[markmik]

#4962

40 yr old male. right-sided low back pain for 15 yrs. always a 2-3 on pain scale. 100% exercised induced-goes to 4-5. frustrated being overwgt, but exercise brings to uncomfortable pain. drive 1-3 hrs per day. Right testicle becomes uncomfortable with the increase in exercise and low back pain. Related? Been to chiropracter, pain mgmt, phys medicine, PT with McK. MRI said deg disk disease, annular tear, small disc protrusion. Is there a nerve causing low back pain and the testicular pain? Hesitant of invasive therapy b/c can still function well. Thanks!

[Donald Corenman, MD, DC]

#4963

Axial lower back pain for 15 years, visual analog scale pain of 2 increasing to 5 with exercise is annoying and problematic but not disabling. It appears you have tried many treatments without success. The key to managing lower back pain is core strength and ergonomics (how to move, lift etc..) Core strength will stabilize the back to allow lumbar motion with less stress on the discs. Pilates treatment through a skilled physical therapist would be the next step.

You can try epidural injections as these can be effective for a period of time. Non-steroidal anti-inflammatories can also be effective. Testicular pain can occasionally originate by referral pain from the discs of L4-5 and L5-S1.

Dr. Corenman

[markmik]

#4964

Thank you for your quick response. The PT McKenzie was decently effective. Looks like I just can’t let up on it at all. Really enjoyed all the information on your website. Thanks!

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