Lower Back and Testicle Pain when Sitting: Middle-Aged Men Problems

lower back and testicle pain when sitting

There is a surprising fact that we found in some forums about lower back and testicle pain when sitting.

This is actually one thing that seized so much attention. Lower back and testicle pain when sitting is almost experienced by middle-aged men.

Do a brief search, and we bet you will get the same result.

As we know, back pain is a fairly common complaint suffered by many people, especially those who are active. The pain could spread radiating from the upper body along the spine, the area of the abdomen, or lower body such as the hips and thighs.

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A short explanation about lower back pain and testicle pain

Generally, lower back pain can be felt along the spine towards the tailbone. Sometimes comes and goes and tends to worsen at night.

First of all, you should not be worry too much. Almost all kinds of back pain are generally influenced by posture and physical activity.

Daily activities such as push, pull, lift weights, standing, or sitting with a slouched position for a long time, are the biggest reasons.

It also can be caused by a muscle sprain or strain, excessive exercise, and abnormalities of the spine.

However, there are several chronic conditions that can cause back pain along with a testicle pain, such as; epididymitis, epididymal cysts, hernia, inguinal, orchitis, twisted testicles, urinary tract infection (UTI), urinary tract stones, testicular cancer, and lumbar spondylolisthesis.

Possible causes (rare cases) of testicle pain which has symptoms associated with lower back pain include:

1. Epididymis Cysts

This condition occurs because of the bulge that filled with fluid in the epididymis ducts. While experiencing early epididymis cysts, the patient often does not feel it. It appears when its size is already larger, like wisps of soft at the top or bottom of the testicle.

2. Epididymitis

A condition in which there is inflammation of the epididymis that can cause swelling in the scrotum. This condition causes the entire scrotum to become red.

In some cases, Epididymitis is caused by bacteria, the same as sexually transmitted diseases. When the testicles are also infected, then the condition is called epididymal-orchitis.

3. Diabetic neuropathy

This condition occurs when the testicle pain caused by nerve damage due to diabetes. As mentioned above, certain nerves the problem could be a trigger that causing you to feel low back pain radiating towards the testicle area.

4. Hydrocele

A hydrocele is an inhibit fluid around the testicle, which is generally painless and harmless. However, this fluid buildup can make the scrotum to swell up and cause discomfort.

5. Inguinal hernia

This type of hernia occurred when part of the intestine came out of the abdominal cavity through the abdominal wall under the direction around the genitals.

This makes the appearance of lumps on the scrotum, causing the scrotum to become enlarged and feel hurt or burning.

6. Kidney stones

Symptoms of a kidney stone that usually occurs are tremendous pain (urinary colic) which come and go and usually moves from the lower side of the back (flank) to the bottom of the belly (abdomen).

Other common kidney stone symptoms, including pain in the lower right or left-back, thigh, groin, and the genital area.

7. Inflammation of the testicles or orchitis

Orchitis is an inflammation or acute inflammatory on the testicles which usually occurs as a secondary reaction of infections in other parts of the body.

Orchitis can be triggered either by a virus or bacteria.

8. A urinary tract infection

Urinary tract infection (UTI) is a condition when the organs are included in the urinary system, i.e., kidneys, ureters, bladder, and urethra, suffered an infection.

In people with urinary tract infection, there are several additional symptoms like low back pain and pelvic pain.

9. Testicular cancer

Although testicular cancer is quite rare, this condition is most experienced in men ages ranging from 20-39 years, Medlineplus.com plus said.

Even though most lumps and swelling in the testicles is not necessarily the sign of cancer, the emergence of such symptoms should still be wary.

In many cases, the lump on a testicle occurs due to swelling of the veins or varicocele.
If not immediately treated, testicular cancer can spread to other parts of the body (metastatic).

When this condition occurs, then the other symptoms will also appear. Typically, testicular cancer will spread to the lymph nodes and then can spread to the abdomen or stomach, and lungs.

This cancer can also spread to the liver, bones, organs, and brain, though rarely occur.

Symptoms of metastatic cancer, among others, are:

  • The cough that lasts a long time, accompanied by blood.
  • Swelling or enlargement of the male breast.
  • Shortness of breath and sore lower back.
  • A lump or swelling of the neck section.
  • Shortness of breath.

However, testicular cancer needs a complicated diagnosis and stages.

10. Lumbar spondylolisthesis

Spondylolisthesis refers to a condition when there are one or more vertebrae slips and cannot maintain their proper position.

Lumbar spondylolisthesis often occurs in the lower part of the spine. The condition can occur due to damages, heavy and repeated spine activities, or general wear and tear as a person gets older.

If the misplaced vertebrae put pressure on one of the spinal nerves, it generates lower back pain and can sometimes radiate down to the testicles or legs.

These indications may raise when a person is sitting or leaning forward.

Testicle pain and lower back when sitting could be related in some complicated ways

In either case, testicular pain and low back pain should be evaluated by different specialists. Urologists will be taking care of the testicle pain symptoms, as well as a physical therapist for the back pain.

To ensure the diagnosis, doctors need to do a medical interview followed by direct physical examination. Besides supporting the appropriate checks such as blood tests, x-rays of the spine, ultrasound, CT scan of the spine, and MRI of the spine is also required.

In many cases, testicular pain is the main symptom associated with lower back pain

A healthy testicle should be noticeably smooth without bulge or swelling. Because the testicle is highly sensitive, just a little bit of disruption can cause discomfort or pain in the testicles.

Moreover, the pain could be associated with a previous back injury. Certain nerves affect the back, causing you to feel pain in other areas. In this case, testicle.

The pain frequently can be started from within the testicle itself or from the tissues behind it, known as the epididymis.

Testicle pain is inevitably irritating

Usually, we often perceived lower back and testicle pain when sitting by the time the testicle touching the seat.

However, it also can be felt while lifting objects, walking, or at the time of urination.

We all agree that the most annoying thing about testicle pain when sitting is while we were driving a car or while working on the desk.

Things to do when having lower back and testicle pain when sitting

In summary, you can find a doctor or a physical therapist for a more accurate examination related to back pain. And see a urologist if you’re worried about testicular pain.

Generally, light pain in the testicles is not so severe, and it can be handled temporarily by medication, such as ibuprofen, aspirin, or paracetamol.

However, if the pain does not subside for a few days, recurring pain, or swelling in the testicles and surrounding areas, we recommend that you check with your doctor immediately.

Don’t ignore the pain that appears suddenly and severe testicular pain which accompanied by fever, nausea, or the presence of blood in the urine.


  • NCBI: Low back pain in older adults: risk factors, management options, and future directions. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5395891/
  • MedlinePlus: Testicular Cancer. https://medlineplus.gov/testicularcancer.html
  • Orthoinfo: https://orthoinfo.aaos.org/en/diseases–conditions/spondylolysis-and-spondylolisthesis