### Patient: Doctor, I have been experiencing back pain, emotional symptoms, and elbow cramps or spasms. What could be the issue?
### Doctor: Based on your symptoms, it is possible that you may have testicular torsion, which is a condition where the testicle twists inside the scrotum, causing pain and swelling. However, back pain, emotional symptoms, and elbow cramps are not typically associated with testicular torsion. I would like to perform an exam to determine the exact cause of your symptoms.