This protocol addresses Burner's syndrome in the setting of neurapraxia of the brachial plexus or cervical nerve roots — a Grade I injury in which nerve axons are not severed but temporarily lose conduction due to neuronal stretch. The nerve itself, including surrounding tissue, remains structurally intact.
Neurapraxia (Grade I stinger) represents a mild, transient disruption of nerve conduction without structural axonal disruption. The Schwann cells, endoneurium, epineurium, and perineurium are preserved, and the clinical course is generally short-lived with recovery expected.
Neurapraxia, or Grade I stinger, refers to a mild injury where the axon of the nerves is not severed but will temporarily experience an interruption of conduction due to neuronal stretch.
This type of injury is usually accompanied by normal neuronal and surrounding tissue (Schwann cells, endoneurium, epineurium, and perineurium) and lasts for a very short time, with complete neurologic recovery expected.
Usually transient with no need for any intervention. Pain control, rest, and physiotherapy as needed if symptoms persist.
Cervical region epidural injections can also be used; however, utmost caution should be exercised because of the risks of traumatizing the cord directly during the procedure or indirectly due to the high pressure from administering medication in a narrowed and compromised canal.
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