ACL Graft Choice Risk Factors ACL-RSI Calculator (Return to Sport Readiness)AHA Pre-Participation Screening AOFAS Ankle-Hindfoot Scale ASES Elbow Score ASES Shoulder Score Acute:Chronic Workload Ratio (ACWR)Altitude Gain Guidelines Ankle Syndesmosis (High Ankle Sprain)Athlete's Heart vs HCM Beighton Score (Joint Hypermobility)Borg CR-10 Scale Borg RPE Scale (6–20)Brighton Criteria (BJHS)Buffalo Concussion Treadmill Test (BCTT)Child SCAT6 (Age 8–12)Commotio Cordis Protocol Cumberland Ankle Instability Tool (CAIT)DASH (UE Disability Index)Doha Groin Agreement ESC HCM SCD Risk Score ESC Pre-Participation Screening Energy Availability Calculator FAI Syndrome (Warwick)FAOS (Foot and Ankle Outcome Score)Fear-Avoidance Beliefs Questionnaire (FABQ)Female Athlete Triad Risk Foot Posture Index (FPI-6)Foot and Ankle Ability Measure (FAAM)Functional Movement Screen (FMS)Graduated Return-to-Play (GRTP) Protocol HAGOS (Hip and Groin Outcome Score)Hamstring Asymmetry Index Heat Index (Apparent Temp)Hip Outcome Score (HOS)Hooper Index (Athlete Wellness)I-PRRS (Psychological Readiness)IKDC (Objective Examination)IKDC (Subjective Knee Evaluation)Injury Severity KJOC Shoulder & Elbow Score KOOS (Knee Outcome Score)KOOS-PS (Physical Function Short Form)Kujala (Anterior Knee Pain Scale)LEAF-Q (LEA Screening)Lake Louise AMS Score Limb Symmetry Index (LSI)Little League Elbow Grading Lysholm Knee Score Marx Activity Rating Scale (MARS)Mayo Elbow Performance Score (MEPS)Modified Schober Test NEXUS C-Spine Criteria Neck Disability Index (NDI)One-Rep Max Estimator Osgood-Schlatter Severity Oswestry Disability Index (ODI)Ottawa Knee Rules Oxford Elbow Score Oxford Shoulder Score PAR-Q+ Readiness Questionnaire PARS-3 Youth Readiness Patellar Instability Severity Score Pitch Smart Guidelines (USA Baseball)Pittsburgh Knee Rules Post-Concussion Symptom Scale (PCSS)QuickDASH (Shoulder & UE)RED-S CAT (Clinical Assessment)Re-injury Anxiety Inventory (RIAI)Relative Age Effect (RAE)Return-to-Play Battery SANE Score (Single Assessment)SCAT6 (Sport Concussion Assessment Tool 6)SCOAT6 (Sub-acute and Office Follow-up)SEAQ-I Appetite Questionnaire STarT Back Screening Tool Session RPE (Internal Load)Sever's Disease Activity Single-Leg Hop Test Battery Standardized Assessment of Concussion (SAC)Steroid Equivalence Calculator Stinger / Burner Grading Sweat Rate and Rehydration TSK-11 (Tampa Scale for Kinesiophobia)TUE Criteria Checklist Tanner Stage Assessment Tegner Activity Scale (TAS)Training Monotony and Strain UCL Injury Risk (Medial Elbow)VISA-A (Achilles Tendinopathy)VISA-P Scale (Patellar Tendinopathy)VO2 Max VOMS (Vestibular/Ocular-Motor Screening)WADA Prohibited List Checker WBGT (Wet Bulb Globe Temp)WORC (Rotator Cuff Index)WOSI (Shoulder Instability Index)Wilks Score (Relative Strength)Wind Chill Index hEDS Diagnostic Criteria (2017)iHOT-33 (International Hip Outcome Tool)

Recent Journal Updates

British J Clinical PharmacologyJun 26, 2026

Effect of carbamazepine on the pharmacokinetics of vepdegestrant, a PROteolysis TArgeting Chimera estrogen receptor degrader, in healthy adults

Clinical Context

We think this has broad domain relevance to Stinger Grading.

JAMAJun 23, 2026

Meta-Analysis: Ketamine Injections Rapidly Reduce Major Depressive Episode Symptoms

Clinical Context

We think this has broad domain relevance to Stinger Grading.

