Treatment for Stinger Shoulder

Initial Assessment and Management

The American College of Cardiology recommends immediate removal from play, rest, and ice application for a stinger shoulder injury, with return to play only after symptoms fully resolve and normal strength returns 1
Document the exact mechanism of injury, including position of the shoulder and neck at time of impact, to assess the severity of the stinger injury 2
Apply ice to the affected area to reduce inflammation, and consider over-the-counter acetaminophen or nonsteroidal anti-inflammatory drugs for pain relief 1

For symptoms resolving in less than 5 minutes, return to play may be allowed, according to the Neurosurgery guidelines 3
For symptoms lasting more than 5 minutes, return to play should be evaluated on a case-by-case basis, considering the individual athlete's condition and medical history 3

Radiographs should be performed if there is concern for fracture or dislocation, as recommended by the American College of Radiology 4
Consider obtaining an MRI after a second stinger episode to assess the severity of the injury and guide further management 3

Focus rehabilitation on strengthening the rotator cuff, periscapular muscles, and core musculature, as recommended by the American Academy of Physical Medicine and Rehabilitation 5
Improve flexibility of the shoulder capsule to prevent recurrence of stinger injuries 5
Athletes with a history of stingers should undergo preseason strengthening programs to reduce the risk of recurrence 5