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Torsion of Testes - What Can Cause It?

Dr. Sudin S R 92% (77 ratings)
MBBS, MS - General Surgery, MCh - Urology
Urologist, Trivandrum
Torsion of Testes - What Can Cause It?

The testes are an important part of the human reproductive system and are susceptible to injuries as well as internal problems. One such problem which is known to afflict younger men mostly from the age of 12 to 16 is testicular torsion. It can affect older men, but is commonly seen in the aforementioned age group. It is a painful condition that will require medical attention and if left untreated might even result in removal of the organ in rare cases.

What is testicular torsion?

There are many intricate functions performed by multiple blood vessels within the scrotum that supply the testes with blood. However, one of the testicles might rotate and thus end up twisting the spermatic cord. This cord brings blood to the testicles and if twisted, will reduce the flow of blood significantly. Thus the scrotum may swell up and also become quite painful.

Symptoms of testicular torsion

1. Significant swelling of the scrotum
2. Mild to extreme pain in the scrotum.
3. Abdominal pain, especially in the lower abdomen
4. Unusually positioned testicle such as one significantly higher, behind, or in front of the other one.
5. Fever
6. Feeling nauseated and may be accompanied by vomiting
7. Pain during urination
8. Inability to sleep or waking up in the middle of the night due to the constant pain

What causes testicular torsion?

In certain cases, testicular torsion may occur and then go away on its own when the testicle rotates, resulting in the untwisting of the spermatic cord (which is also known as de-torsion). However, it is still advisable to visit a doctor and ascertain what caused it so that the risk factor could be eliminated as torsion and de-torsion could keep happening frequently. Some of the common causes for testicular torsion are mentioned below.

  1. Hereditary factors: If someone in your family has suffered from this condition, you could be susceptible to it.
  2. Injuries: If you receive minor trauma such as the one during playing any kind of contact sports, outdoor activities or even while doing house work, it can be a reason of this condition as well.
  3. Activities that put stress on the scrotum: Heavy exercising or running in an unbalanced or improper manner can cause torsion as well.
  4. Improper sleeping positions: This can also cause torsion and is a common cause behind frequent torsion and de-torsion.
  5. Other factors: These factors can include excessively cold temperatures wherein the scrotum contracts rapidly and prolonged contraction can cause torsion. Even the rapid growth of the scrotum during the adolescent years after puberty may cause this.

How To Stop Knee Pain With Strengthening Exercises?

Dr. Swati Narang 90% (665 ratings)
Physiotherapist, Surat
How To Stop Knee Pain With Strengthening Exercises?

The knee is one of the largest and most important joints of our body. It is also susceptible to wear and tear as well as injuries. Knee pain can occur due to a variety of reasons starting from conditions like arthritis and osteoporosis as well as injuries that can affect the ligaments, the joint, the menisci and femur. These are the various parts of the knees, which can suffer from degeneration or even injuries. The best way to combat chronic knee pain is through rest, ice compress and with the help of pain relieving and anti-inflammatory medication. 

While rest and ice compress for chronic knee pain and pain relieving and anti-inflammatory medication are the best ways to combat knee pain, orthopaedics also recommend the use of various strengthening exercises which can alleviate knee pain. Here are a few of the best ones:

  1. The Towel Hook: Lie down flat on your back and raise one leg, Hook a towel under the foot and press it against the towel as you pull both ends downwards, creating slight pressure. This can be done for a few seconds at a time. Remember to do this at least ten times for each foot and increase gradually. This exercise helps in strengthening your entire leg from the calf to the knee and even the thighs so that the pain subsides.
  2. Towel Roll: In towel roll exercise, after pushing knee, should do dorsiflexion and hold for 20 seconds.. Hamstring exercises are also given by placing roll towel under your feet, push down, dorsiflexion and hold for 20 seconds Adductor exercises are also given by placing small ball between your legs just above the knee joint, press and hold for 20seconds.
  3. Swing: For this exercise, you will need to sit down on a chair. Now take one leg and swing it up until it is in line with your hip. Hold it out like this before you slowly bring it down again. Do this at least twenty to thirty times for each leg and gradually increase the frequency and the number of seconds for which you hold the knee. This will also help in pain management.
  4. Knee Marches: You can also do knee marches by sitting down on a chair. You will need to march each knee up and down at least twenty to thirty times. You will need to do this for a few minutes every day and you can easily do it twice a day even when you are at work, sitting in front of a desk. You must ensure that your posture is straight and upright for this exercise.

Diabetic Foot Management & Prevention!

MCh Endocrine Surgery
Endocrine Surgeon, Lucknow
Diabetic Foot Management & Prevention!

Prolonged diabetes and high sugar levels can cause damage to nerves and blood vessels. This results in foot numbness and wounds on the foot do not heal and change color with time. There are two types of diabetic foot problems that affect people who have prolonged diabetes: Diabetic Neuropathy and Peripheral Vascular Disease. These are described as follows:

Diabetic Neuropathy:

Diabetic neuropathy is a condition in which the patient has numbness in the foot. Such a condition makes it difficult for the patient to feel the pain and sensation in the foot.

