Protect Your Package - Testicular Pain After Exercise

Silhouette of a man runningExercise can help us reap many benefits. For example, we have better energy levels, we can increase our muscle strength and it can contribute toward maintaining a healthy weight. One way that some choose to reap these benefits is by doing a high intensity or high impact workouts. However, a word of caution is needed. While carrying out this type of exercise it’s important to protect your package.

Some high intensity and high impact exercise can bring on pain and in your groin area. You may experience other symptoms including an increased urgency or frequency to urinate or even difficulties urinating. You could also experience pain during intercourse or constipation. In addition, you may experience some abdominal pain or discomfort.

What should I do if I feel pain in my testicles during or after exercise?

If you experience pain then it’s important that you first rule out any serious causes of the pain. Check to see if they have any lumps or bumps that could indicate a cyst or growth. If there are no lumps but they feel tender then it could be possible that you have an infection such as epididymitis. If they feel squidgy like a bag of worms then you may have a varicocele, which is a varicose vein of the scrotum. During exercise, these can swell and cause discomfort. The best thing to do if you notice pain or discomfort is to make an appointment with your GP to get it checked out.

If you have ruled out any serious causes then it is most likely a musculoskeletal cause such as adductor muscle sprain, strain, pelvic floor muscle injury or spasm. Or it could be a problem related to your posture or body mechanics that is putting your body in positions that put undue strain on your body leading to injury.

How can I reduce the pain?

If you have already visited your GP to rule out any serious causes then there may be a strain or sprain or pelvic floor spasm. Make an appointment with Duffy & Bracken Physical Therapy at Maiden Lane that will help you to restore your pelvic floor muscles.

Wearing breathable cotton underwear that gives good support can help to reduce irritation from sweat and reduce excessive movement.

If you have tight adductor  muscles or your pelvic floor is the cause then the following stretches can help: 

Butterfly Stretch

Sit on the floor with the base of your feet touching. Relax your thighs. You can increase the pressure of this stretch by exerting a gentle downward force on your thighs.

Happy Baby

This is a simple pose that can be used to stretch hip flexors and adductor muscles. On your back, bend your knees lifting your legs off the ground in a position wider than your torso. Gently hold onto your feet and bring your knees towards your armpits. To deepen the stretch you can hold onto your toes and flex your ankles.

Frog Stretch

To do this stretch start in a tabletop position on your hands and knees. Ensure that your hands are directly below your shoulders and your knees are below your hips. Breathe 3 to 5 deep breaths. Engage your core muscles and as you exhale, move your right knee out towards the side. Be careful that you do not force yourself into an uncomfortable position. Keep opening up your hips and turn your feet toward the side. Slowly bring your forearms down and lay your palms flat on the floor and pressed together. Finally, exhale and press your hips backward until you feel a deep stretch. Again you should not feel uncomfortable. Hold the position and breathe deeply 5 to 10 times for 30-60 seconds. 

Piriformis Stretch 

To perform this stretch it’s important to keep your back straight. First, take a hand towel and roll it up into a cylindrical shape. Sit on a firm surface placing your weight on the bones at the lowest point of your posterior. Take the towel and place it behind you resting under your gluteal muscles. Then while contracting your abdominals and relaxing your upper body at the same time, arch your back by pushing your butt back and slightly pushing your chest forward. From this posture, with your feet flat on the floor, lift your right leg and place the ankle on your left knee. Hold for 20 seconds and then repeat. Again this stretch should not hurt.

At Duffy and Bracken Physical Therapy, our specialist team will be able to help with any musculoskeletal causes of your pain and discomfort. Our specialist team has experts in different fields of physical therapy and together we provide the type of treatment you need.

Our Pelvic Floor physical therapists work with you for pelvic pain and urinary/constipation symptoms.

You are assessed for proper mechanics and posture.

We help to improve your movement patterns to eliminate the cause of pain and/or injury.

Make an appointment so that you can continue reaping the benefits of exercising without the pain.

FAQ 

Can exercise cause testicular pain?

Problems with your lower back, hip joint, pubic bone, the adductor muscles on the inside and outside of your thighs and hernias, both inguinal hernias or ‘sports hernias’ can be felt in the testes. If you have any of these problems then you may experience a dull ache. If you have a trapped nerve in the back or groin area then it may cause dull or sharp twinges in your testicles.

Can running cause testicular pain?

Some runners may feel testicular pain when running caused by a varicocele. This is a type of varicose vein inside your scrotum. Varicoceles are genetic. Muscle clenching during running can cause blood flow to back up and the vein can enlarge causing pain.

When should I go to the doctor for testicular pain?

If you experience sudden, severe pain in your testicles then it is advised that you seek emergency medical care. Also if you have experienced trauma to the scrotum and you still have pain or swelling after an hour then you should seek medical help.

Can testicle pain go away on its own?

Depending on the cause of the pain you will need to have some type of treatment or therapy. Once the cause has received medical attention then the pain may improve within 1 to 3 days. In some cases, it may take up to 4 weeks. You can relieve pain by limiting activity until the pain decreases. In some situations, a cold pack can also be applied to the affected area to reduce swelling.