Burner or Stinger Nerve Injury

What is Burner or Stinger Nerve Injury

Burner or stinger Nerve injury to a set of nerves that starts in your neck and supplies feeling to your shoulder, arm, hand, and fingers (brachial plexus).

These nerves may get stretched out or may be under too much pressure (compressed), which can cause temporary feelings of burning, stinging, and other symptoms.

Burners and stingers are common in contact sports such as football, soccer, or wrestling. Symptoms usually last for only a few minutes. In severe cases, symptoms may last for a few days or weeks.

What are the causes?

Burners and stingers are usually caused by direct injury to the head, neck, or shoulder. This type of injury often occurs during a fall while playing contact sports, or during a motor vehicle collision.

What increases the risk?

You are more likely to develop this condition if:

  • You play contact sports.
  • You have poor strength and flexibility.
  • You have had a previous burner or stinger injury.
  • You wear ill-fitting shoulder pads during contact sports.
  • You have a small spinal canal in your neck.

What are the signs or symptoms?

Symptoms usually last for just a brief time after the injury, but sometimes they may last for a few days or weeks. Usually, only one arm is affected. Common symptoms include:

  • Burning or stinging pain that starts in the shoulder and shoots into the arm.
  • Numbness, weakness, or brief inability to move (paralysis of) the affected area. These symptoms may affect the shoulder, arm, or hand.
  • A tingling or “pins and needles” feeling that runs down the arm.

How is this diagnosed?

This condition is diagnosed based on your symptoms, a physical exam, and the details of your injury. You may have tests to check how severe your injury is, or to look for other problems. Tests may include:

  • Imaging tests such as X-rays or an MRI.
  • Nerve conduction tests (electromyogram). These tests measure how well your nerves are working.

How is this treated?

Burners or stingers often do not require any treatment. The symptoms usually go away in a short time. If your symptoms last longer, treatment may include:

  • Resting and icing the area.
  • Taking medicines for pain or inflammation.
  • Doing physical therapy to maintain strength and flexibility.

Follow these instructions at home:

Activity

  • Rest as told by your health care provider. Do notdo the sport or activity that caused the injury until your symptoms go away and your health care provider approves.
  • Do physical therapy exercises as directed. These exercises can help you maintain strength and range of motion in your arm.
  • Take these steps to help prevent another burner or stinger injury:
    • Wear proper protective equipment for your neck and shoulder when playing sports. This may include wearing special pads or collars to protect you from another injury.
    • Use proper technique when performing actions in contact sports.
    • Stretch your neck and shoulder muscles before participating in sports.

Managing pain, stiffness, and swelling

  • If directed, put ice on affected areas:
    • Put ice in a plastic bag.
    • Place a towel between your skin and the bag.
    • Leave the ice on for 20 minutes, 2–3 times a day.

General instructions

  • Take over-the-counter and prescription medicines only as told by your health care provider.
  • Do not use any products that contain nicotine or tobacco, such as cigarettes and e-cigarettes. These can delay nerve healing. If you need help quitting, ask your health care provider.
  • Keep all follow-up visits as told by your health care provider. This is important.

Contact a health care provider if you:

  • Notice that your symptoms do not improve after 1 week of treatment or home care.
  • Notice that your symptoms get worse.
  • Have symptoms in both arms.

Get help right away if you:

  • Develop severe neck pain.
  • Cannot control when you urinate or have a bowel movement (incontinence).
  • Develop new or increased weakness in your arms or legs.

Summary

  • A burner or stinger is an injury to a set of nerves that starts in your neck and supplies feeling to your shoulder, arm, hand, and fingers (brachial plexus).
  • Burners and stingers are usually caused by direct injury to the head, neck, or shoulder.
  • These injuries are common in contact sports such as football, soccer, or wrestling.
  • Symptoms usually last for only a few minutes. In severe cases, symptoms may last for a few days or weeks.
  • Burners or stingers often do not require any treatment.

Burner or Stinger Nerve Injury Rehab

Ask your health care provider which exercises are safe for you. Do exercises exactly as told by your health care provider and adjust them as directed. It is normal to feel mild stretching, pulling, tightness, or discomfort as you do these exercises, but you should stop right away if you feel sudden pain or any increase in pain, burning, numbness, or tingling in your neck, upper back, or arms. Do notbegin these exercises until told by your health care provider.

