What should I do if my testicles still hurt after being kicked and tortured for a month?

Pain that lasts for one month after being kicked in the testicles can be treated with rest and observation, alternating hot and cold compresses, drug treatment, physical therapy, and surgical exploration. This symptom may be related to local soft tissue injury, testicular torsion, epididymitis, varicocele, chronic testicular pain syndrome and other factors.

1. Rest and observe

After minor soft tissue contusion, strenuous exercise should be avoided and loose underwear should be worn to reduce friction. Rest in bed for 8-10 hours every day, and use the supine position to reduce the pressure on the scrotum. Observe for 2-3 weeks. If there is no relief, seek medical treatment. During this period, cycling, heavy physical labor and other activities that may aggravate the injury are prohibited.

2. Alternate hot and cold compresses

Apply ice for 15 minutes every 2-3 hours within 48 hours of the acute phase, and use ice packs wrapped in towels to prevent frostbite. After 72 hours, switch to hot compress and soak the scrotum in warm water at about 40°C for 10 minutes each time, 3 times a day. This method can promote local blood circulation and relieve muscle spasms and inflammatory reactions.

3. Drug treatment

For orchitis or epididymitis, antibiotics such as levofloxacin tablets and cefixime dispersible tablets can be used as directed by the doctor. When the pain is severe, you can take ibuprofen sustained-release capsules or celecoxib capsules for a short period of time. Patients with varicocele can use diosmin tablets to improve venous return, and use sodium aescin tablets to reduce swelling.

4. Physical therapy

Ultrashort wave treatment uses high-frequency electromagnetic fields to promote tissue repair. Each session lasts for 15 minutes, and 10 sessions constitute a course of treatment. Ultrasound treatment uses 0.8W/cm² intensity moving method, 3 times a week. It is suitable for chronic inflammation or organized hematoma, and can accelerate local metabolism and lymphatic return.

5. Surgical exploration

Suspected testicular torsion requires urgent orchiopexy. Missing the 6-hour golden window may lead to necrosis. For chronic pain that fails conservative treatment, spermatic nerve block or microscopic spermatic cord denervation may be considered. When a traumatic hematoma continues to grow, surgery is required to remove it and stop the bleeding.

You should avoid external impact every day and suspend sexual life until the pain disappears. Wear supportive sports underwear to reduce the feeling of bloating and take sitz baths with warm water twice a day. Increase the intake of citrus fruits rich in vitamin C and high-quality protein in the diet, and limit spicy food. If fever, difficulty urinating, or worsening pain occurs, you must immediately go to a urology department to check for serious complications such as testicular ischemia or infection.