19 months post op - Finally addressing the “why?”

Hi all,

I haven’t been on here for quite some time. I had unilateral styloidectomy in November 2024 but continued to be in a lot of discomfort and pain for most of last year. I took it upon myself to travel to Australia last year to get second opinions and met with Dr Elliott and Dr Rau (neurosurgeon Elliott works with). Despite categorising the jugular compression quite high due my C1 TP, Rau was more convinced my issues stem from hyper mobility. Elliott wanted further testing which I did not complete as I was paying out of pocket and also did not want to do the catheter based arterial imaging suggested.

Anyway, while over there I was a complete mess. I was in and out of emergency hospital with severe chest pain, cervical pain and had blood pooling in my legs when I stood, as well as all of my other Eagles symptoms. I had to extend the trip out to 4 weeks just to feel well enough to get on the plane back home. I think I mentioned this before, but whilst trying to recover from this acute episode I was introduced to a physio who uses the Neubie machine for vagus nerve resets and general muscle manipulation. This was my saving grace - it not only relieved a lot of the acute tension in my neck and dulled symptoms, but it also confirmed that once the tension was dialled done that the real source of pain was coming from my opposite hip.

My body had done so well to compensate for a bad hip that I wasn’t even aware the hip was the main problem. I’ve definitely had issues with my lower back/glute in the past from a sports injury as well as bloating and pelvic pain but been told in the past it was gyno related. I had also suspected my hip might be a problem after I had read about @Isaiah_40_31 ’s story but two specialists were convinced my hips were normal and this slowed down a diagnosis.

While I waited months to see a new orthopaedic specialist I started to recognise that when I would get pain or symptoms in my neck, it was because I wasn’t putting my weight evenly across both hips - favouring the better one.

Fast forward to today and I am now 4 weeks post right hip arthroscopy for a severely torn labrum, FAI impingement bone reshaping and capsular plication because of instability. I’ve been using ChatGPT to help me through everything and it’s funny because without giving much detail, it competently linked the calcified ligament in the neck to the hip issue via the twisting of the torso/head to compensate for the pain and instability of the hip.

MSK neuro has a great article about how eagles syndrome is a postural condition and from my experience this hypothesis seems to be valid. I know @Isaiah_40_31 ’s was connected to her hips too, so just thought I’d put this out there for anyone who can’t find a cause or resolution to symptoms. It might not be obvious to check your hips/knees etc because you don’t have pain/symptoms or simply because you’ve managed to live with the small inconveniences that they present, but these can be much larger than we realise. Our bodies are so good at finding ways to cope and distributing loads to other parts of the body to manage.

I still have some Eagles symptoms such as today realising I have visual snow when I tilt my head with only my affected eye open. I’m hoping with some quality rehab for the hip and then improving my posture compensations I will be able to be much closer to recovering from all of this.

For all of those still going through the worst of it, be patient with yourself. You are amazing for getting this far and persevering despite all of the setbacks the global health system presents. It has taken me 13 years to get to this point and I’m still optimistic that there will be a time that I feel good again :slight_smile:

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@BraveKat Thank you for sharing this. This makes a lot of sense to me, and it is one of the reasons I continue to think Eagle Syndrome may be only one part of a much larger picture for some of us.

In my own case, I have bilateral Bochdalek hernias, vascular pooling/congestion in that region, swelling, and multiple areas where soft tissue/ligaments appear to be involved or possibly ossifying. So for me, whatever is going on does not feel limited to elongated styloids or one isolated neck structure.

I think there can be a whole-body mechanical/connective tissue/vascular process happening that the medical system is not really built to identify, especially when each specialist only looks at one body region at a time.

Your post is important because it shows how something outside the neck, like the hip/pelvis, can still drive or worsen neck, vascular, and nerve symptoms. I think a lot of us need a broader view than just “styloids removed, therefore the problem should be solved

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Thanks for your reply and thoughts.

Yes the ‘specialty-based’ approach to the health is not working for us as a society. On top of this, the fact that personal interests often define which areas of the broader specialty a doctor is knowledgeable on creates huge misunderstandings and gaps in diagnoses. If someone is not familiar with the way the health system works, it’s easy to trust what you have been told by a health professional and believe that ‘you do feel pain more intensely than others’ or ‘it is all in your head and you need help for anxiety’ when in reality perhaps that professional can’t see the bigger picture. After going through this for the last 13 years, I’m saddened to think how many individuals have drug addictions because they haven’t been believed by doctors in the past, instead being given scripts for anxiety meds or having to source drugs themselves to ease the pain/symptoms. I was given Diazepam ‘because sometimes mums just get overwhelmed and need a bit of help’. I felt so chill taking it but all my pain and symptoms were still right there under the high’.

I’m sorry to hear you are also dealing with hernias in the diaphragm. Would hernia surgery help to address the vascular congestion? Have you noticed that you hold yourself or move in particularly ways to avoid compression/pain in that area?

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Thank you so much for your post, and I’m so pleased that after having symptoms for so long, despite ES surgery, that you seem to have found the answer! Others on here like @TheDude have also mentioned that they think the whole body might be involved & rehab could be needed after ES surgery too, so it’s interesting you’ve found this too! So frustrating that you’ve been fobbed off for a long time, and glad that you held fire on the revision surgery / C1 shave!
Thank you again for sharing this & hope that you do get back to much better health :hugs: :folded_hands:

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@BraveKat I do think repairing the hernias could help, but finding someone willing to address that part of things has been difficult. My head and face pain are so dominant that it can be hard to separate out what else is contributing. That said, physical activity, especially bending, lifting, and straining definitely triggers symptoms for me.

