Greetings Friends - New Here

Greetings Everyone,
My name is Adam Wade, call me Adam or Wade. While I wouldn’t say I’m happy to be posting here (I’m guessing no one is happy about experiencing chronic conditions), but I am grateful to be amongst so many kind and caring people. I signed up a few days ago and I’ve been reading through a lot of the information here.

A little about me:
I live in San Francisco bay area; my home is in Oakland (so depressed at the crushing defeat of the Warriors last night :sob:). I’ve got a really interesting but sometimes stressful job working as an engineering and earthquake geologist for Pacific Gas and Electric Company. I evaluate and mitigate geologic hazards for the company’s infrastructure. Before I became a geologist, I was a paratrooper in the 82nd Airborne. Throughout my life I’ve had to pull many long days and have put my body and mind through the wringer. Anxiety has been an old friend of mine and I’m no stranger to its many mysterious symptoms. Over the past 10 years though my list of symptom complaints has grown extensively and more recently have started to point towards something structural within my body. I’m not sure if what I’m experiencing sounds like Eagle Syndrome, so I’m interested to learn more from everyone here.

My mysterious symptom story:
To be honest I really don’t know where to start. But I’d say things first got weird for me back in 2015. One day I was at a restaurant eating lunch and all of sudden I felt like my chair and table were very unstable. I had the feeling of anxiety and could feel my heart rate pick up. Not sure how long it lasted maybe 5 to 10 minutes. This happened a few times that year, and always while eating lunch, but because it was so infrequent, I thought maybe I was just really sensitive to a wobbly chair. I don’t really remember this happening again for a while. Around 2019 it happened again while I was eating lunch with some friends. They took me to the ER where my heart was evaluated. They didn’t find any abnormalities; told me my potassium levels were a little low and sent me on my way. Beginning in 2020 this started to happen a little more frequently. More trips to the ER and multiple doctors’ visits. I had extensive heart studies but discovered no problems. My doctor concluded I was experiencing anxiety and panic attacks. I took medication and underwent psychotherapy. I also started having a real problem with insomnia, which made things worse. So, I increase my exercise routine thinking it would burn off the anxiety. The condition never really went away I just got used to it and didn’t worry about it too much, which seemed to make it a little less severe for a while. in mid-2023 I went through a pretty stressful period and also had a severe neck strain. For over a week my neck and back of head got so stiff and painful I couldn’t do anything but cry. Doctor gave me NSAIDs and muscle relaxers and it subsided and the strain went away. A week or two later I was doing some work in the field and woke up one morning in my hotel room and heard some tinnitus. At this point in the story I should say I do have some hearing loss in my right ear from gunfire during my time in the Army. I did experience some mild tinnitus after that event, but it resolved and went away. That was over 20 years ago. That morning in the hotel room I thought the tinnitus was odd but wasn’t too worried about it. Later that morning it went away.

A couple weeks after this is when my life really flipped upside down. I was sitting at my desk in the office and all of a sudden, I started to hear very load tinnitus in both ears. A few days later I saw a doctor who referred me to an audiologist. My hearing was tested and not a big shock they noted I had high frequency hearing loss in my right ear. I also noticed my ears got really sensitive to small pressure changes. They would pop just driving up a small hill near my house that never happend before. I saw an ENT who said the tinnitus was due to hearing loss. I told her that happened 20 years ago and that tinnitus went away. Plus, this was bilateral tinnitus, and my hearing is normal in my left ear. She shrugged her shoulders and that was the end of that. When I asked about the popping ears, she said it was Eustachian tube dysfunction and to use a nasal spray. I saw a few other audiologists and they had similar responses. My anxiety levels started to skyrocket, and I started to experience terrible insomnia. After about a year, the anxiety levels felt like the leveled off a little bit. My sleep got better but never really went back to what it was before. I still have really poor night’s sleep that occur randomly. Beginning around August or September of 2024 I began experiencing a new form of tinnitus in my right ear. It’s a beeping sound with a staccato rhythm like morse code and I can modify it by moving my head/neck and jaw. I can briefly make it stop by pushing into my ear lobe or pressing under my chin and below my ear. I visited more doctors who concluded it was due to TMJ so I saw a couple of dentists. I was changed $6,000 for a night guard that has made no difference. My jaw does occasionally pop or crack on my right side.

Wondering if this was all related to my neck (I’ve had ongoing problems, mostly stiffness, with my neck for years) I went to see Dr. Hauser at Caring Medical in April of 2025. He noted a bone spur on my C1 and some instability in my lower neck along with some possible pinching in my neural foramina. He also mentioned an elongated styloid on my left side but said nothing of Eagle Syndrome. He also noted from an ultrasound some compression of the IJV, degenerated Vagus nerves, elevated velocities in vertebral arteries and low HRV. He attributed all of this to a loss of the cervical curve and ordered curve correction therapy.

