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Testicular Pain Stemming From Sacroiliac Joint Dysfunction: A Case Report
Myla Hummel1, Sanketh Kichena1, Jacob Erickson2
1Department of Physical Medicine and Rehabilitation, University of Texas Health Science Center of San Antonio, San Antonio, TX.
Background:
Chronic orchialgia poses a diagnostic challenge as it is largely a diagnosis of exclusion. Rarely, it is linked to spinal etiologies. To date, there has only been one case report attributing orchialgia to sacroiliac joint (SIJ) dysfunction.
Case Report:
This case report presents a 46-year-old man with chronic left orchialgia of 20 years that is improved with SIJ injection. Subsequent L5 dorsal ramus and S1-S3 lateral branch injections and radiofrequency ablation of these branches resolved the patient's symptoms, suggesting that SIJ dysfunction is the origin for his pain.
Conclusions:
This case highlights SIJ dysfunction as an underrecognized cause of chronic orchialgia and emphasizes the importance of considering this etiology on workup and management.
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