Peripheral Vascular Disease:

Peripheral vascular disease results in the problem of blood flow in hands and legs. Fat deposits block blood flow which further causes heart problems.

Apart from these, the nerve damage in diabetic patients can also be caused due to high sugar levels, high blood pressure, and weight issues. This may lead to neurological problems including lack of sensation in the foot. In such cases, patients tend to have soreness and irritation in their feet but that is not felt by them. Such neurological problems require immediate attention from doctors.

Symptoms of Diabetic Foot:

The signs of diabetic feet differ from person to person. However, the symptoms mentioned below are common with such diseases:

  1. A color change of the foot

  2. Soreness

  3. Wounds on foot which are not healing

  4. Swelling

  5. Numbness in foot

  6. Tingling and deformity

  7. Red streaks and stains on socks

Diabetic Foot Management Practices:

Keeping feet healthy and clean is the key to managing a diabetic foot. Keeping a few things in mind will help the sugar patient delay or prevent diabetic foot problems. Some of these are:

  1. Check feet on a routine basis for any kind of change. This can be done by the patient himself or someone else.

  2. Wash and clean feet.

  3. Wear cotton socks which are comfortable and support feet the whole day. Shoes should be worn with proper fitting and size so that deformity in the feet does not occur.

  4. Do feet exercises (or full body exercises if possible) daily to promote blood flow.

  5. Trimming nails is essential. Looking to ingrown and remove them to avoid infections is also an important preventive measure.

  6. It is essential to keep a check on blood sugar. The sugar should be checked daily and it is also suggested to keep a log for the same.

  7. Smoking is prohibited and should be avoided to lower the risk of the diabetic foot.

Prevention of Diabetic Foot:

Diabetes can cause problems in many parts of the body and foot is very common to get affected among diabetic patients. It is necessary to prevent and take cautions that can lead to foot ulcers, infections, gangrene, and foot deformity.

A diabetic foot disease can lead to amputation of feet. Contact a doctor when you notice foot problems like ulcers, infections and tingling sensation. There are different treatments available in medical science for managing diabetic foot and diabetic neuropathy.

Successful procedures like endocrine surgeries have been found to be very useful for fighting diabetic foot problems. The surgery is performed on the patient to remove decaying tissues and glands. Surgery may vary depending upon the condition of the patient. However, it has been noticed that with proper care and prevention of diabetic foot problems can be treated with non-surgical treatments of medicine as well.


Diabetic feet are one of the most common problems that may occur to diabetic patients. This is why it is advisable to consult a doctor as soon as a patient experiences or notices any of the symptoms.

I am 58 years old. I am feeling heaviness/discomfort in one of my testicles for last one week. Kindly advise.

Chetan Clinic 93% (1035 ratings)
Sexologist, Delhi
I am 58 years old. I am feeling heaviness/discomfort in one of my testicles for last one week. Kindly advise.
Dear Lybrate user the testicles are oval in shape, and are usually about 4–5 cm long, 3 cm wide and 2 cm thick. One testicle is often slightly larger than the other. This is usually normal and nothing to worry about. However, if you notice that one testicle has enlarged. The left testicle usually hangs lower than the right one. The epididymis is a sausage-shaped lump stuck onto the back and top of each testicle. It is actually a coil of tiny tubes, which carry and store the sperm. If uncoiled, they would be about 6 metres long. The spermatic cords lead upwards from behind the epididymis. They carry the sperm towards the penis, and also contain blood vessels. The scrotum is the skin sac that contains the testicles and the epididymis. Quick result consult us privately Lybrate.
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My mother is 52 years old. She is suffering from cervical. Her neck, shoulder, and one arm is paining allot. Recently visited hinduja hospital and contacted doctor he had recommended few tablets which are listed below: 1. Defza 6 tablet 2. Ultracet 3. Gabapin nt from when she has started tablets she is feeling nausea, vomiting, headache. Should she continue taking tablets?

Dr. Karuna Chawla 96% (11349 ratings)
Homeopath, Noida
My mother is 52 years old. She is suffering from cervical. Her neck, shoulder, and one arm is paining allot. Recently...
You need to ask that to your attending physician. Do this for cs you can do the following exercises for neck pain a person can ease the symptoms of cervical spondylosis with a few simple neck exercises. 1. Neck stretch keep your body straight. Push your chin forward in a way that stretches the throat. Softly tense the neck muscles. Hold this for 5 seconds. Return your head to its center position. Push your head back with the chin held high, and hold for 5 seconds. Carry out 5 repetitions. 2. Neck tilt tilt your head forward so that the chin touches the chest. Softly tense the neck muscles. Hold this for 5 seconds. Return the head to a neutral position. Carry out 5 repetitions. 3. Neck tilt (side-to-side) lean your head down towards either shoulder, leading with the ear. Softly tense the neck muscles. Hold this for 5 seconds. Return your head to the center and repeat on the other shoulder. Carry out 5 repetitions. 4. Neck turn turn your head to one side as far as it remains comfortable, being sure to keep your chin at a level height. Tense your neck muscles for 5 seconds. Return the head to a central position. Repeat on the opposite side. Repeat this exercise 5 times on each side.
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I am diagnosed with thyroid tsh 94.2 and my cholesterol is 332 and my blood pressure is 90/131. I am 52 years old female. While walking I have lower back paid and leg pain and heaviness. How to reduce cholesterol fast and what medication should I take?