Lately my symptoms feel like they’ve worsened. I’ve also started getting headaches and my left eye twitches often. Some other symptoms I have not mentioned are spasms in my ears, it feels like someone pinched my middle ear for a second. It seems to happen randomly although may occur with certain head positions. I’m sure there are about half dozen other symptoms I’m not listing. I forgot to mention that my tinnitus sounds are completely chaotic. I have different sounds in each ear, and they change every day. I also have different sounds at night/early in the morning when I wake up. The intensity is usually higher in the right side but can sometimes be stronger in the left. Sometimes when I first get out of bed, I’ll also hear what sounds like my head deflating. And then, very infrequently, it will all just disappear for an hour or two before starting back up again.

I recently met with a neurologist who’s ordered an MRI and MRA of my head and neck. I brought up Eagle Syndrome to him and he said I don’t meet the criteria because my chief complaint is not pain.

I do have a couple of 3D CT scans, one from a dentist in 2024 and one from Caring Medical. When I view the data, I can see the left styloid and feel like I can make out the faint trace of another one on my right side. I’ve got a consultation with Dr. Osborne tomorrow afternoon (5/15/2025) and shared the scans with him.

My experience feels similar to others that I’ve read on this forum. It seems like the condition has a lot of variability. I know all too well the problems of self-diagnosis, so I’m not completely sold I have ES. I’m interested in some feedback from others. It seems like getting a proper diagnosis and treatment can be a long and exhausting process. I’ve felt so alone going through this, I guess I feel good to be able to share with people that know how challenging a mysterious condition can be.

Any feedback or suggestions for next steps would be greatly appreciated. I’m looking forward to hearing what Dr. Osborne has to say tomorrow.

3 Likes

WOW! You’ve got quite a story & some interesting symptoms, @wade! I’m sorry this has been going on for so long for you.

Honestly, I’m surprised Dr. Hauser wasn’t more decisive w/ your diagnosis as he’s diagnosed several of our members w/ vascular ES (IJV compression) & since you have an elongated styloid & IJV compression, it would seem to follow that you may be in that same situation.

Tinnitus can be a bear to treat. Some of our members have totally recovered from it after their styloidectomy(ies) & especially after IJV decompression(s), if that was also present, whereas others have had no change. Dr. Amans at UCSF Med Center is one of the top docs in the country to see for tinnitus but he specializes in pulsatile tinnitus (hearing your heartbeat in your ear). Vascular compression in the head &/or neck can be a source of tinnitus. Dr. Amans says low pitched tinnitus is venous & high pitched tinnitus is arterial. That information is in this video: https://www.youtube.com/watch?v=FXyXa5eU0nk

This sort of a symptom can be related to IJV compression. We’ve had members who’ve described an altered sense of reality or a change of physical perspective ie feeling taller or shorter than they really were, among other symptoms. What you described could be a type of vertigo.

I think any time our sense of reality becomes distorted, anxiety & increased heart rate due to adrenaline response are a natural outcome. Anxiety can also result from physical changes such as hearing loss, lack of sleep, chronic pain, etc. You noted that Dr. Hauser saw some degeneration of your vagus nerve. The vagus nerve helps control anxiety levels so when it’s stressed or injured, it can reflect that by increased anxiety levels among many other symptoms - increased/decreased heart rate & or blood pressure, vocal changes, breathing/coughing problems, swallowing issues, gastronintestinal problems, & the list goes on.

The vestibulocochlear nerve is responsible for hearing & balance & can be affected by ES so it’s possible that yours has been irritated & is contributing to some of your inner ear symptoms. Your facial nerve would be responsible for your twitchy eye.

Eagle Syndrome is indeed an “odd bird” in that the symptoms vary from person to person which also makes it hard to diagnose. Not everyone has terrible pain as a symptom though pain is a common side effect of ES & is the thing that has driven most of us to seek a diagnosis. The other symptoms you have could still be related to ES especially because you noted

Being able to manipulate symptoms via head position &/or styloid manipulation (putting pressure under your chin) can also be indicators of vascular compression & styloid involvement in the symptoms.

I’m really glad you have a consult w/ Dr. Osborne tomorrow. I’m very curious about what he’ll tell you. Please let us know after your appt.

2 Likes

Thanks for your reply @Isaiah_40_31! I’ll let you know what I learn from my consult with Dr. Osborne tomorrow.

