Testicular Pain

Eliminate your testicular pain with pelvic floor physical therapy.

What is Testicular Pain?

Testicular pain is discomfort or aching felt in one or both testicles. For some, it shows up suddenly and sharply, while for others it lingers as a dull, ongoing ache. The pain can stay in the testicle itself, or it can spread into the groin, abdomen, or even down the leg.

Symptoms can include:

Aching or heaviness in one or both testicles
Sharp or shooting pain that comes and goes throughout the day
Pain that worsens with sitting, exercise, or sexual activity
Discomfort that spreads to the groin, abdomen, or thigh
Tenderness or sensitivity when touched

What Causes Testicular Pain?

Testicular pain can come from a variety of medical conditions, some of which require immediate attention. For example, testicular torsion is a medical emergency that cuts off the blood supply to the testicle and needs urgent treatment to prevent permanent damage. Testicular cancer, though often painless, can sometimes cause pain along with other symptoms like a lump, heaviness in the scrotum, or back pain. Infections such as epididymitis, orchitis, urinary tract infections, and certain sexually transmitted infections can also cause testicular pain. Because of these possibilities, it’s always important to rule out urgent or serious causes with a medical provider first.

That said, many people continue to experience testicular pain even after serious conditions and infections have been ruled out. In these cases, the pain often relates to pelvic floor dysfunction. Tight or overactive pelvic muscles can create painful trigger points that send pain to the testicles, while irritated pelvic nerves (such as the pudendal or genitofemoral nerve) can also contribute. When this is the case, pelvic floor physical therapy provides a safe and effective way to treat the underlying muscular and nerve issues.

Book Your Appointment

What Does the Pelvic Floor Have To Do With Testicular Pain?

The pelvic floor is a group of muscles that sit between your tailbone and pubic bone, the same area that rests on a bicycle seat. These muscles play a bigger role in testicular pain than many people realize. When they tighten or spasm, they can irritate nearby nerves that send pain signals to the testicles. Even if your doctor hasn’t found anything wrong with the testicle itself, the problem can still come from how the pelvic floor is working.

When the pelvic floor is not functioning well, men may notice aching or sharp pain in the testicles, discomfort during sexual activity, or pain that gets worse with sitting, exercise, or stress.

Causes of Pelvic Floor Dysfunction

There can be many different causes of pelvic floor dysfunction. Below are some of the common causes:

Psychological stress that keeps muscles tense
Hip or pelvic injuries that change how muscles work
Low back pain that places extra strain on the pelvic floor
Core weakness that forces the pelvic floor to overcompensate
Constipation that leads to chronic straining
Past surgeries that affect nerves or tissue in the area
Poor posture that changes how pressure is carried in the pelvis

Book Your Appointment

How Pelvic Floor Physical Therapy Can Help with Testicular Pain

Living with testicular pain can feel frustrating and isolating, especially when the cause isn’t clear. Pelvic floor physical therapy offers a way forward by addressing the muscles and nerves that often play a hidden role in this type of pain. Our physical therapists look at how your pelvic floor works together with your hips, spine, and core, since tension or imbalance in these areas can send pain signals to the testicles. Because this pain involves such a sensitive part of the body, we make it a priority to create a space where you feel safe and respected.

Benefits of Working with a Pelvic Floor Physical Therapist For Testicular Pain

If you’ve been experiencing testicular pain without an identifiable cause, it could be due to pelvic floor dysfunction. A pelvic floor physical therapist at Beyond Basics could help to:

Ease persistent testicular pain and discomfort
Release tension in the pelvic floor and surrounding muscles that refer pain to the testicles
Improve nerve function and reduce irritation contributing to testicular pain
Restore balanced coordination of pelvic floor muscles to decrease strain on sensitive areas
Enhance blood flow to reduce inflammation and support healing in the pelvic region
Address underlying muscular issues so you can return to normal daily activities without pain

What To Expect

During Your Initial Appointment

During your first appointment, our team at Beyond Basics will begin by asking questions in order to learn more about you and provide us with the context we need to understand any symptoms you are experiencing, including any testicular symptoms.

