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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
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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.

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.

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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.