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Testicular akathisia (commonly referred to as "jimmy nuts" or "whack sack") is a specific subtype of acute akathisia that is localized to the testes and/or scrotum of male sufferers. Akathisia, a psychoneourological movement disorder, is characterized by a subjective and distressing feeling of inner restlessness resulting in an inability to remain still and varying degrees of psychomotor agitation such as fidgeting, rocking, pacing, shifting positions, crossing and uncrossing of the legs, etc. With testicular akathisia, this inner sensation of restlessness is confined to the testicles or scrotum. In this case, the sufferer feels persistently compelled to manipulate, shift, or joggle his testicles so as to alleviate the marked discomfort and dysphoria experienced with inert gonads. Some relief can be found through activation of reflexology pressure points located on the ankles or wrists which are associated with the ductus deferens and testes. On the wrist these points are found either side of the wrist joint and in a line across the back of the joint linking the points either side. On the foot these points are found either side of the ankle joint close to the sole of the foot and in a line across the front of the ankle joint linking the points either side. Activation of the points on the wrists or ankles can be by gentle rubbing or application of cool.

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