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@BraveKat - So good to hear from you & especially that you’ve searched for & found a hip connection to the pain/symptoms in your neck! It’s true that we’ve long asserted (but not mentioned often enough!) that our bodies are incredibly interconnected i.e. the neck bone’s connected to the foot bone :joy: though there’s much in between those two points that can also be affecting health in unimaginable ways. I’m so glad you found the link for yourself & hope & will pray for the hip surgery & ensuing PT to give you immense improvement in the way you feel. I hope your body is so happy to have a fixed hip that it heals quickly so you can enjoy more active time w/ your son.

I really appreciate the optimism in your post & know the information you’ve provided will be helpful to our members. :sparkling_heart:

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@MGORNEAU - You’ve been here encouraging our members so consistently in spite of what you’re still going through & that’s been much appreciated! I’ll be praying for you to find a surgeon who has experience w/ hernias in the diaphragm & the best possible doctor(s) to help get to the bottom of the cause(s) of the other soft tissue/ligament issues you’re having.

I just looked up the type of hernia you have, & it sounds like they can cause pretty significant problems w/ the small intestine & stomach. I hope you aren’t dealing with that as well. :hugs:

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@MGORNEAU there have been some discussions about other vascular surgeons who deal with pelvic and abdo compressions in the US, would those names be at all helpful? I’m sorry that you have these other issues too :hugs:

@Jules Yes, please send the names, it certainly doesn’t hurt to have them.

Like many people here, I am hypermobile and do feel like something connective-tissue related may be catching up with me as I get older. I’ve definitely had a lot of hernias: hiatal hernia repaired in 2024, bilateral femoral hernias plus left direct and indirect inguinal hernias repaired in 2025, and I also have a small ventral hernia.

So there does seem to be something contributing to all of this. I had my genome done through Sequencing.com, and there are a lot of possibles/uncertains around connective tissue disorder variants, including some vascular-related ones, but science doesn’t have all of that fully figured out yet.

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@Isaiah_40_31 Honestly, this forum has given back just as much, if not more. It has helped me know who to reach out to for help, and it has also been incredibly validating after everything I’ve been going through over the past 10 years. I wish no one ever had to go through this, it destroys your quality of life.

The Bochdalek hernias are definitely another piece of the puzzle. I do have some stomach/small intestine-type involvement at times, but I have realized through this whole journey that no matter how desperate I get for answers and resolution, it all happens in God’s time. There always seems to be an “Oh, that is why” moment later.

So I have faith they will be addressed when it is time, even if I don’t always like the timing. :wink:

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I love your attitude, @MGORNEAU & especially this statement:

I so totally agree. I’ve got my aches & pains & annoying loud tinnitus but am becoming more certain that the tinnitus is my “thorn in the flesh” to bear. It isn’t life threatening but was initially life altering. I’m used to it now & have joked that I have a “God ear & a good ear”. I can only hear God’s voice in my bad ear due to the tinnitus & hearing loss. I don’t know God’s purpose for it, but I have no doubt He has one. :smiling_face:

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This is so interesting. Do you have a link to the article you mentioned re: posture and ES.

Ty

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@MGORNEAU the doctors mentioned were
AVCS Vascular Consultation He no longer does surgery but you can hire him as a consultant (cash pay). https://avcsconsultation.com @Snapple2020 mentioned this. She also posted a link to a
Dr. Hacker, he specializes in venous compressions. Hacker did a study on POTS patients and found a significant level of pelvic and ab compression. Some of his data indicates improvement in POTS patients symptoms :
Vascular surgeons Robert Hacker and Deena Chihade on venous compressions, stenting, and POTS - Standing Up to POTS

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@LA1379
There’s info posted in this discussion about military neck, forward head posture etc:
List of my favourite resources on YouTube to learn anatomy - General - Living with Eagle

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I cant say I would recommend Hacker as far as worth the effort to fly into St. Louis. I did so and got an ab-pelvis US and the report was minimal and did not directly address Nutcrackers at all even though there was evidence of it. Additionally, it did not include any velocities at all and when I called to request them, they said they dont measure those? They only measure flow? Didnt make sense to me. My daughter has a pelvic/ab US and it was very specific and even had a page with the body with velocities shown on it. They were quick to call me the week after I flew in to schedule a catheter based angiogram and intravascular US. That practice is new in that location and he has built his own procedure suite to do Interventional radiology. I was able to get in quickly and he seems knowledgable & personable but flying all that way, renting a car and hotel for a simple US was a bit much.

Ive since learned from other vascular surgeons that they dont value those US and usually go for MRV of AB & Pelvis to determine extent of compression…this before going in by catheter & stenting. I also learned with the practice I chose, they are sending hEDS / MCAS patients for metal allergy testing before stenting. My daughter has gone thru the games of the tests including full US of entire legs, and I go next week. Its pretty clear my daughter who has severe POTS likely has May-Thurner as it shows up in the MRV and in the full US of legs.

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Thanks @Snapple2020 :hugs:

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Thank you. I plan to sift through those later today. Does anyone have the direct link to the MSK article that @BraveKat mentioned? Ty

We don’t have that article on the site actually, @BraveKat , would you be able to post a link please?
Here’s a link to his site & he’s done lots of articles which are probably nearly all relevant for members! But not sure which one Bravekat saw:
Articles - MSK Neurology

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