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    Hello All!

    I have a patient who has hip OA and SI joint dysfunction. He has been responding well to needling and joint mobilizations, but his primary residual complaint is groin/testicular pain. He has already been checked by a MD to have henia, etc. ruled out.

    I have done dry needling for the paravertebral segments and femoral nerve to address his quad muscle spasms and I have done needling for his hip joint capsule. I remember testicular pain was mentioned in the advanced course, but couldn’t remember exactly what was said.

    Any suggestions would be greatly appreciated!

    Thank you!


      Hi Katherine,
      The pain distribution you describe is mediated by the ilioinguinal and {genito}femoral nerves and those should be needled as I described in the Advanced Course. You are correct to needle the paravertebrals specifically upper lumbar and I would also check the obturator nerve as it will refer to the lateral pelvic wall. The above in combination with manual therapy of the thoracolumbar junction/upper lumbar should give you a good result. If the pain persists /unchanged I would move him on to a pelvic specialist as the source may not be neuromusculoskeletal. Hope that helps

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