Pain in your testicles during exercises may be caused by a condition known as an inguinal hernia. Inguinal hernias are a common condition that is characterized by the protrusion of the soft abdominal tissue through a weak point in your lower abdominal wall. This can result in pressure on the structures in your scrotum, causing pain in your testicles.
Causes
Inguinal hernias can be caused by a weakness in the lower quadrants of your abdominal wall through which increased abdominal pressure pushes out the tissues of your abdominal cavity. Improper form during exercise is another factor that can increase your risk for inguinal hernias. Inguinal hernias may also be caused by the strain of bowel movements or heavy lifting. Improper form during exercise may also increase the severity of an inguinal hernia.
Symptoms
Inguinal hernias present themselves with pain and a feeling of heaviness in your groin. A significant bulge may also be visible in your groin if you have a inguinal hernia. Many exercises place strain on the muscles of your abdominal wall, which in turn places pressures on the misplaced structures that have been herniated. This pressure causes pain during exercises.
Diagnosis
Diagnosis of inguinal hernias is fairly simple and sometimes all that is required is a physical examination. Your doctor may also use ultrasounds and x-rays to judge the severity of the herniation. These tests are also used to determine any possible complications that may arise because of the hernia.
Treatment
Inguinal hernias that cause pain during exercise are treated surgically. If left untreated, there is a possibility that they may progress and become more severe, with possibly life threatening complications. The corrective surgery is conducted under general anesthesia and the length varies in accordance with the severity of the hernia. After surgery, rest is required for a period of 2 to 6 months. During this time, avoid strenuous physical activity. After this period, work with your doctor and a physical therapist to determine appropriate exercises that strengthen your lower abdominal wall.
References
- National Institute of Health: Inguinal Hernia
- "Guyton and Hall Textbook of Medical Physiology"; A.C. Guyton; 2002
- "Exercise and Health"; Prof. T. A. Asmangulyan; 1997
- "Harrison's Principles of Internal Medicine (16th edition)"; Lawrence Madoff et al.; 2005


