title: [Testicular pain, a diagnostic challenge?].
abstract: Scrotal pain is frequently encountered in practice, as it affects 4 men in 1000, with a peak of incidence between the ages of 45 and 50. After excluding an urological or gastrointestinal cause, referred pain of musculoskeletal origin should be considered, even in the absence of back pain. Described by Dr. Robert Maigne, this referred pain originates from a minor intervertebral dysfunction of the thoracolumbar junction. Imaging of the spine is not helpful. Rather, the diagnosis is made by seeking pain triggered by the mobilization of the lumbar vertebrae; the pinch and roll skin manoeuvre will highlight this referred pain. Treatment is symptomatic, though manual therapies by spine specialists are also recommended.
authors.affiliation: PMU, 1011 Lausanne. christophe.monney@hospvd.ch
authors.forename: Christophe
authors.initials: C
authors.lastname: Monney
authors.affiliation: PMU, 1011 Lausanne.
authors.forename: Annatina
authors.initials: A
authors.lastname: Schnegg
authors.affiliation: PMU, 1011 Lausanne.
authors.forename: Bernard
authors.initials: B
authors.lastname: Favrat
authors.affiliation: PMU, 1011 Lausanne.
authors.forename: Vincent
authors.initials: V
authors.lastname: Amstutz
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D013733:Testicular Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology