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Pain in the testis and back can be caused by a variety of conditions. Here are a few possible causes and treatments: Epididymitis: This is inflammation of the epididymis, which is a tube-like structure that sits at the back of the testicles. It can cause pain and swelling in the testicle, as well as pain in the lower back. Epididymitis is often caused by a bacterial infection, and can be treated with antibiotics. Kidney Stones: If the pain is on the right side, it may be due to a kidney stone. The pain can be felt in the lower back, abdomen, and groin. Small kidney stones can usually pass on their own, but larger stones may require medical intervention. Prostatitis: This is inflammation of the prostate gland, which is located near the base of the bladder. It can cause pain in the testicles and lower back, as well as difficulty urinating. Prostatitis can be caused by a bacterial infection, and is treated with antibiotics. Herniated Disc: If the pain in the back is due to a herniated disc, it may also cause pain in the testicle. A herniated disc occurs when the soft tissue in the spinal column pushes out through a crack in the outer layer of the disc, putting pressure on nearby nerves. Treatment may include rest, pain medication, and physical therapy. Testicular Torsion: This is a medical emergency that occurs when the testicle twists, cutting off blood supply to the area. It can cause severe pain in the testicle, as well as nausea and vomiting. Testicular torsion requires immediate medical attention, and may require surgery to correct. If you are experiencing pain in your testicle and back, it is important to see a doctor to determine the cause and receive appropriate treatment.