Orthopedics 221: Burner Syndrome | CCEDseminars

• Clinical Overview — definition of burner/stinger syndrome and why it matters in chiropractic orthopedic and neurologic evaluation.
• Mechanisms of Injury — traction, compression, direct trauma, cervical side-bending, shoulder depression, and contact-sport injury patterns.
• Relevant Anatomy — cervical nerve roots, upper brachial plexus, shoulder girdle structures, cervical foraminal considerations, and upper extremity neurologic pathways.
• Clinical Presentation — burning pain, electric-shock sensation, paresthesia, numbness, weakness, cervical and shoulder symptoms, and symptom duration.
• Orthopedic and Neurologic Examination — history, inspection, cervical range of motion, shoulder assessment, myotomes, dermatomes, reflexes, provocative testing, and functional findings.
• Differential Diagnosis — cervical radiculopathy, brachial plexopathy, spinal cord involvement, fracture concern, concussion overlap, shoulder injury, and other neurologic red flags.
• Recurrent and Persistent Cases — why repeated symptoms, prolonged weakness, bilateral symptoms, or neck pain may require additional evaluation.
• Management Reasoning — activity modification, rehabilitation concepts, strengthening, posture, protective equipment considerations, and referral decision-making.
• Return-to-Activity Considerations — symptom resolution, pain-free cervical motion, restored strength, normal neurologic exam, and risk-aware decision-making.

Orthopedics 221 is a 2-hour online chiropractic CE course on burner and stinger syndrome from an orthopedic and neurologic perspective: mechanisms of injury to the brachial plexus and cervical nerve roots, clinical presentation, examination reasoning across myotomes, dermatomes, reflexes, and provocative testing, differential diagnosis, red flags, recurrence concerns, and return-to-activity decision-making. Chiropractors may search for it as a stinger syndrome course, brachial plexus injury CE, or a sports nerve injury course.

Yes. CCEDseminars is PACE Provider #34015544, recognized by the Federation of Chiropractic Licensing Boards (FCLB), with courses accepted in 40+ U.S. states, Canadian provinces, and international jurisdictions. Completions auto-report to CE Broker for states served. The full approval list for this course appears at the bottom of the page.

A sudden burning, electric-shock sensation with tingling, numbness, or weakness radiating down one arm after a collision is the classic burner or stinger: a traction, compression, or direct-trauma injury to the brachial plexus or cervical nerve roots, most common in contact and collision sports. Most episodes are transient, but recurrent symptoms, prolonged weakness, bilateral involvement, or neck pain change the picture — Orthopedics 221 teaches the examination and red-flag reasoning that separates the routine from the referral.

Orthopedics 221 awards 2 chiropractic CE hours. Your certificate is issued electronically the moment you complete the course and quiz, and is available in your CCEDseminars account. Completions auto-report to CE Broker for participating states.

Doctors who take Orthopedics 221 often add Orthopedics 201: Upper Extremity Entrapments, 202: Trunk & Upper Extremity Entrapments, and 203: Nerve Entrapments of the Pelvis & Lower Extremities — completing the full nerve entrapment lane. All Orthopedics 201–224 courses also count toward the 48-hour CCO certification.