Bilateral Stingers - Page #1

Author: Trent Tamate, BA
Co Author #1: Trent Tamate, BA
Co Author #2: Dr. Justin Young

Patient Presentation:
23 year-old male special teams football player with no history of prior neck injuries complaining of bilateral "stingers."

While attempting to make a tackle in a game, he hit his head causing hyperextension of his neck. After coming off of the field, he complained of bilateral numbness and tingling throughout his arms that he described as "stingers." Physical examination on the sideline revealed full strength and range of motion bilaterally. No Nexus criteria were met. He was removed from the game due to his discomfort. He was seen for follow-up two days later, at which time he reported continued dysesthesias in his bilateral shoulders described as "burning" elicited by light touch, such as contact between his shirt and skin or water from the shower. He denied any radiation, numbness, or tingling. He also complained of neck stiffness, but denied any pain.

Physical Exam:
Neurological: Alert and oriented to person, place, and time.
Neck: Full range of motion of the cervical spine, no midline tenderness. Spurling's test was negative.
Extremities: Tenderness to light touch along the clavicles and trapezius bilaterally. Otherwise, full range of motion, 5/5 strength and 2+ DTRs in the bilateral upper extremities.

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