title: Low-back pain, leg pain, and chronic idiopathic testicular pain treated with chiropractic care.
abstract: OBJECTIVE
  The purpose of this article is to report the case of a patient who had low-back pain, leg pain, and idiopathic chronic testicular pain and who sought chiropractic care for his low-back and leg pain and received pain relief including his testicular pain.
  
  
  METHODS
  A 36-year-old male patient had low-back pain, right leg pain, and testicular pain that was worsening. All had been present for 5 years. He had been seen by several medical physicians and had lumbar magnetic resonance imaging and x-rays performed. All were read as normal. Examination revealed tenderness of the testicles bilaterally with no masses or other abnormality of the testicles or scrotum. Orthopedic and neurological testing was unremarkable. Tenderness rated 8 out of 10 was noted at the L4 spinous process.
  
  
  METHODS
  The patient was treated with Cox Technic (flexion-distraction) of the lumbar spine, receiving a total of 19 treatments over an 8-week time period.
  
  
  RESULTS
  After 4 weeks, the patient's low-back pain was decreased and his leg pain was gone. The testicular pain was improved after the first treatment and gone after 3 weeks of care. The patient was followed up by telephone at 3 and 6 months after discharge to find out if the testicle pain had returned, which it had not.
  
  
  CONCLUSIONS
  This case was one of chronic idiopathic testicular pain. The patient was treated with the Cox Technic, and his low-back pain improved with complete remission of his leg and testicular pain. The testicular pain had not returned 6 months following his discharge from care.
authors.affiliation: Diagnosis and Radiology Department, Palmer College of Chiropractic, Davenport, IA 52803, USA. robert.rowell@palmer.edu
authors.forename: Robert M
authors.initials: RM
authors.lastname: Rowell
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Rylander
mesh_terms: D000328:Adult; D001415:Back; D059350:Chronic Pain / Q000628:therapy*; D006801:Humans; D007866:Leg; D017116:Low Back Pain / Q000628:therapy*; D008159:Lumbar Vertebrae; D008297:Male; D026882:Manipulation, Chiropractic / Q000379:methods*; D013733:Testicular Diseases / Q000628:therapy*; D013737:Testis