Best Practice Case Studies-Transient Neuropraxias

Video Transcription

Video Summary

In this National Fellow Online Lecture Series episode, Dr. Danny Herman discusses transient neuropraxia, commonly known as burners or stingers, which are recurrent in sports like American football and rugby due to their high-contact nature. These injuries often occur at the brachial plexus or cervical nerve roots, primarily affecting the C5-C6 region, and are commonly observed during tackling or falling from significant heights. The lecture outlines various risk factors such as canal stenosis, poor technique, and anatomical predispositions, alongside epidemiological data indicating a high prevalence of stinger injuries among collegiate and professional athletes.<br /><br />During the clinic or on-field evaluation, key steps include ruling out severe injuries like spinal cord damage or concussions. The goal is to ensure complete resolution of symptoms—ideally within five to 15 minutes—before returning athletes to play. If symptoms persist or if more severe injuries are suspected, further imaging or electrodiagnostic tests are recommended for assessment.<br /><br />Dr. Herman advises incorporating cervical strengthening exercises and adopting good tackling techniques—like using the Heads Up Tackling program—to prevent these injuries. He emphasizes that while some consensus and expert opinions exist on when to hold athletes from returning to play, it remains a complex decision requiring consideration of the athlete's medical history, risk tolerance, and competition level. Equipment like the Kerr collar, suggested for lateral neck stabilization, may also help reduce the risk of recurrent stingers.<br /><br />Dr. Herman stresses the need for comprehensive assessments, including multiple diagnostic tools, to enhance accuracy in differential diagnoses of cervical injuries.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 52

Topic Spine

Keywords

3rd Edition, CASE 52

3rd Edition

Spine

transient neuropraxia

burners

stingers

brachial plexus

cervical nerve roots

athlete injuries

cervical strengthening

diagnostic tools

American football

rugby