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Neurology (Expert Forum)
Burning down legs/testicle pain
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Burning down legs/testicle pain
by Greg, May 04, 2000 12:00AM
Hello,
One year ago I had varicocele repair to alleviate pain in my right testicle. The repair was successful but pain has persisted in the testicle and now I've gotten a burning pain down both legs, front and back. It was suggested by my urologist to check my back. I had an MRI which revealed a central herniation at L4/5 and a bulge at L5/S1. Neurologist doesn't think pain is related but I had 2 ESI's done anyway after trying all conservative treatment: anti-inflammatories, PT, elavil, neurontin etc. Pain is still bad. I am at the end of my rope. What else could be causing this leg burning and testicle pain?
On doctor suggested a herpes test?! Neither I nor my wife have ever showed signs of herpes.
One year ago I had varicocele repair to alleviate pain in my right testicle. The repair was successful but pain has persisted in the testicle and now I've gotten a burning pain down both legs, front and back. It was suggested by my urologist to check my back. I had an MRI which revealed a central herniation at L4/5 and a bulge at L5/S1. Neurologist doesn't think pain is related but I had 2 ESI's done anyway after trying all conservative treatment: anti-inflammatories, PT, elavil, neurontin etc. Pain is still bad. I am at the end of my rope. What else could be causing this leg burning and testicle pain?
On doctor suggested a herpes test?! Neither I nor my wife have ever showed signs of herpes.
Doctor's Answer
by CCF Neuro[P] MD, RPS, May 04, 2000 12:00AM
Dear Greg:
From what I am gathering, the MRI doesn't show any compromise of the cord sac or foramenal changes. Most of the time, when we see this picture the pain is not caused by the spinal column. However, that doesn't mean it can't happen. Does the pain worsen with coughing? All the blood work, B12, folate level all normal? From a neurological stand point, the pain down your legs should be L2-S1, and since it is bilateral, it should involve the roots in the cord. The testicle pain is likely from the sacral plexus or the testicle itself. So, it is from two distinct areas. I am assuming that your urologist has rule out anything going on in the testicle? It is unusual for pain to run down both sides of the legs bilaterally. Herpes is a thought, but remote. It wouldn't be a bad idea just to rule it out.
I am really sorry, but the generalized symptoms do not really trigger anything that I know of.
Sincerely,
CCF Neuro MD
From what I am gathering, the MRI doesn't show any compromise of the cord sac or foramenal changes. Most of the time, when we see this picture the pain is not caused by the spinal column. However, that doesn't mean it can't happen. Does the pain worsen with coughing? All the blood work, B12, folate level all normal? From a neurological stand point, the pain down your legs should be L2-S1, and since it is bilateral, it should involve the roots in the cord. The testicle pain is likely from the sacral plexus or the testicle itself. So, it is from two distinct areas. I am assuming that your urologist has rule out anything going on in the testicle? It is unusual for pain to run down both sides of the legs bilaterally. Herpes is a thought, but remote. It wouldn't be a bad idea just to rule it out.
I am really sorry, but the generalized symptoms do not really trigger anything that I know of.
Sincerely,
CCF Neuro MD
The herpes test would indicate that you have been infected and once infected you have herpes for life. Unless your surgury involved a long time with your legs spread, the answer would be no to your surgery causing the problems you describe.
Sincerely,
CCF Neuro MD
Would a TYPE I herpes infection cause burnig down the buttocks and down the back AND front of both legs?
Either type I or type II.
CCF Neuro MD
I know that you have been diagnosed with a problem that could be causing your pain, but have just a suggestion. My husband was experiencing similar pain about 7 yrs ago. No tumors or varicocle was found. He was, however, advised to stop drinking alcohol and caffeine for one month. Then to try each, in moderation, on separate occasions. The results?? Caffeine seems to cause severe pain in his testicles and groin area. Could be worth a try.
What is it?