthy lifestyle, including a balanced diet, sufficient sleep, and hydration, supports overall well-being and can help prevent a range of health issues, including chronic testicular pain.


Chronic testicular pain can be a challenging condition, affecting every aspect of an individual’s life. However, understanding the causes, recognizing the symptoms, and knowing the available treatments and preventive measures can empower those affected to seek the help they need. Physical therapy, combined with lifestyle changes and education, offers a promising path to relief for many sufferers. If you’re experiencing persistent testicular pain, it’s crucial to consult a medical professional who can guide you toward the most appropriate treatment based on your specific situation.

Are you suffering from chronic scrotal content pain? Consider physical therapy Roseburg, Oregon, as an effective, low-risk therapeutic option. Contact Oregon Mobile Physical Therapy today to schedule an evaluation and start your journey towards pain relief and improved quality of life.


How do you deal with testicular pain?

Dealing with testicular pain involves a combination of immediate self-care measures, such as rest and applying cold packs, followed by seeking medical advice to determine the underlying cause. Physical therapy exercises, medication, or, in some cases, surgery may be recommended based on the diagnosis.

Is chronic testicular pain serious?

While chronic testicular pain itself may not always indicate a serious underlying condition, it can significantly impact the quality of life and may sometimes be a symptom of a more severe health issue. Therefore, it’s essential to take constant pain seriously and seek medical professional evaluation.

Is there a cure for testicle pain?

The possibility of curing testicle pain depends on its cause. Many conditions leading to testicular pain can be effectively treated or managed with the right approach, including medication, conservative treatment, and lifestyle adjustments. In some cases, surgical treatment may be necessary to address the underlying issue.

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