Inguinal Hernia: Causes, Symptoms, Treatment, and Post-Surgical Testicular Pain Management
An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can cause a noticeable bulge, often accompanied by pain, particularly during activities like coughing, bending over, or lifting heavy objects.
Causes of Inguinal Hernias


- Congenital defects
- Increased abdominal pressure
- Weakness in the abdominal wall
- Straining during bowel movements or urination
- Heavy lifting
- Fluid buildup in the abdomen (ascites)
- Pregnancy
- Chronic coughing or sneezing
Symptoms of Inguinal Hernias
- A bulge near the pubic bone
- Burning or aching sensation at the bulge
- Groin pain or discomfort, especially with activity
- Weakness or pressure in the groin
- Pain and swelling around the testicles (if the hernia extends into the scrotum)
Diagnosis
- Physical Examination
- Imaging Tests
- Ultrasound
- CT scan
- MRI
Treatment Options
Watchful Waiting
- Recommended for small, asymptomatic hernias.
Surgical Options
- Open Hernia Repair:
A traditional surgery with an incision in the groin to reposition the protruding tissue and repair the weak spot. - Laparoscopic Hernia Repair:
A minimally invasive procedure using small incisions, a camera, and specialized tools to repair the hernia.
Prevention Tips
- Maintain a healthy weight.
- Follow a high-fiber diet to prevent straining.
- Avoid heavy lifting.
- Quit smoking to reduce chronic coughing.
- Strengthen abdominal muscles.
Post-Surgical Complication: Understanding Testicular Pain
Testicular pain after inguinal hernia repair is a relatively common complication caused by:
- Nerve Irritation: Involves the ilioinguinal, iliohypogastric, or genitofemoral nerves.
- Inflammation: Post-surgical swelling and irritation.
- Scar Tissue: Formation of adhesions that may entrap nerves.
- Blood Flow Issues: Changes in testicular blood flow post-surgery.
How Pelvic Floor Physical Therapy Can Help
Pelvic floor physical therapy (PFPT) is effective in managing post-surgical testicular pain by addressing its root causes.
Key Techniques
- Nerve Desensitization:
- Nerve gliding exercises to reduce irritation.
- Muscle Relaxation:
- Manual therapy to release pelvic floor tension.
- Trigger point therapy for muscle spasms.
- Scar Tissue Management:
- Techniques to mobilize scar tissue and prevent adhesions.
- Improving Blood Flow:
- Exercises and techniques to enhance circulation in the pelvic area.
- Pain Management Techniques:
- Biofeedback: Helps control muscle tension.
- Education: Guidance on ergonomics and pain management strategies.
- Postural Adjustments:
- Correcting posture and movement patterns to reduce pelvic stress.
Specific Therapy Techniques
- Myofascial Release: Gentle stretching to reduce tension in pelvic muscles.
- Stretching and Strengthening Exercises: Improve flexibility and muscle strength.
- Relaxation Techniques: Breathing exercises to reduce overall muscle tension.
When to Seek Help
Persistent testicular pain post-hernia repair should be addressed by consulting a healthcare provider. Pelvic floor therapy can play a vital role in a comprehensive treatment plan.
Conclusion
Inguinal hernias can often be managed effectively with surgery. For post-surgical complications like testicular pain, pelvic floor therapy offers relief by targeting the root causes and improving overall pelvic health.
Reach out to the Pelvic Health Center in Madison, NJ, to set up an evaluation and treatment!
Call us at 908-443-9880 or email us at receptionmadison@pelvichealthnj.com.