Pelvic Health for Men (2026)

05/09/2026

Could your mid-back be contributing to testicular pain? 👀

It may seem like a long way from your testicles, but the thoracolumbar region matters.

The nerves that help communicate with the groin and scrotal region have connections higher up the chain, including around the L1–L2 region. If your mid-to-low back is stiff and you’re not getting good rotation or movement through this area, it’s one more piece I want to investigate when testicular pain keeps hanging around.

Here are 3 simple ways to get that area moving:

🔹 Foam roller thoracic extension — open up the mid-back
🔹 Thread the needle — work on thoracic rotation
🔹 Standing open book — explore rotation using different arm positions

Does this mean a stiff back is the cause of testicular pain? Nope. But with persistent testicular pain, I like to zoom out and look at the entire chain—back, ribs, abdominal wall, hips, pelvic floor, nerves, and groin.

⚠️ New, sudden, severe, or unexplained testicular pain or swelling should always be medically evaluated first.

Want my Testicular Self Help Starter Guide? Comment STOP below and I’ll send you the info.

📍 In-person pelvic floor PT in Austin, TX
💻 Telehealth appointments available in select states

04/09/2026

Could your midback be contributing to ongoing groin or testicular pain?

The thoracolumbar region is where the thoracic spine meets the lumbar spine. It deserves attention when symptoms persist below the belt.

The ilioinguinal nerve arises primarily from L1, while the genitofemoral nerve arises from L1 and L2. These nerves travel from the upper lumbar region through the abdominal wall and groin, contributing sensation to portions of the scrotal and testicular region. The ge***al branch of the genitofemoral nerve also supplies the cremaster muscle, your testicle’s built in elevator.

If mobility is limited around the lower thoracic and upper lumbar spine, it may increase mechanical sensitivity along this pathway and become one potential contributor to pain farther down.

That does not mean every case of testicular pain starts in the back. It means we should examine the entire pathway, not just where the pain is felt.

📍Experiencing persistent groin or testicular pain? Schedule an evaluation with Alcove Pelvic Therapy in Austin, Texas. Telehealth appointments are also available in select states.

💬 Comment STOP and I’ll send you my FREE Testicular Self Help Starter Guide.

Follow Dr. Kelli Wilson | Pelvic Pain PT for more guidance on complex male pelvic pain.

03/09/2026

Removing the testicle does not always remove chronic testicular pain.

Research suggests that approximately 25–45% of men may continue to experience some degree of pain after orchiectomy, depending on the underlying cause and surgical approach.

Why? Because the testicle may not be the only structure contributing to the pain.

In this video, I’m performing gentle soft-tissue mobilization along the inguinal ligament and through the suprapubic lower abdominal region.

The groin and lower abdomen are a busy intersection of muscles, fascia, nerves and spermatic cord structures. Sensitivity or restricted movement in these tissues may contribute to testicular symptoms in some men.

The suprapubic region also overlies the bladder. Tension, guarding and increased sensitivity throughout the lower abdominal and pelvic region may coexist with urinary symptoms such as urgency.

This does not mean that every case of testicular pain or urinary urgency is musculoskeletal. New or unexplained pain, swelling, urinary changes or suspected hernia should be medically evaluated first.

The goal is to examine the entire system before assuming that the testicle is the only possible source of pain.

📍In-person treatment in Austin, Texas
💻Telehealth available in select states

Comment STOP for my free Testicular Self-Help Starter Guide.

31/08/2026

🧠 The infection may be gone…so why does the testicle still hurt?

You had epididymitis. You took the antibiotics. Things improved…but the testicular pain never completely went away.

Sometimes the infection is no longer the only piece of the puzzle.

After pain and inflammation, the nervous system can stay protective. Nearby nerves, muscles, the pelvic floor, hips, abdominal wall, and even the low back may continue to guard and hold tension long after the original infection has resolved.

That’s why persistent testicular pain deserves a look beyond just the testicle. 🔍

🙋‍♂️ Want help figuring out what may be contributing to your testicular pain? Schedule a consultation with me through the link in my bio.

📘 Want my FREE Testicular Pain Starter Guide? Comment STOP below and I’ll send it to you.

30/08/2026

🏊 If testicular pain showed up while swimming, which kick would I choose?

Freestyle? Butterfly? Or breaststroke?

For pain felt along the front and side of the sc***um, I’d be interested in what’s happening beyond the testicle itself.

The genitofemoral nerve originates from L1–L2, and its ge***al branch contributes sensation to the anterior scrotal region and innervates the cremaster muscle.

But I’m also looking at the groin, adductors, hips, abdominal wall, and lumbar spine because all of these structures can influence symptoms in this region.

That’s why I picked the breaststroke kick for this little experiment. 🐸 It gives us a very different combination of hip abduction, rotation, and adductor activity to explore.

Testicular pain doesn’t always mean the problem starts at the testicle.

If testicular pain is keeping you from working out, sitting comfortably, traveling, or just living your normal life, let’s figure out what might be driving it.

