A stinger or burner is an injury to the group of nerves in your neck and arm. They branch off the spinal cord, go between the bones in your neck, and then into your shoulder. These nerves give your arm its ability to function. A stinger is also called a brachial plexus injury.
A stinger is common in contact sports, and happens in one of two ways: either the head and neck are forced toward the shoulder, which compresses the nerves that go from the spinal cord to that arm, or the head and neck are forced away from the shoulder, which stretches those nerves. The nerves become irritated as a result of being stretched or compressed.
A stinger usually causes intense pain from the neck down to the arm. You may feel like your arm is on fire. You may have a "pins and needles" sensation. Your arm or hand may be weak. It is possible that you may not have any symptoms after a period of rest following your injury.
Your healthcare provider will ask about your symptoms and examine your head, neck, shoulder, arm, and hand. You may have a sensation of burning or tingling if he or she pushes down on your head or pushes your head to the side.
Your provider may do neck X-rays to be sure there is no damage to the vertebrae. If the injury is serious, he or she may do a CT (computerized tomography) scan or MRI (magnetic resonance imaging). Your provider may send you to a specialist for tests such as an electromyelogram (EMG) or nerve conduction studies (NCS).
To treat this condition:
Chronic stiff neck muscles may be treated with heat, massage, or muscle stimulation.
Everyone recovers from an injury at a different rate. Return to your activities depends on how soon your nerves recover, not by how many days or weeks it has been since your injury has occurred. In general, the longer you have symptoms before you start treatment, the longer it will take to get better. The goal is to return to your normal activities as soon as is safely possible. If you return too soon you may worsen your injury.
A stinger is best prevented by keeping the muscles in your neck strong. It is important to use good technique in contact sports such as football and not to strike with your head when blocking or tackling.