Stretching and range of motion exercises

These exercises warm up your muscles and joints and improve the movement and flexibility of your neck. These exercises also help to relieve pain, numbness, and tingling.

Exercise A: Chin tuck, supine (

upper cervical extension)

  1. Lie on your back on the floor. You may bend your knees for comfort.
  2. At the base of your head, above the back of your neck, place a rolled-up towel that is about 2 inches (5 cm) in diameter.
  3. Gently tuck your chin by moving it down toward the floor until you feel a stretch at the back of your head and neck.
  4. Hold for __________ seconds.

Repeat __________ times. Complete this exercise __________ times a day.

Exercise B: Cervical side bend (

lateral flexion)

  1. Using good posture, sit on a stable surface or stand up.
  2. Without moving your shoulders, slowly tilt one of your ears toward your shoulder until you feel a stretch in your neck muscles on the other side.
    • You should be looking straight ahead.
    • Stop if this stretch causes more pain, numbness, tingling, or burning in your neck, upper back, or arm.
  3. Hold for __________ seconds.
  4. Slowly return to the starting position.
  5. Repeat the stretch on your other side.

Repeat __________ times. Complete this exercise __________ times a day.

Exercise C: Cervical rotation

  1. Using good posture, sit on a stable surface or stand up.
  2. Slowly turn your head to one side as if you are looking over your shoulder. Keep your eyes level with the ground. Stop when you feel a stretch along the side and the back of your neck.
    • Stop if this stretch causes more pain, numbness, tingling, or burning in your neck, upper back, or arm.
  3. Hold for __________ seconds.
  4. Slowly return to the starting position.
  5. Repeat the stretch on your other side.

Repeat __________ times. Complete this exercise __________ times a day.

Strengthening exercises

These exercises build strength and endurance in your neck and shoulders. Endurance is the ability to use your muscles for a long time, even after they get tired.

Exercise D: Shoulder blade squeezes

(scapular retraction)

  1. Sit with good posture in a stable chair. Do notlet your back touch the back of the chair.
  2. Your arms should be at your sides with your elbows bent. You may rest your forearms on a pillow if that is more comfortable.
  3. Squeeze your shoulder blades together. Bring them down and back.
    • Keep your shoulders level.
    • Do notlift your shoulders up toward your ears.
  4. Hold for __________ seconds.
  5. Return to the starting position.

Repeat __________ times. Complete this exercise __________ times a day.

Exercise E: Cervical flexion, isometric

  1. Face a wall and stand about 6 inches (15 cm) away from it. Place a soft object, about 6–8 inches (15–20 cm) in diameter, between your forehead and the wall. A soft object could be a small pillow, a ball, or a folded towel.
  2. Tuck your chin and gently push your forehead into the soft object. Keep your jaw and forehead relaxed.
  3. Hold for __________ seconds.
  4. Release the tension slowly. Relax your neck muscles completely before you repeat this exercise.

Repeat __________ times. Complete this exercise __________ times a day.

Exercise F: Cervical side bend, isometric

  1. Stand about 6 inches (15 cm) away from a wall. Stand so that your right side is next to the wall, and look straight ahead. Place a soft object, about 6–8 inches (15–20 cm) in diameter, between the side of your head (temple) and the wall. A soft object could be a small pillow, a ball, or a folded towel.
  2. Tuck your chin and gently tilt your head into the object. Keep your jaw and forehead relaxed.
  3. Hold for __________ seconds.
  4. Release the tension slowly. Relax your neck muscles completely before you repeat this exercise.
  5. Repeat the exercise with your left side next to the wall.

Repeat __________ times. Complete this exercise __________ times a day.

Exercise G: Cervical retraction, isometric

  1. Stand about 6 inches (15 cm) away from a wall, with your back facing the wall. Place a soft object, about 6–8 inches (15–20 cm) in diameter, between your head and the wall. A soft object could be a small pillow, a ball, or a folded towel.
  2. Tuck your chin and gently push your head straight back into the soft object. Do nottip your head when you do this. Keep your jaw and forehead relaxed.
  3. Hold for __________ seconds.
  4. Release the tension slowly. Relax your neck muscles completely before you repeat this exercise.

Repeat __________ times. Complete this exercise __________ times a day.

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