We’ll then conduct a physical exam. This is a hands-on evaluation from head to toe, based on your symptoms. This might involve evaluating external and internal pelvic floor muscles, with the purpose being to trace your issue to its source(s) in order to alleviate pain and discomfort.

These internal manual techniques are applied to the structures of the pelvis. This includes the pelvic floor muscles, nerves, and bones. We want you to be as comfortable as possible during the session, and you have the right to refuse any treatment at any time without explanation.

Your PT will also provide you with exercises to begin at home to address your symptoms and ease your pain. These at-home exercises are customized specifically based on your needs.

During Your Additional Appointments

Each pelvic floor physical therapy appointment is one hour long. Your physical therapist might spend that time performing manual therapy, teaching you movement techniques and exercises, discussing your progress, answering questions, providing patient education, and reviewing your at-home program.

Most patients notice an improvement in symptoms within 8 weeks (or sooner).

Reduce your testicular pain today.

Client Testimonials

Barry Gurvitch

Beyond Basics provides sensitive and professional care in a comfortable environment. I was skeptical at first if they could help but now, I am a believer.

Barbara Friedman

A wonderful introduction to pelvic floor therapy. Eliza's engaged, intelligent approach made me feel surprisingly hopeful. She's clearly a great person to work with.

Marian

Courteous and helpful staff. Excellent facilities. My PT is the best I found after months of searching around Manhattan.

Noelle De Martini

I had a great experience working with Emily Moore for pre-op PT. She created an incredibly warm and inclusive environment and helped me feel comfortable from the start. In just a few sessions, she really helped me have a better understanding of my symptoms and how to best manage them. She gave me helpful tips to integrate into my daily routine and I noticed results almost immediately. I am looking forward to resuming sessions with her again after surgical recovery.
The front desk and administrative staff were wonderful as well. I highly recommend working with Emily!

Elena Golub

Absolutely adored working with Melanie Rocchio. She's truly an expert at her craft and immediately puts you at ease. It's hard to make PFPT a comfortable process but she did. If you need PFPT, go see Melanie--I'll definitely be a returning client if I need further treatment.

Kat M.

I recently saw Kiko for regular PT sessions following a c-section delivery and HIGHLY recommend her, she's the best!! We worked on regaining both pelvic floor and core strength, and while I'm happy both have improved significantly in the months since my delivery, I was sad to have 'graduated' PT as I really enjoyed my sessions with Kiko - she's a pleasure to work with and learn from! I also had a good experience with Beyond Basics as a practice - Veronica at the front desk is very sweet!

Savannah Carlin

I cannot recommend Sonali highly enough, she’s truly incredible!

Sudais Haider

Nice

Lily Zoraster

Had a great experience here, front desk person Veronica is very nice and helpful. It was a delight to have Kiko as my therapist. She is very knowledgeable, easy to talk to/work with, and very thorough. She helped me find the perfect exercises that were very doable to help me progress and I progressed so fast in ways that I couldn’t imagine before. Thank you so much 😊

Mike Honcharik

Went to Beyond Basics for treatment of abdominal pain ,as recommended by my doctor . Kiko treated me , she was very professional and a listened to all my concerns ,and made me feel much better as to my condition . She was very knowledgeable and very helpfull . I highly recommend her.

Garland Horwitz

Emily Moore was fantastic! Great bedside manner and helpful. The whole team was very friendly

Samatha Nemana

So appreciative of the staff at Beyond Basics, especially Emily Moore! Emily was immensely helpful as I navigate my endometriosis journey. During our sessions I feel like I got some real answers around my pain - I so, so appreciate her. Our visits and the exercises she recommended have resulted in noticeable improvement over just a few short months. Highly recommend!

Michele Caplan

I have worked with Beyond Basics for over 15 years. I have an underlying chronic problem that I will have to manage for the rest of my life. With their multitude of skills, Beyond Basics has given me the therapy and strategies to go from acute pelvic pain, severe back, and postural problems to being able to manage my underlying problems with resilience and support. And, with their help and guidance I have avoided back surgery.

The therapy and commitment at BB are on an entirely different level from therapy available any other Physical Therapy clinic I have ever encountered. It is entirely unique.