1 Like

Hi@Wade. I’m @Sandys_Mom21. I was new here not so long ago. I’m still wading thru this tech stuff.
Thanks for serving. My friend Jason was in 82 airborne but was a good while back.
I feel i can share how you feel going thru many of your experiences and being told time after time that you arent quite diagnosed as you feel you should be because your symptoms keep right on driving you to distraction.
I started with many things but one very noticeable symptom was tinnitus. Ringing, buzzing, high pitched screaming, music that’s not there, soldiers marching on tin, whooshing, heartbeat in my ears, and my ears aching. This lead to vestibular issues. I was taken to Dr. Lui head of ENT at Univ of Pitt Med Center. Basically was told that there was nothing really wrong except BPPV and all I really needed was a couple sessions of therapy and I’d be fine.
As 1980 continued so did many symptoms and many more trips to many more doctors and more diagnoses of there’s nothing wrong. Finally this year i found an ENT who helped me and pointed me in the right direction. Even more i found this marvelous “family” in this forum. Stick with us. We are so supportive and caring.
If you believe in any higher power or in God I’d like to pray for you that you get more answers in your search for help in this your journey. Please if you do not want prayer please tell me. I dont want to

3 Likes

Hi Wade & welcome here! As usual @Isaiah_40_31 has covered pretty much everything I can think of to say! You mentioned that you get a pinching sensation in your ear- the glossopharyngeal nerve can also be affected by ES & neuralgia from that apparently can be like an ice pick in your ear, so I don’t know if that’s maybe causing the sensation you feel? It is unusual for ES to not cause pain, but we are certainly seeing more & more members with vagus nerve related symptoms, which doesn’t always seem to be recognised by medical professionals.
Feel free to upload your scan images (without personal info) on here & we can look, although obviously we’re not medical professionals… I hope that you get some answers from Dr Osborne & that he can help you look forward to hearing how you get on!

1 Like

Hi @Sandys_Mom21. Thanks for your kind words. I pray every day. I pray for me and everyone in a similar struggle. It’s a terrible feeling not knowing what’s going on inside your body and so frustrating when it feels like the medical community doesn’t listen to you or take you seriously. You really have to stand your ground and find your own answers.

2 Likes

Well, I just had my meeting with Dr. Osborne. He said that I have calcified styloid ligaments. The scan shows that it’s calcified below the base of my skull and then in smaller pieces away from my skull. My left side appears longer than my right, but he said the length does not necessarily correlate to the intensity of the symptoms. He said some people might have a really long styloid but no symptoms, while another might have a 5mm styloid and be in agony. He said 5 mm does not sound like much, but if you pass a 5mm stone through your kidney it might feel like a fist sized rock. I actually had a grain sized kidney stone in 2017 and had to go the ER because it felt like someone was stabbing me through the side with a sword.

Whether or not the calcified styloid ligaments are causing my symptoms, he said he couldn’t say for sure. He said he felt pretty sure that they were at least contributing to my symptoms. He said the only way to know for sure would be to remove them. Hey, did say tinnitus was a tricky one, and is never sure if that will resolve from surgery. He said sometimes it does, sometimes not. Sometimes it’s in between where it gets a lot better, but not gone, or is much more intermittent. I guess I feel somewhat confident that it would help me, assuming it’s the cause, because I do have moments, albeit brief where it does go away.

Since I did get a referral for an MRI and MRA of my head and neck I think I’ll wait to see if they show anything. If those don’t show another potential cause, I’ll probably go through with the procedure.

I have to say Dr. Osborne was one the nicest, thoughtful and caring doctors I’ve met with since this all started.

1 Like

HOORAY! for validation, @wade!! No doctor will tell you for sure that styloidectomies will cure symptoms but most will give reassurance that getting the styloids cut back can help reduce symptoms.

I’m glad you’re getting some follow-up imaging just to make sure there’s nothing else obvious going on. If you’re comfortable sharing your results, we’re all ears…er…eye. :wink:

Thank you for the positive endorsement of Dr. Osborne. We’ve heard that from other members as well. I’m glad you had a good experience w/ him.

Hello @wade

Thank you for sharing your story and I am so glad that you had a great experience with Dr Osborne.

I’m in a similar position going from Dr to Dr with symptoms and I was considering doing a telehealth call with Dr Osborne for a second plus opinion.

Did you bring your disc with you to the consultation or send via link. I tried to send mine via their link and it didn’t work so they said to post it . It would be so much faster to be able to get the link working as I’m in Ireland !

Did Dr Osborne mention the IJV causing symptoms too?