Groin pain and testicle pain: what to know

Pain may begin in the testicle and spread into the groin, or begin in the groin and be felt lower down. A hip joint problem such as hip impingement, a hip labral tear, or hip osteoarthritis can refer discomfort toward the groin, but testicle pain should not be assumed to be coming from the hip. Note sudden versus gradual onset, swelling, skin changes, nausea, urinary symptoms, fever, recent exercise, and any blow to the area. These details help a clinician choose the right examination.

Stop strenuous exercise and seek medical advice rather than testing the pain with running, lifting, or stretching. Wear supportive, comfortable underwear if it reduces movement-related discomfort. Do not delay assessment by relying on massage or rehabilitation exercises. If symptoms are mild and clearly follow a groin strain, arrange a clinical review if they persist, recur, or affect walking; physiotherapy can be considered after urgent causes have been excluded. Sports Physiotherapy may help with a confirmed activity-related injury.

Sudden or severe testicle pain, a testicle sitting higher or at an unusual angle, marked swelling, nausea or vomiting, fever, faintness, or pain after significant injury requires emergency assessment. Seek prompt care for new urinary difficulty, blood in urine, or a painful scrotal lump. Do not wait for symptoms to settle if the pain started abruptly, even if it later eases.

Ask whether the pain appears to start in the testicle, groin, or hip, what examination is needed, and whether urgent testing is required. Ask what activity is safe, which changes should send you back immediately, and when rehabilitation can begin.