What is the chance of herniated disc L5-S1 causing pain in groin area and testicle?

Hello,

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Well, the pain of L5-S1 disc herniation typically is pain on the backside of the thigh and radiates down to the leg on the outer aspect and to the foot. The nerves of the groin region are more below. But, as in your case, if the disc prolapse is big then it can also compress nerves of the groin region and can cause pain.

Do you have any bladder issues or any numbness in your private parts?

Hi,

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Well, I wrote my answer after completely studying your MRI (attachment removed to protect patient identity), and it is very grateful of you to attach MRI films which help us lot in decision making. Now the question is, how much you are suffering because of this? That will decide the line of treatment. How much it is affecting your quality of life?

Hi,

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Most of the patients like this improve with conservative management. There are two different things. Back pain and radicular pain in your groin region.

For your back pain, you need to improve on your posture, do back strengthening exercises, and general conditioning exercises like walking, running, swimming, dancing, or any games. Start with walking for 45 mins at a stretch daily. Gradually you can shift to running and then any game. This you have to include in your lifestyle if you want to avoid such a problem because you have a tendency for disc herniation.

For radicular pain, I can prescribe you medications. You have to keep in mind about red flags symptoms like change in bladder habits and weakness in lower limbs. In such a case, only surgery is the answer. Do not get scared, only 1% of people develop these red flag symptoms. So this problem is there with you for the last six months. So kindly brief me what all medications and treatment you have tried so that I can prescribe you better medications.

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Then start capsule Pregabalin 75 mg at night. Along with that take tablet Methylcobalamin 1500 mcg one tablet daily, Tramadol 50 mg SOS (whenever pain is unbearable).

I have mentioned the generic name. You can check the brand names available in your country on the internet. We need to modify the dose of Pregabalin according to the response.