Those are impressive styloids! I’m sorry that I can’t label the images for you, but you have Internal Jugular vein compression both sides, between the styloid process and the C1 process…it looks like the C1 process is quite involved in the compression, so I think you might need a C1 shave- not doctors on here obviously, but trying to steer you in the right direction of which doctor to see… Unfortunately there don’t seem to be any doctors in Canada who do C1 shaves, other Canadian members have travelled to the US, some to Turkey. Is that at all an option for you?
The doctors in the US are Dr Cognetti in PA, Dr Costantino in NY, Dr Lui in NJ, Dr Hepworth in CO and Dr Nakaji AZ. Others have seen Dr Aghayev in Turkey. Here’s a link to the Doctors List:
Doctor Lists – no discussion - Symptoms and Treatments / Doctor Information - Living with Eagle
Some doctors do online consults if you send them your scans, so you wouldn’t have to travel for initial appointments.