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Foot/ankle Plantar fasciitis Achilles tendonitis Ankle sprain Stress fracture Turf Toe
Calf/Lower Leg Shin splints Tibial stress fracture Compartment syndrome Gastrocnemius strain
Knee Patellofemoral syndrome illiotibial band syndrome Anterior Cruciate Ligament Injury Patellar tendonitis Cartilage injury Knee Arthritis Pes anserine bursitis
Hip Trochanteric bursitis Groin Pull Piriformis syndrome Hamstring strain Hip Ostenonecrosis Hip Arthritis
Shoulder Shoulder Adhesive Capsulitis Dislocation Burners/stingers Shoulder Separation Arthritis Rotator Cuff Injury
Elbow Biceps tendon Rupture Lateral Epicondylitis Dislocation Olecronon Bursitis Biceps Tendonitis Medial Epicondylitis
Wrist/ hand Flexor Tendon Injury Mallet Finger Ulnar Collateral Injury of Thumb
STINGER / BURNER

shoulder STINGER / BURNER

DEFINITION:

  • Also known as “nerve pinch injury” and “transient brachial plexopathy”.
  • A minor nerve injury involving the brachial plexus. (See illustration).

MECHANISM OF INJURY / HOW IT OCCURS:

  • Usually seen in high contact sports such as football, rugby and wrestling.
  • A result of either the head and neck being forced toward the shoulder or forced away from the shoulder causing compression or stretching of a nerve respectively.

SYMPTOMS:

  • Individuals will experience a sharp shooting pain down the arm with subsequent numbness and weakness.
  • Symptoms usually resolve in minutes.

DIANOSIS:

  • Physical examination assessing sensory deficit or weakness.
  • Plain x-rays may be indicated to rule out cervical spine or shoulder injury.
  • If symptoms persist further evaluation with a Magnetic resonance imaging (MRI) study to detect the possibility cervical spine injury.

TREATMENT/REHABILITATION

  • Cervical spine precautions if suspect spinal cord injury.
  • Rest and ice.
  • Anti-inflammatory medications (NSAIDs) for residual minor symptoms.
  • Prevention with appropriate athletic equipment specifically limiting forceful posturing of the head and neck. As seen in the pads worn by football linemen.

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