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Burners and stingers.

J H Feinberg1

  • 1Department of Physical Medicine and Rehabilitation, Hospital for Special Surgery, New York, New York, USA.

Physical Medicine and Rehabilitation Clinics of North America
|November 25, 2000
PubMed
Summary

Burner or stinger syndrome, a common football injury, involves upper cervical root damage causing brief radiating arm pain. Prompt diagnosis and management, including technique education and physical therapy, are crucial to prevent lasting nerve damage.

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Area of Science:

  • Sports Medicine
  • Neurology
  • Orthopedics

Background:

  • Burner or stinger syndrome is a frequent injury in football.
  • It typically involves an upper cervical nerve root injury.
  • Symptoms include transient radiating pain, numbness, or tingling in one upper limb.

Purpose of the Study:

  • To summarize the commonality and characteristics of burner or stinger syndrome.
  • To outline diagnostic approaches and management strategies for this condition.

Main Methods:

  • Review of existing literature on burner or stinger syndrome.
  • Clinical examination findings as the primary diagnostic tool.
  • Ancillary diagnostic tests such as radiographs, MR imaging, and electrodiagnostic testing.

Main Results:

  • The syndrome is prevalent in football and other contact/collision sports.
  • Symptoms are typically short-lived (<1 minute) but can recur.
  • Potential for permanent neurologic deficits exists with recurrent injuries.

Conclusions:

  • Diagnosis is often clinical, but imaging and electrodiagnostics can aid in localization and assessment.
  • Management should focus on education, restoring neck mobility, strengthening, and appropriate orthotics.
  • Preventing recurrences is key to avoiding long-term neurological consequences.

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