BJOGJun 17, 2026

Anatomical–Motor Level Discrepancy in Prenatal Diagnosis of Open Spinal Dysraphism: A 12‐Year Retrospective Observational Study

Clinical Context

We think this has broad domain relevance to Stinger Grading.

Stinger / Burner Grading

Stinger / Burner Grading — Seddon Classification

Select findings to predict severity, or tap grade below for management guidance.

Clinical Findings

Reference — All Grades

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Acute onset of unilateral burning pain, paresthesia, or weakness in an upper extremity following a collision or contact sport (e.g., football, rugby, wrestling).

Sideline assessment of a player who reports a 'stinger' or 'burner' after a tackle or fall with head/neck lateral flexion or shoulder depression.

Differentiation between a transient neuropraxia (stinger) and more serious cervical spine or brachial plexus injury (e.g., cervical radiculopathy, spinal cord injury).

Serial monitoring of symptom resolution and return-to-play decision-making in athletes with recurrent stingers.

Pre-participation screening in athletes with a history of multiple stingers to assess baseline cervical spine and brachial plexus function.

Key Indication - Sideline Triage of Acute Brachial Plexus Neuropraxia

The Stinger Grading system is primarily used for sideline triage of acute brachial plexus neuropraxia (stinger/burner) in contact/collision athletes. It provides a standardized severity classification (Grade I-III) based on symptom duration, motor deficit, and recovery time, guiding immediate management and return-to-play decisions. The grading aligns with the Seddon classification of nerve injury and is endorsed by the American College of Sports Medicine (ACSM) and the National Athletic Trainers' Association (NATA) for on-field assessment.

When Not to Use / Contraindications

Bilateral upper extremity symptoms or symptoms in both arms (red flag for cervical spinal cord injury).

Lower extremity symptoms, gait disturbance, or bowel/bladder dysfunction (suggests spinal cord injury).

Neck pain with midline cervical spine tenderness or restricted range of motion (cervical spine fracture or instability).

Loss of consciousness or altered mental status (concussion or head injury).

Persistent severe pain or weakness lasting >24 hours without improvement (may indicate more severe nerve injury).

Known cervical spine stenosis or previous cervical spine surgery (higher risk of catastrophic injury).

Last Comprehensive Review: 2026

Recent Journal Updates

British J Clinical PharmacologyJun 26, 2026

Effect of carbamazepine on the pharmacokinetics of vepdegestrant, a PROteolysis TArgeting Chimera estrogen receptor degrader, in healthy adults

Clinical Context

We think this has broad domain relevance to Stinger Grading.

JAMAJun 23, 2026

Meta-Analysis: Ketamine Injections Rapidly Reduce Major Depressive Episode Symptoms

Clinical Context

We think this has broad domain relevance to Stinger Grading.

BJOGJun 17, 2026

Anatomical–Motor Level Discrepancy in Prenatal Diagnosis of Open Spinal Dysraphism: A 12‐Year Retrospective Observational Study

Clinical Context

We think this has broad domain relevance to Stinger Grading.

Stinger / Burner Grading

Stinger / Burner Grading — Seddon Classification

Select findings to predict severity, or tap grade below for management guidance.

Clinical Findings

Reference — All Grades

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Acute onset of unilateral burning pain, paresthesia, or weakness in an upper extremity following a collision or contact sport (e.g., football, rugby, wrestling).

Sideline assessment of a player who reports a 'stinger' or 'burner' after a tackle or fall with head/neck lateral flexion or shoulder depression.

Differentiation between a transient neuropraxia (stinger) and more serious cervical spine or brachial plexus injury (e.g., cervical radiculopathy, spinal cord injury).

Serial monitoring of symptom resolution and return-to-play decision-making in athletes with recurrent stingers.

Pre-participation screening in athletes with a history of multiple stingers to assess baseline cervical spine and brachial plexus function.

Key Indication - Sideline Triage of Acute Brachial Plexus Neuropraxia

When Not to Use / Contraindications

Bilateral upper extremity symptoms or symptoms in both arms (red flag for cervical spinal cord injury).

Lower extremity symptoms, gait disturbance, or bowel/bladder dysfunction (suggests spinal cord injury).

Neck pain with midline cervical spine tenderness or restricted range of motion (cervical spine fracture or instability).

Loss of consciousness or altered mental status (concussion or head injury).

Persistent severe pain or weakness lasting >24 hours without improvement (may indicate more severe nerve injury).

Known cervical spine stenosis or previous cervical spine surgery (higher risk of catastrophic injury).

Last Comprehensive Review: 2026