Ruling Out the Spine, The Four Horsemen Screening Workflow
24 minJune 2026
Steven opens office hours with the screen nobody teaches cleanly: how to actually rule out the spine in a man with testicle, penile, and pelvic pain....
Evidence behind this episode
- Aoun 2020
Small uncontrolled pilot (n=37) finding chronic testicular pain that traced to the thoracolumbar junction resolved with directed spinal (osteopathic) treatment (~67.5% improved), establishes the TL-junction-refers-to-the-testicle ASSOCIATION.