[38M] With sudden onset low back pain radiating to left leg and testicle

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down each leg, is irritated or compressed. It can cause pain that radiates from your lower back down your leg, and sometimes into the groin or testicle area. The numbness and weakness in your leg also align with this condition. Sciatica is often caused by a herniated disc or spinal stenosis.

  • Treatment typically involves physical therapy, pain relief medications, and sometimes steroid injections. In severe cases, surgery may be considered.

• Lumbar Disc Herniation: Given your history of mild bulging between L4 and S1, it's possible that a disc in your lower back has herniated, pressing on nearby nerves. This can cause the symptoms you're experiencing.

  • Treatment may include rest, physical therapy, pain management, and in some cases, surgical intervention.

• Referred Pain: Sometimes, pain in the testicle can be referred from the lower back due to nerve pathways. This is less common but can occur with certain back conditions.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Rest and Avoid Aggravating Activities: Try to rest and avoid activities that worsen your pain, such as prolonged sitting or heavy lifting.
2. Apply Heat or Cold: Applying a heating pad or ice pack to your lower back may help alleviate some discomfort.
3. Gentle Stretching: Engage in gentle stretching exercises to help relieve tension in your lower back and leg. Be cautious and stop if any movement increases your pain.
4. Over-the-Counter Pain Relief: Consider using over-the-counter pain medications like ibuprofen or acetaminophen to help manage your pain.
5. Use MDandMe: You can use the MDandMe app to journal your symptoms, track your progress, and share your medical notes with your healthcare provider.

What you should look out for

Seek medical attention promptly if you experience any of the following:

• Severe or Worsening Pain: If your pain becomes unbearable or significantly worsens.
• Loss of Bowel or Bladder Control: This could indicate a serious condition called cauda equina syndrome, which requires immediate medical attention.
• Increased Weakness or Numbness: If you notice a significant increase in weakness or numbness in your leg.

Remember, while this information can be helpful, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.