Allie Hemmings

Staff is friendly and efficient. Kiko is so easy to talk to, super informative, genuinely caring & kind, very knowledgeable about the pelvic floor as well as how other areas of the body work with it, and she also gave a great referral when my condition seemed to need treatment outside of her scope of practice. I highly recommend Kiko!

Ava Anderson

My son has autism and struggles with motor coordination. His physiotherapy sessions are tailored to his needs, full of playful yet purposeful activities. He looks forward to every visit and we’ve noticed significant improvements in his balance, posture, and ability to focus during tasks.

Ronlee Ben-Gal

Sonali Patel at Beyond Basis is an incredibly smart, kind, and effective pelvic floor PT. She was great during our sessions and also gave me the tools to continue healing on my own, without ever pushing unnecessary visits. I’d absolutely recommend her and will definitely come back to her if anything ever comes up again.

Joshua S Rubin DDS

Kiko is exactly what you want in a PT… Attentive and clearly loves what she does, all with a sense of humor. You’ll be lucky if you get her..

Annie Jung

I went to go see Kiko for tailbone pain that I had ignored for 20 months since giving birth. She gave me a thorough assessment and explained the reasons behind the persisting pain. She looked at my body as a whole, not just the pelvic area and we are addressing other problem areas that have been causing the pain. I can’t believe how much I’ve improved even after just one session. Her bedside manners are great too and I feel very comfortable working with her. I highly recommend this place for all new mamas!

Elizabeth Mills

I have had an amazing experience working with Kiko. She takes a holistic approach to assess and address your individual needs. Working with Kiko has dramatically reduced the symptoms of a condition I have had for many years, when nothing else I have tried has helped. My quality of life has greatly improved and I am very grateful!

carol espel

High quality, physical care

Gemma Newcombe

I found this place on Maps when my pelvic pain flared up best decision ever. I felt real progress after just a few visits.

P F

Very knowledgeable skilled understanding and friendly. Highly recommend

Alec-Lewis Wang

Very helpful!

Mayelin Batista

Sonali is one of the most caring and kind person I have come across. As a patient and most importantly as a female, to find these two qualities in a therapist are not only extremely important but also extremely rare to find.

nina Shapiro

I am working with Sonail. She is a skilled practioner both with hands and heart.

nelly tournaki

I want to thank Dr. Solani Patel. Throughout my treatment she has been gentle, polite, patient and very knowledgable. Each of the exercises she gave me were very relevant to my condition and very helpful.

Jenny Laroche

Beyond basics is such an amazing space for rehabbing postpartum pains and aches.
The therapists are incredibly knowledgeable, kind, gentle, and wonderful at their job!
As a dancer, I received the expert care I needed to return to work with confidence.

Kevin Fitzpatrick

Beyond Basics is one the best places to go for physical therapy.... I'm extremely happy I started going here, and it's very convenient, being that it's directly across the street from Grand Central. My physical therapist, Radhi Kadakia, is awesome and highly recommended!

Lisa Taylor

Vivian is fantastic! I felt like in just a few minutes she identified the reason I’ve been having so much so joint and hip area oain for the past couple of years. I had seen multiple different docs/specialists and no one had been able to figure anything out. She gave me some exercises to help gain more connectivity and activation on my glutes (I over-rely on my core and quads and not enough in my posterior chain), and when I said I’d be more likely to do them if I had a video demo she kindly did demos and let me record them!

I’ll also add that I’m a childbirth educator and both doula and have been recommending this practice for years because colleagues and clients have raved about them but only recently did I get to actually experience this for myself. (In fact, I ran into one of my birth class students when I went to my appointment!) Now I can recommend even more highly!

Jeremy Pikser

Emily Moore is the most insightful, ingenious and effective PT I have ever worked with, and I've worked with over a dozen over the past 30 years. I wish they were a little more Medicare compliant, but even if it costs more, to me, it's worth it.

Virginia Meagher

PT Danielle is phenomenal. She knows about the entire body. She gave me exercises for my upper right back which are paying off. BBPT sends you a follow-up email with videos about how to do the exercises. They are awesome.

serena

I had a great experience at Beyond Basics! I was nervous about going to physical therapy, but Sonali was so professional and nice, which made me feel a lot more comfortable. Sonali fully solved my pelvic floor issues in only a few sessions. She gave me stretches to do on my own time to move my progress along and also to ensure I don't lose any progress I've made. The receptionist Jasmine is also great-she is really helpful when it comes to scheduling appointments. I can't recommend Beyond Basics enough!

