A injury to the nerves of the neck and shoulder that cause a burning or stinging feeling down the neck or arm are called stingers or burners. Another name common name for this type of nerve injury is called a brachial plexus injury.
This injury is very common in American football and other contact sports which is caused by nerve compression from sudden impact to the neck and shoulder area.
This can cause a sting or burn sensation that can spread from the shoulder, down the arm, as far as the hand/fingers.
The most common symptoms of stingers and burners are a burning or electric shock sensation which may be felt from the neck down to the hand which occurs after a compression type force or a traumatic impact to the neck / shoulder area.
The feeling usually lasts about seconds or even minutes but on very rare occasions it can be much longer. The patient may describe a warm feeling in the arm and there may be some clinical signs of weakness or numbness after the initial injury.
To determine whether your injury is a stinger or burner, your doctor will discuss your symptoms and how the injury occurred. Imaging tests, such as x-rays, magnetic resonance imaging (MRI) scans, and nerve studies are not usually needed but maybe prescribed.
A further examination is needed if you have any of the following symptoms:
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The primary treatment for a stinger or burner injury is rest, in order to allow the damaged nerves to heal.
Since this is most likely a sporting injury, the individual must refrain from sports activity until all feeling and strength has returned to the neck, shoulder, and arm; the range of motion of the neck, shoulder, and arm is normal; and reflexes are regular.
If the injury s mild, the athlete may be able to return to sports after a few moments. In other cases he or she may have to wait a few hours, a few days, or even longer to play sports.
The following exercises may be performed when your have been cleared to perform exercises. It should be understood that you do not do any exercises that make your neck or shoulders hurt more.
Isometric neck flexion: Sit tall, eyes straight ahead, and chin level. Place your palm against your forehead and gently push your forehead into your palm.
Isometric neck extension: Sit tall, eyes straight ahead, and chin level. Clasp your hands together and place them behind your head. Press the back of your head into your palms.
Isometric neck side bend: Sit tall, eyes straight ahead, and chin level. Place the palm of your hand at the side of your head and press your head into the palm of your hand.
Head lift with neck curl: Lie on your back with your knees bent and your feet flat on the floor. Tuck your chin and lift your head about 3 inches off the floor, keeping your shoulders flat on the floor.
Shoulder shrug: Stand with your head directly over your shoulders, with your spine straight. Shrug your shoulders up and then relax.
Shoulder abduction: Stand with your arms at your sides. Bring your arms up, out to the side, and toward the ceiling making sure the thumbs are pointing up.
These are just a few exercises that might be prescribed by your physical therapist or athletic trainer. Progression will be based on symptoms and tolerance to each activity.
The Jacksonville Orthopedic Institute has many other articles about the shoulder which may be interesting to you. Here is a link to one of them. http://www.joionline.net/trending/content/5-shoulder-symptoms-you-cannot-ignore
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