A small amount of painful bilateral testicular syringomyelia is usually abnormal. The amount of syringomyelia is relatively small, and under normal circumstances there is usually no abnormal reaction and no pain symptoms. If the amount of fluid is currently small but painful symptoms are present, it is important to consider that the amount of fluid is gradually increasing, which also indicates that the condition is currently more serious and is an abnormal manifestation. If left untreated, the amount of fluid accumulation continues to increase, which can easily lead to increased tension. For bilateral testicular syringomyelia with painful symptoms, it may be necessary to consider the acute stage of syringomyelia. Bed rest and elevation or propping up of the scrotal area should be done at this time so as not to aggravate the pain, and surgical intervention, such as high sheath ligation, is required if necessary. A small amount of syringomyelia at both testicles is recommended to observe for a period of time. If the pain persists, it is recommended to seek medical treatment and to analyze the cause of the disease through professional physicians to understand the severity of the disease before proceeding with formal treatment.