Dr. Karuna Chawla 96% (11349 ratings)
Homeopath, Noida
I am diagnosed with thyroid tsh 94.2 and my cholesterol is 332 and my blood pressure is 90/131. I am 52 years old fem...
You need to take medicines for thyroid. This is also a cause of high cholesterol upto a certain level. For cholesterol do this you can do the following-- stop smoking (if you smoke). Smoking lowers your hdl, (good) cholesterol level. Change the way you eat. Low-fat, low-cholesterol eating benefits all your lipid levels. Lose weight if necessary. Maintain healthy lifestyle start exercising. For more details you can consult me. Nuts, such as almonds, pistachios, and walnuts, contain high amounts of unsaturated fat or good fats, which increase high-density lipoprotein (hdl) and lower low-density lipoprotein (ldl).
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I am49 years old. I am suffering from lower back the morning when I wakeup satisfy with lower back pain in few seconds slowly reduce the pain.

Dr. Ramakrishna Chanduri 89% (3322 ratings)
Homeopath, Hyderabad
I am49 years old. I am suffering from lower back the morning when I wakeup satisfy with lower back pain in fe...
Use heat and cold. Studies show that heat and cold are effective ways to get relief from back pain. Ice packs are most beneficial when a person uses them directly after an injury, such as a strain. Applying an ice pack wrapped in a towel directly to the back can reduce inflammation.
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Adhesive Capsulitis - An Overview!

Dr. Radhika A (Md) 92% (13 ratings)
MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Adhesive Capsulitis - An Overview!

What is Adhesive Capsulitis?
Adhesive capsulitis is a very specific term for a condition that involves the spontaneous, gradual onset of shoulder stiffness and pain caused by tightening of the joint capsule.

Symptoms of Adhesive Capsulitis-

  • Restricted motion of the shoulder
  • Dull or aching pain in the outer shoulder area
  • The pain occurs in the upper arm

Causes of Adhesive Capsulitis-

Risk factors of Adhesive Capsulitis-

  • Affects people between 40 and 60 years old
  • More common in women
  • Hormonal and genetic conditions

Complications of Adhesive Capsulitis-

  • Increased stiffness
  • Loss of bone

Diagnosis of Adhesive Capsulitis
The diagnosis includes a doctor’s examination and is based on the symptoms the patient. In some cases, magnetic resonance imaging (MRI) or X-rays can help to rule out other potential causes of the pain and stiffness in the shoulder.

Treatment of Adhesive Capsulitis-

Acupuncture & Acupressure Treatment of Adhesive Capsulitis-
Acupuncture involves inserting extremely fine needles in your skin at specific points on your body. Typically, the needles remain in place for 15 to 40 minutes. During that time they may be moved or manipulated. Because the needles are hair thin and flexible and are generally inserted superficially, most acupuncture treatments are relatively painless.


I have a little bit of pain in my testicle & epididymis of my penis so please suggest me a about why is it pain? Recommended some solution on how to eliminate the pain?

Dr. Rishabh Kumar Rana 91% (959 ratings)
MBBS, MD - Community Medicine, CCIP
Sexologist, Ranchi
I have a little bit of pain in my testicle & epididymis of my penis so please suggest me a about why is it pain?
Hi Mr. lybrate-user, if the pain has started without any trauma or sudden jerky movement involving weight, mosquitoes might be the reason behind it .having said this it is not possible to say without physically examining the scrotal sac. Best thing for you is to visit your surgeon. Do consult me online for more details.
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I feel sudden pain below chest or below the under arms ,or sometimes between stomach and back. Pain lasts for 2-3 minutes. During pain it looks like my veins are getting tensed up. Please prescribe medicines.

Dr. Karuna Chawla 96% (11349 ratings)
Homeopath, Noida
I feel sudden pain below chest or below the under arms ,or sometimes between stomach and back. Pain lasts for 2-3 min...
It seems like gas but you need to rule out involvement if heart. For this you do consult some physician or give me details of your symptoms. If it’s gas then do this 1. Don't overeat 2. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 3. Take your breakfast every day. Don't skip it. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit, a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style. This is most important n non negotiable part 7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. 9. Drink lot of water. 10. Curd is good for u. 11. Everyday preferably sleep on same time for more details you can consult me.
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