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Published on: 8/20/2026
Testicle pain combined with lower back pain can signal several possible conditions, ranging from a localized testicular issue (such as infection, injury, or torsion) to a back problem where irritated nerves refer pain into the groin. Because some causes—like testicular torsion or a kidney stone—require urgent care, a medical evaluation is essential to identify the source and guide treatment.
While waiting to see a doctor, understanding what may be driving your symptoms can help you make informed decisions about urgency and next steps. A free, instant, online symptom check can quickly narrow down likely causes based on your specific symptoms, flag any red flags that warrant immediate care, and help you prepare for a more productive conversation with your provider—all in just a few minutes.
Reviewed for medical accuracy: 07/15/2026
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Sometimes, pain in the testicle and lower back can have various causes. One possibility is a problem in the testicle itself, like an infection, inflammation, or twisting blood vessels (called torsion), which can cause sudden pain. On the other hand, back problems—like a herniated disc in the lower spine—can put pressure on nerves that travel to the groin and testicle. This nerve pain is sometimes felt as discomfort in both the back and testicle. In rare cases, pain in these areas might be a sign of a more serious condition, such as cancer spreading from the testicle, but this is less common. Also, other issues such as muscle strain or an inguinal hernia can be responsible. Because several different causes may lead to these symptoms, it is important to identify what might be causing your discomfort. You can start by taking a free symptom checker quiz to better understand your symptoms, and then consult with a doctor who can perform examinations and order tests to find the exact cause and suggest the right treatment.
(References)
Updated 2023 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK470335
Chu ECP. Taming of the Testicular Pain Complicating Lumbar Disc Herniation With Spinal Manipulation. Am J Mens Health. 2020 Jul-Aug;14(4):1557988320949358. doi: 10.1177/1557988320949358. PMID: 32772625; PMCID: PMC7418242.
Bermudez DJ, Groh J. Metastatic testicular cancer presenting as lower back pain in a pilot. Aviat Space Environ Med. 2014 Nov;85(11):1136-8. doi: 10.3357/ASEM.3886.2014. PMID: 25329948.
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