Frances Engoron

Great care - wonderful therapists. Head and shoulders above most other Physical Therapy practices.

Michele Bontemps

Sonali was wonderful! Extremely knowledgeable and understanding. Excellent facility.

Gail Brousal

The waiting room--always decorated--is a welcoming space. Makela is respectful, resourceful and wonderfully clear in spoken and physical instruction. It is truly a pleasure to work with her,

Bárbara Ipac

I highly recommend Beyond Basics Physical Therapy. Great staff!

Colta Ives

Danielle Santora is exceptionally well-informed, a great listener and and a great educator. She is that rare person who knows her business and has the sensitivity to deal with a delicate subject.

Jessica Hebenstreit

Eliza is amazing! I am seeing her for pelvic floor PT due to pregnancy related discomfort and in just 2 sessions she has helped reduce my pain/discomfort a lot. She has a very kind and comforting bedside manner and makes you feel very at ease. I highly recommend her.

Wendy Katzman

Sonali Patel is an excellent physical therapist. She is very knowledgable about pelvic health, and has great manual therapy and communication skills. I highly recommend her.

Rebecca Blane

This place is amazing!!! I worked with Sonali. She was extremely knowledgable and our sessions were very thorough. Sonali was so compassionate and helped me feel so supported. I felt like she really understood what I was going through. I saw great improvements and am very satisfied with the whole experience. Highly recommend!

Ray Tekosky

Wonderful place, I've worked with Makela previously, she's "as good as it gets". Natural healer, empathetic, pleasant, smart,,,,,,,what more can u ask for?

Lizzie Benzik

Vivian Zhang at Beyond Basic PT is awesome! She took my concerns seriously and, using exercises and physical releases, improved my breathing and quality of life.

Nick B

My experience with Beyond Basics has been outstanding! Danielle is incredibly insightful, professional, and an excellent communicator. She is truly an expert and I am very grateful to have her in my journey!

Jazmaine Vitta

Sonali Patel is a miracle worker! I came to Beyond Basics with really bad TMJ issues and Sonali was able to provide me almost instant relief from years of tension. I've never felt better and she taught me some really awesome tips I can use myself moving forward. Overall I had a really great experience at Beyond Basics!

Jessica Hope

I’ve now been to Beyond Basics at two different points in my life for two different reasons. They are truly the experts. I walk away from each session in awe of the deep knowledge base of my physical therapist Sonali, who I trust and respect deeply. I have dealt with other physical therapy offices in the past and nothing can compare to the level of care, comfort, professionalism, efficiency, and effectiveness of this office. I actually look forward to my appointments. Highly recommend for anyone with GI issues of any kind or has had a baby!

Marjorie Thompson

I highly recommend Beyond Basics for pelvic floor PT. My therapist, Vivian, was friendly, thoughtful, respectful, and knowledgeable. She knows what she’s doing and made great suggestions for exercises I could do on my own. I had great results in combination with treatment recommended by my doctor. The facility is clean and staff are welcoming. Highly recommend.

Barbara Pearson

A terrific therapist who made an awkward procedure comfortable and normal. She is smart, sensitive , knowledgeable and a delight to be with during therapy

Leese Hamilton

Incredibly caring, experienced and professional. Highly recommended.

Joanne Sandler

Makela is an amazing PT. The office staff is wonderful and the space is great. Highly recommend.

Lisa Duggan

Rachel at Beyond Basics downtown is an outstanding, highly skilled, patient, kind and dedicated physical therapist. I love going to see her, she helps me so much. *Highly* recommended!

Cindy C

I was afraid to go out because of my overactive bladder. Vivian Zhang saved my life. My life improved tremendously after spending two months with her.

