Get care NOW!: I don't know if trauma increases the risk of torsion. But you are right in the peak age group in whom torsion is the most common cause of unexplained testicular pain. Epididymitis due to gonorrhea or chlamydia could be a consideration, but only if at risk for STDs. See a doctor immediately; if it's torsion, you need surgery within a few hours in order to save the testicle.
Answered 5/19/2018
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