I am totally in favor of pain meds. There is nothing tough or healthy about enduring pain -- it only wears you down. But...

"Does anyone know a good pain doc in the Philly area?"

No, but I know something that might be better -- a hernia doctor who does nothing but repair hernias, and he's a short ride on the R5 to Fortuna (one stop past Lansdale).

His charge to examine you: $150.

If your balls are gone and your still have pain, your balls weren't the problem. So something somewhere ELSE is causing the pain -- and, not to get your hopes too high up, but possibilities for that include (1) kidney stones, and (2) inguinal hernias. Hernias are a possibility particularly if you've got pain that's mostly mild or zero in the morning, and gets worse especially from sitting or lifting or even walking.

The guy in Philly is the hernia guy. An ordinary urologist ought to have checked out the kidney stone possibility (CT Scan with contrast, cystoscopy).

Check out Dr. Goodyear
2100 N. Broad St. Lansdale, PA 19446
215-368-1122

His discussion forum
http://members3.boardhost.com/NorthPennHernia/

I only saw Dr. Goodyear once, but I was impressed, and I plan to go back probably have him do my hernia repair.

Spy

http://hernia.tripod.com/types.html

INGUINAL HERNIAS may be CONGENITAL (present since birth) yet may become evident with pain or as a bulge at any time during life. They can also be ACQUIRED, the result of repetitive pressure, strain or injury to the muscles of the abdominal wall. This can be acute and occur abruptly, or develop over a long period of time. Congenital Hernias are usually called"INDIRECT" hernias, whereas Acquired hernias are referred to as "DIRECT" hernias, and are so called because of their anatomic direction of travel into the area known as the Inguinal Canal. These hernias frequently show up as a
lump, swelling or "bulge" which gradually increases in size and
become progressively more uncomfortable.

Sometimes only a mild pain, ache or burning in the groin area may occur prior to the development of an obvious bulge. This pain, again often described as an ache or burning sensation, may not only be present in the inguinal area, but may also radiate into the hip region, back, leg or even down towards the genitalia region. Called "REFERRED PAIN", this discomfort can be quite bothersome and at times severe. In addition, in the absence of a bulge, the diagnosis of the cause of this pain may be delayed or mistakenly and incorrectly ascribed to
other causes such as muscular groin strains, epididymitis,
prostatitis or orchitis etc. These diagnoses may be maintained
erroneously until the bulge develops, thereby heralding the real cause of the pain...a hernia. The discomfort with hernias usually is initiated by or increases in severity with activity, then becomes relieved, although not always completely, with rest.