She is very patient, knowledgeable, and professional. She spends a full hour with me which I could not find in any other physical therapy. She gave me so much attention and continued to look for the root cause of my problems. She explains the purpose of the exercises. She teaches me the exercises and makes sure I do it correctly. She will check my understanding in the next session to make sure I do it correctly. If I don’t do it correctly, she will find another way to explain to me and check my understanding. All other physical therapy just spends 30 minutes on me and leaves me alone to do the exercises myself. They don’t check to see if I am doing it correctly. Before coming to Beyond Basic, I was in another physical therapy for a year and was not able correct my overactive bladder problem. I am so lucky to have found Vivian and Beyond Basic.

France Choa

You don't take my insurance.

Maddy Hoffman

Superb and attentive care. Highly recommended!

Mary Callahan

I've really appreciated my experience so far at Beyond Basics, working with Makela. I was nervous going into pelvic floor physical therapy and she was respectful and considerate of my hesitation. She also makes a great effort to connect with other members of my treatment team, which makes me feel like I'm being supported holistically. I have already noticed improvement in my daily life, and I'm very grateful!

Karla Lopez

At Beyond Basics I found the help I needed for my Postpartum recovery after a traumatic delivery. Little did I know all the benefits I could get from pelvic floor PT. Here I learned a lot of tools to have a better pelvic health and improve my wellbeing. I really recommend pelvic floor PT to all women! This will help you for life.
Vivian has been my PT and she is great! She has helped me in a lot of ways, physically and emotionally, she’s caring and very knowledgeable.
Also, the girls from front desk are very kind.
Beyond basics is a great place!

Katie Kuntzman

My experience with Beyond Basics has truly been life changing!

After having a variety of symptoms without a true diagnosis for months, I found Beyond Basics, and, while I was completely unfamiliar with pelvic floor physical therapy before going there, I quickly realized the benefits even after my first session.

I've now been working with Vivian Zhang for almost a year, and I am continuously amazed by her work. Out of all of the medical professionals that I've worked with in the past, Vivian has shown the most care and interest in my well being. Healing is definitely a journey, and Vivian has shown the utmost respect and patience for me as I work through ups and downs of my personal path. With Vivian, I feel like I have a trusted resource and someone who genuinely listens to me, and that has made such a difference in my recovery.

I cannot thank Vivian, and Beyond Basics as a whole, enough for the improvement that they've made to my quality of life and I highly recommend this practice to anyone who is even remotely considering pelvic floor PT!

S H

Eliza was so great to work with. She was very helpful. She is caring and compassionate. She helped me feel better. Grateful for all of her support. Can’t say enough good things. Would be better if they accepted insurance though.

Barry Schiller

Beyond Basics PT identified my needs and listened to my concerns as well as planned a treatment regimen that addressed the fundamental causes of my issues. Makayla knowledge regarding body mechanics is extraordinary.

donal farley

I needed a specialized pt called pelvic floor therapy following rectal surgery. I found Vivian Zhang a very able and knowledgeable therapist at Beyond Basics Physical Therapy on William Street in lower Manhattan. After six weekly one hour sessions, I had a significant improvement in returning to a normal life. Vivian was very clear in her instructions, provided illustrated email instructions for at-home exercises and was available via email as needed. She was also very patient and kind with this 87 year old client.

Caitlyn West

Dr. Spielman and the Beyond Basic staff are amazing. The front desk is kind, friendly and very helpful when booking appointments.

Dr. Spielman is a life saver. She helped me at a time when I had experienced months of debilitating pain. I had seen multiple specialists and tried various medications to no avail.

Dr. Spielman was the first doctor to diagnose me with an overly tight pelvic floor. She has helped me with workouts, stretches and provided me with important anatomical information on my road to recovery.

I am so grateful for her and I can't recommend both Dr. Spielman and Beyond Basics enough!

Dina

I received excellent care at Beyond Basics

I L

I have been a patient at the Beyondbasics PT for almost 3 years and they successfully helped me with both the pelvic floor and orthopedic issues.
I have health issues and I have used several physical therapists in the past.
Beyond Basics is the best!!
They were recommended to me by my doctors
And I am grateful for the recommendations.
Beyondbasics PTs are knowledgeable, attentive, patient and kind.
Front desk representatives are very friendly and kind.
Thank you

Mark Scheflen

I am extremely grateful for Ekta's work. She figured out a complex problem within 2 visits. Importantly, I now understand the problem and know what to do to fix it. I went to so many medical specialists and Pelvic PT's and they couldn't figure out problem. I highly recommend Beyond Basics a perfect name.

