So, I am about 4 months post op with Dr. Nakaji and wanted to share my recovery, so far.
I have noticed a slight reduction in headaches and the severity of my neurologic symptoms, like around a 10-15% reduction. I still have neck pain and tightness, but I don’t get a stabby/achy pain when I turn or tilt my head to the left anymore. My C1 was not able to be shaved, so it still is partially flattening my left IJV and my vein did not open up a whole lot…but it is no longer being sandwiched.
The only complication I still have is first bite syndrome. I have seen a few people post about it but yes, its excruciating and I just dissociate when I take my first bite or something brushes against my cheek to distract from the pain. I have a feeling its a bit of trigeminal neuralgia as well, but I have not confirmed that.
I knew those complications were a possibility, so I was not shaken when I noticed them. The pain is very slowly getting better over time but it is still bad enough that I have to take caution when starting to eat.
I did have some accessory nerve irritation that affected my ability to shrug but that resolved after about 1-2 months. I don’t have any residual weakness from the surgery but my nerve is being pinched between my IJV and C1, so that was already a problem from the get go. We may have to explore this if decompressing the other side doesn’t resolve the pain.
My right side has actually gotten worse and the stenosis is now considered severe. We are planning on doing that side next.
All-in-all, Dr. Nakaji did what he said he would do. He has remained interested in my recovery and checks up on me every few weeks and has been very transparent of his plan. I will be moving forward with the right side and eventually post about that as well.