📍 In Austin? Schedule an in-person evaluation with me at Alcove Pelvic Therapy.

💻 Not in Austin? I also offer telehealth appointments in select states.

👉 Click the link in my bio to schedule a free phone consultation and see if we’re a good fit.

Not ready for an appointment? Comment STOP and I’ll send you my FREE Testicular Self Help Starter Guide.

29/08/2026

Comment STOP and I’ll send you my free Testicular Self Help Starter Guide.

If this pilot told me he had testicular pain, I’d take a good look at his genitofemoral nerve. It comes from the low back, travels through the groin and helps control the cremaster muscle, AKA your testicle’s little elevator.

Sometimes testicular pain is not coming from the testicle itself. Your low back, abdominal wall, groin, nerves and pelvic floor can all contribute.

Need help figuring out what may be driving your pain? Alcove Pelvic Therapy offers in person treatment in Austin and telehealth appointments in select states. Visit the link in my bio to schedule a free phone consultation.

Follow Dr. Kelli Wilson | Pelvic Pain PT for more testicular pain tips.

28/08/2026

The obturator internus sits incredibly close to structures that can influence testicular and pelvic pain.

When the obturator internus becomes tight or overactive, you may also see restriction in hip internal rotation. That increased tension through the deep hip and pelvic wall can become another potential irritant and driver of symptoms in someone dealing with chronic testicular pain.

This is why I don’t just look at the testicle.

I’m looking at the hip.
The pelvic floor.
The obturator internus.
The low back.
And how all of those structures are moving together.

If you’re dealing with testicular or pelvic pain, I see patients in person in Austin, Texas and via telehealth in Oregon, Connecticut, and Massachusetts.

Comment STOP and I’ll send you my FREE Testicular Self Help Starter Guide.

26/08/2026

This is a long one, guys, but it is so worth it! I wanted to share one of my easiest tricks for helping men feel their pelvic floor muscles with their breath without even touching the pelvic floor.

The secret? Palpate your upper glutes.

First, find a comfortable stacked position with your shoulders over your hips and your weight evenly distributed over both feet. Try to come out of an exaggerated swayback or extreme pelvic position.

Next, place your fingers over the upper gluteal area, where the posterior fibers of the gluteus medius help stabilize your pelvis. When you feel that area gently “pucker” or engage, maintain that position and take a deep breath into your lower ribs.

From there, see if you can sense your pelvic floor gently moving with your breath.

Try standing in a few extreme postures and notice what happens. You may feel less movement through your pelvic floor. This is a simple trick I use with patients to help them find a more supported position and better connect their breath, core and pelvic floor.

Need help finding or connecting with your pelvic floor muscles? I see patients in person at my clinic in Austin, Texas, and offer virtual appointments for people in Connecticut and Oregon.

Click the link in my bio to schedule a free phone consultation so we can discuss your symptoms and determine whether pelvic floor physical therapy may be right for you.

Experiencing testicular pain? Comment “STOP” and I’ll send you my FREE Testicular Self Help Starter Guide.

26/08/2026

It’s called chronic prostatitis, but the prostate is not always the source of the pain.

Only about 1 in 3 men with CP/CPPS show inflammation in the prostate.

So if the prostate is not inflamed, what else should we be looking at?

Pelvic floor muscle tension.
Nerve sensitivity.
Breathing and pressure management.
The hips, spine, abdominal wall, and surrounding tissues.

And yes, this can absolutely show up as testicular pain, perineal pain, groin pain, urinary symptoms, or pain with sitting.

This is why a negative infection workup or a normal prostate exam does not automatically mean there is nothing left to investigate.

Your pelvic pain is real, and the prostate is not always to blame.

I am now treating patients virtually in Oregon and Connecticut, and if you are in Texas, you can see me for pelvic floor physical therapy as well.

Comment STOP and I’ll send you my free Testicular Pain Self Help Starter Guide.

24/08/2026

A prostate exam and a pelvic floor muscle exam are NOT the same thing…even though both may involve going through the re**um. 👀

During a prostate exam, the provider is primarily assessing the prostate itself—things like size, shape, symmetry, consistency, tenderness, and any unusual nodules or firmness.

During a pelvic floor muscle exam, I’m assessing the muscles and surrounding structures.

I’m looking at things like:
• Muscle tension and tenderness
• Trigger points
• Strength and endurance
• Ability to contract AND relax
• Coordination with breathing
• Side-to-side differences
• Whether palpation reproduces your familiar symptoms

And this distinction matters.

A prostate can feel completely normal while the pelvic floor muscles surrounding that region are tight, tender, poorly coordinated, or reproducing the exact symptoms someone has been calling “prostate pain.”

Same route. Very different exam.

📍 In-person pelvic floor treatment in Austin, Texas
💻 Telehealth available in Texas and Oregon

Have testicular or pelvic pain and don’t know where to start? Comment STOP and I’ll send you my Testicular Self-Help Starter Guide.

Pelvic Health for Men

05/09/2026

04/09/2026

03/09/2026

31/08/2026

30/08/2026

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