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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Testicular Pain While On Therapy After Decompresive Laminotomies, Medical Facetecomy And Aminotomy?

Had a left L4-S1 and L4-5 decompresive hemi laminotomies, medical facetecomy and foraminotomy as well as an L5-S1 diskectomy 4 months ago. Was in an accident 8 weeks ago. Began physical therapy 3 weeks ago. Since beginning pt, have been having sever testicular pain, primarily in left testicle but does go to the right after activity. Should I go to the emergency room?
Mon, 25 Jan 2016
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General Surgeon 's  Response
Hi Dear!!Thanks for your query to HCM.
Read your query and understood your health concern.I feel concerned about your health issues.
Based on facts of you query, you seem to suffer from-
Conus Medullaris compression injury before and after accidental event.
The testicular pain seems to be from L1 compression which lie outermost in conus medullaris compression syndrome- which you had before / after accidental events.
CT scan with contrast of the lower spine from L1 till S-1 would fix its cause.
second opinion from Orthopedic surgeon would resolve its exact cause and treatment accordingly.

Hope this reply would help you to plan further treatment with your doctors there.

Welcome for further query in this regard if any.
Good Day!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Testicular Pain While On Therapy After Decompresive Laminotomies, Medical Facetecomy And Aminotomy?

Hi Dear!!Thanks for your query to HCM. Read your query and understood your health concern.I feel concerned about your health issues. Based on facts of you query, you seem to suffer from- Conus Medullaris compression injury before and after accidental event. The testicular pain seems to be from L1 compression which lie outermost in conus medullaris compression syndrome- which you had before / after accidental events. CT scan with contrast of the lower spine from L1 till S-1 would fix its cause. second opinion from Orthopedic surgeon would resolve its exact cause and treatment accordingly. Hope this reply would help you to plan further treatment with your doctors there. Welcome for further query in this regard if any. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS