# Interesting article - IJV compression not always pathological / symptomatic. How to determine if it is? **URL:** \ **Category:** Research Papers\ **Created:** [May 18, 2024, 2:51pm UTC](https://forum.livingwitheagle.org/t/interesting-article-ijv-compression-not-always-pathological-symptomatic-how-to-determine-if-it-is/16185 "2024-05-18T14:51:07Z")\ **Posts on this page:** 8\ **Page:** 2
**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:** [May 21, 2024, 5:32pm UTC](https://forum.livingwitheagle.org/t/interesting-article-ijv-compression-not-always-pathological-symptomatic-how-to-determine-if-it-is/16185/21 "2024-05-21T17:32:35Z")
@Brandy - I’m glad you’ve made a decision. I know you’ve done your due diligence in researching surgical technique & outcome from the doctors you’ve interviewed so expect a positive outcome from surgery. I’ve heard great things about Dr. Henderson from a few members who’ve been out to see him so you’ll be in good hands there. If you don’t mind me asking, what will the muscle biopsy help determine? ---
**Author:** ![Brandy](https://avatars.discourse-cdn.com/v4/letter/b/ac8455/32.png) [@Brandy](https://forum.livingwitheagle.org/u/Brandy)\ **Post date:** [May 21, 2024, 6:18pm UTC](https://forum.livingwitheagle.org/t/interesting-article-ijv-compression-not-always-pathological-symptomatic-how-to-determine-if-it-is/16185/22 "2024-05-21T18:18:07Z")
Thx. Will do! ---
**Author:** ![Brandy](https://avatars.discourse-cdn.com/v4/letter/b/ac8455/32.png) [@Brandy](https://forum.livingwitheagle.org/u/Brandy)\ **Post date:** [May 21, 2024, 6:35pm UTC](https://forum.livingwitheagle.org/t/interesting-article-ijv-compression-not-always-pathological-symptomatic-how-to-determine-if-it-is/16185/23 "2024-05-21T18:35:42Z")
Nothing related to Hepworth’s surgery. I have nerve damage and muscle issues of which I have been on IVIG for. It’s not helping…. ---
**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:** [May 22, 2024, 12:53am UTC](https://forum.livingwitheagle.org/t/interesting-article-ijv-compression-not-always-pathological-symptomatic-how-to-determine-if-it-is/16185/24 "2024-05-22T00:53:28Z")
@Brandy - I’m sorry to hear that. I have a friend who’s doing IVIG therapy. The jury is still out as to whether or not it’s helpful for her. I hope the surgery w/ Dr. Hepworth goes far toward resolving symptoms even beyond those caused by ES. ---
**Author:** ![Brandy](https://avatars.discourse-cdn.com/v4/letter/b/ac8455/32.png) [@Brandy](https://forum.livingwitheagle.org/u/Brandy)\ **Post date:** [May 22, 2024, 11:08am UTC](https://forum.livingwitheagle.org/t/interesting-article-ijv-compression-not-always-pathological-symptomatic-how-to-determine-if-it-is/16185/25 "2024-05-22T11:08:04Z")
You and me both! My big concern is after surgery. Many experience shoulder pain and pain from the accessory nerve being released. I already have pain on same side due to needing (we believe) a fusion C3/4/5. One of the reasons I am seeing Henderson first. This along with undiagnosed nerve/muscle issue has me very concerned. One of the reasons I have held off for so long. I still see many doing surgery with not favorable outcomes due to not getting the full picture prior. Fingers crossed!! My cognitive decline is awful…… ---
**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:** [May 22, 2024, 6:28pm UTC](https://forum.livingwitheagle.org/t/interesting-article-ijv-compression-not-always-pathological-symptomatic-how-to-determine-if-it-is/16185/26 "2024-05-22T18:28:04Z")
@Brandy - If it’s any encouragement, not everyone has the accessory nerve involvement. If your shoulder pain is coming from your cervical nerves, your shoulder pain may not increase as a result of ES/vascular deompression surgery. ---
**Author:** ![11bravo](https://avatars.discourse-cdn.com/v4/letter/1/d07c76/32.png) [@11bravo](https://forum.livingwitheagle.org/u/11bravo)\ **Post date:** [March 22, 2025, 2:38am UTC](https://forum.livingwitheagle.org/t/interesting-article-ijv-compression-not-always-pathological-symptomatic-how-to-determine-if-it-is/16185/27 "2025-03-22T02:38:44Z")
Did bryan have eagles or just forward c1? ---
**Author:** ![komok](https://avatars.discourse-cdn.com/v4/letter/k/b77776/32.png) [@komok](https://forum.livingwitheagle.org/u/komok)\ **Post date:** [March 25, 2025, 8:58pm UTC](https://forum.livingwitheagle.org/t/interesting-article-ijv-compression-not-always-pathological-symptomatic-how-to-determine-if-it-is/16185/28 "2025-03-25T20:58:13Z")
Not so clear. This is from his website: “Likely cause: bilateral styloid + atlantal transverse process compression of the IJVs on both sides; multiple signs of raised ICP on serial MRIs.” He probably doesn’t know if the styloids are a problem, as he apparently has never had a CT scan due to radiation concerns. I do think it is more likely that only C1 was the cause. [Previous page](https://forum.livingwitheagle.org/t/interesting-article-ijv-compression-not-always-pathological-symptomatic-how-to-determine-if-it-is/16185.md?page=1)