# Bilateral IJVs compression by C1 TPs

**URL:** <https://forum.livingwitheagle.org/t/bilateral-ijvs-compression-by-c1-tps/24672>\
**Category:** General\
**Tags:** internal-jugular-vei\
**Created:** [October 18, 2026, 4:04pm UTC](https://forum.livingwitheagle.org/t/bilateral-ijvs-compression-by-c1-tps/24672 "2026-10-18T16:04:21Z")\
**Posts on this page:** 3\
**Page:** 2

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**Author:** ![Isaiah\_40\_31](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/isaiah_40_31/32/3054_2.png) [@Isaiah\_40\_31](https://forum.livingwitheagle.org/u/Isaiah_40_31)\
**Post date:** [October 28, 2026, 3:56am UTC](https://forum.livingwitheagle.org/t/bilateral-ijvs-compression-by-c1-tps/24672/21 "2026-10-28T03:56:06Z")

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ES symptoms seem to come on “over night” i.e. you’re fine one day & in pain the next & there can be no specific reason for the pain onset. I’ve been curious myself how it goes from 0% -100% pain so quickly. It’s possible that the calcification or vascular compression are present at some level then hit “critical mass” at some point & then the pain starts. There is much we don’t know about the human body & about ES so we have to speculate, as you’re doing, about how & why we end up w/ the physical problems we do.

Have you read any of @Algobe’s posts? He’s having surgery in Spain next year in April with Dr. Bernal Sprekelsen. It sounds like Dr. Sprekelsen does the intraoral approach which isn’t ideal for vES, but it still might be worthwhile getting an opinion about your situation from him.

> [@Almost 3 years with unknown diagnose. Potential Eagle, Throat pain. Help!](https://forum.livingwitheagle.org/t/almost-3-years-with-unknown-diagnose-potential-eagle-throat-pain-help/23039/50):
>
> Hi everyone, I hope all of you fighting Eagle Syndrome every single day are holding up with the greatest strength and highest spirits possible. I am writing today to share an update on my journey and, above all, to express my heartfelt gratitude for this community. This group has been an invaluable source of information, support, and understanding for me throughout this process. Following an initial consultation with Dr. Bernal Sprekelsen, I started practicing isometric cervical exercises alon…

> **[Dr. Manuel Bernal Sprekelsen: especialista en Otorrinolaringología en Barcelona](https://www.topdoctors.es/doctor/manuel-bernal-sprekelsen/)**
>
> Pide cita con Dr. Manuel Bernal Sprekelsen. Especialista en Otorrinolaringología en Barcelona. Opiniones, tratamientos y precios.

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**Author:** ![nemo](https://avatars.discourse-cdn.com/v4/letter/n/f07891/32.png) [@nemo](https://forum.livingwitheagle.org/u/nemo)\
**Post date:** [October 29, 2026, 6:43pm UTC](https://forum.livingwitheagle.org/t/bilateral-ijvs-compression-by-c1-tps/24672/22 "2026-10-29T18:43:37Z")

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> [@Isaiah\_40\_31](#):
>
> ES symptoms seem to come on “over night” i.e. you’re fine one day & in pain the next & there can be no specific reason for the pain onset. I’ve been curious myself how it goes from 0% -100% pain so quickly. It’s possible that the calcification or vascular compression are present at some level then hit “critical mass” at some point & then the pain starts. There is much we don’t know about the human body & about ES so we have to speculate, as you’re doing, about how & why we end up w/ the physical problems we do.
> 
> Have you read any of @Algobe’s posts? He’s having surgery in Spain next year in April with Dr. Bernal Sprekelsen. It sounds like Dr. Sprekelsen does the intraoral approach which isn’t ideal for vES, but it still might be worthwhile getting an opinion about your situation from him.

Thanks, I’ll read it. Unfortunately, Bernal is an ENT specialist, and in my case, since the compression is caused by the C1, I’ll most likely need a neurosurgeon. But I’ll look into it. Thanks

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**Author:** ![Isaiah\_40\_31](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/isaiah_40_31/32/3054_2.png) [@Isaiah\_40\_31](https://forum.livingwitheagle.org/u/Isaiah_40_31)\
**Post date:** [October 30, 2026, 2:51am UTC](https://forum.livingwitheagle.org/t/bilateral-ijvs-compression-by-c1-tps/24672/23 "2026-10-30T02:51:26Z")

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Most of the surgeons in the US who do IJV decompression surgeries are skull based ENT surgeons. Several do operate w/ a neurosurgeon when C1 needs to be shaved.

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