Introduction: This case report describes the chiropractic management of a patient with low back and testicular pain.
Case Presentation: A 68-year-old Caucasian male veteran was treated for low back pain and referred testicular pain with spinal manipulative therapy and a Sacro-Occipital Technique (SOT) ischemic muscle release.
Management and Outcome: The outcome measures used to measure the patient’s pain were the Quadruple Visual Analogue Scale (QVAS) and Back Bournemouth Questionnaire (BBQ). At each visit, a Numeric Rating Scale (NRS) was also used to assess daily pain levels. Lumbar spinal manipulation, initially with an adjusting instrument and later using a high-velocity-low-amplitude (HVLA) drop mechanism, was performed along with a muscle release technique to the right iliopsoas. Immediately after the initial visit, the patient reported resolution of testicular pain. After a total of five visits, the patient reported resolution of low back pain and continued absence of testicular pain. The patient returned to the clinic approximately four months after discharge with reoccurrence of the testicular pain. After one additional treatment, the pain was completely resolved.
Conclusion: This patient was treated with spinal manipulation and a Sacro-Occipital Technique (SOT) muscle release. The result was complete resolution of referred testicular and leg pain, as well as a significant reduction in low back pain. Due to the prevalence of chronic idiopathic testicular pain in male patients, further research in the form of case studies and especially randomized control trials is warranted to provide appropriate alternative management for patients who have not found resolution elsewhere.
Author affiliations: SMN: Staff Chiropractor Martinsburg VAMC; Adjunct Clinical Faculty, Palmer College of Chiropractic; RW: Student, Palmer College of Chiropractic
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