When Your Child Has a Stinger

Your child has been diagnosed with a condition called a "stinger" or a "burner." This is shooting pain that travels down the neck to the arm. It happens when a group of nerves in the neck and shoulder (brachial plexus) has been injured. A stinger is painful but not usually serious. There are steps you and your child can take to relieve the pain.

What causes a stinger?

Stingers occur when the head is hit and forced in one direction while the shoulder is forced in the other direction. This pulls and injures the nerves in the neck and shoulder. Athletes are most likely to get stingers. This includes football players and wrestlers. This is due to some of the movements in these sports. They include moves such as tackling in football and take-down maneuvers in wrestling.

What are the symptoms of a stinger?

Stingers are felt right after the injury. Symptoms include:

• Shooting pain from the neck down the arm. The arm may have a “stingy” feeling.

• Numbness or tingling in the arm and shoulder

• Muscle weakness in the arm and shoulder (temporary)

It’s common for symptoms to last for seconds or minutes. If pain doesn’t go away after this time, the problem may be more serious. Talk with your child’s healthcare provider if the symptoms last.

How is a stinger diagnosed?

The healthcare provider will ask about past injuries and pain. They will also examine your child’s neck and shoulder. Most of the time, a diagnosis can be made based on the history and physical exam. Imaging tests may be done to look for other problems. Imaging tests take images of the inside of the body.

How is a stinger treated?

Your child’s healthcare provider will talk with you about the best treatment plan for your child. As soon as your child feels a stinger, they should:

• Stop all activity until the pain goes away and arm strength comes back.

• Ice the neck and shoulder. Use an ice pack wrapped in a thin towel for  15 to 20 minutes to relieve the pain.

• Take anti-inflammatory medicine, such as ibuprofen, as directed.

When should I call my child's healthcare provider?

Call the healthcare provider right away if your child has any of these:

• Loss of consciousness (blacking out)

• Pain in the neck, shoulder, or arm that doesn’t go away

• Numbness in the arm that won’t go away

• Symptoms involve both shoulders or arms at the same time

• Symptoms take longer than 15 minutes to resolve

• Symptoms in the legs

• Child has suffered multiple stingers

• Not acting oneself

• Feeling dizzy or lightheaded

What are the long-term concerns?

The pain from a stinger will come and go, but it won’t usually cause lasting damage. If the nerves are damaged over and over, pain can become chronic. It may last for months or years. If pain does not stop with rest, your child may need to stop the activity that caused the problem. And if your child has pain that doesn’t go away with rest, ask your child’s healthcare provider for a referral to a nerve specialist.

How can I prevent stingers?

• Have your child wear protective equipment while playing sports. For football players, this means using well-fitting padding around the neck and shoulders, including a neck roll.

• Make sure your child has training in proper blocking and tackling methods.

• Before a sport’s season, have your child strengthen their neck and shoulder muscles with exercise.

• Tell your child to stretch their neck and shoulder muscles before activities.

• Have your child do strength and flexibility training.

• Make sure the coaching team is trained in evaluating sports injuries and first aid.