Natalie Valentine

Excellent treatment, knowledgeable therapist. Very informative and comfortable experience.

Esther Gopin

Joanna was super helpful, knowledgeable, and caring. Would absolutely recommend!

Beyond Basics: We Can Help

At Beyond Basics, we are committed to treating pelvic floor issues with sensitivity to each individual’s needs, regardless of sex, race, identity, age, or orientation – we treat the whole person with a comprehensive, caring biopsychosocial approach.

Since 2003, Beyond Basics has been a place of hope and healing for our patients. We believe skilled and compassionate healing can restore your body’s harmony and balance. Founder, Amy Stein, and co-founder, Corey Hazama are renowned experts and leaders in pelvic floor PT.

The skilled physical therapists at Beyond Basics receive extensive training to qualify them to be the world’s leaders in pelvic floor rehabilitation. All of our therapists have been carefully selected to work at Beyond Basics because they possess the right expertise, kindness, and empathy to allow them to excel at our practice. Our therapists have completed hundreds of additional hours outside of their doctorates both internally and externally through institutes such as Herman and Wallace and the American Physical Therapy Association, to help hone their practice and provide exceptional treatment efficiently and compassionately. In addition to being the world’s first and foremost experts in pelvic floor dysfunction, our individual therapists have cultivated additional skills unique to their own personal interests. Read more about each one of our therapists here.

Get help now from a pelvic floor therapist.

Book Your Appointment

Frequently Asked Questions

— Beyond Basics PT | Pelvic Floor Therapy NYC.

Why do I still have testicular pain if my primary care doctor says nothing is wrong?

Sometimes tests don’t reveal a clear cause, but many people still struggle with chronic testicular discomfort. In these cases, the pain is often a symptom of muscle or nerve issues in the pelvic region rather than the testicle itself being the problem (which often indicates pelvic floor dysfunction).

How can the pelvic floor muscles cause pain in my testicles?

When pelvic floor muscle dysfunction develops, the muscles can tighten or spasm. This tension can irritate nearby nerves, leading to referred groin pain or even sharp nerve pain felt in the testicles.

What does pelvic floor physical therapy for testicular pain involve?

At Beyond Basics, testicular pain treatment often includes gentle manual therapy, exercises, relaxation techniques, postural retraining, and education to reduce pelvic floor pain, improve coordination, and release trigger points that send pain signals to the testicles.

How long does it take to feel relief once I start therapy?

Some people notice changes within a few sessions, while others with chronic pain or chronic testicular symptoms need more time. Your progress depends on how your muscles, nerves, and daily habits respond to treatment; however, many people experience noticeable relief within eight weeks.

Will treatment be uncomfortable?

Our approach focuses on comfort and trust. Therapy may involve both external and, when needed, internal techniques to address pelvic pain, hip pain, and muscular tension, but everything is always explained first so you feel safe and supported.

Testicular Pain

What is Testicular Pain?

What Causes Testicular Pain?

What Does the Pelvic Floor Have To Do With Testicular Pain?

Causes of Pelvic Floor Dysfunction

How Pelvic Floor Physical Therapy Can Help with Testicular Pain

Benefits of Working with a Pelvic Floor Physical Therapist For Testicular Pain

What To Expect

During Your Initial Appointment

During Your Additional Appointments

Reduce your testicular pain today.

Client Testimonials

Beyond Basics: We Can Help

Get help now from a pelvic floor therapist.

Frequently Asked Questions

— Beyond Basics PT | Pelvic Floor Therapy NYC.

Why do I still have testicular pain if my primary care doctor says nothing is wrong?

How can the pelvic floor muscles cause pain in my testicles?

What does pelvic floor physical therapy for testicular pain involve?

How long does it take to feel relief once I start therapy?

Will treatment be uncomfortable?

BOOK AN APPOINTMENT

Keep in touch and
stay up to date

Services

About us

Resources

Journal

Location

Service Areas

Website development – Ikshu Digital