Does testicular pain always mean prostatitis?

  Type III prostatitis, also known as chronic pelvic pain syndrome (CPPS), has the main clinical manifestation of pain or discomfort in the pelvic region lasting at least 3 months and is accompanied by urinary symptoms. Type IIIB, in particular, does not have an inflammatory state and is prone to recurrent episodes. Many patients are given anti-inflammatory, a-blocker (Cordovan, Harlequin, etc.), and analgesic medications with poor results.  The central lumber intervertebral disc herniation (CLIDH) is caused by the protrusion of the intervertebral disc to the posterior side, and the protrusion of the CLIDH to the posterior side compresses the dural sac. In contrast, the protruding disc compresses the dura mater, which affects the cerebrospinal fluid circulation and may cause congestion and edema of the cauda equina nerve, and the pelvic region is also the distribution area of the cauda equina nerve. So simple pain around the pelvis, especially perineal and testicular pain, or with perianal tightness and swelling, pain and discomfort in the buttocks and inner and rear thighs, is mostly due to a herniated lumbar disc and not prostatitis. This kind of patients given traction and massage and Chinese medicine combined treatment can achieve better clinical results and also confirm the diagnosis from the opposite direction.