Yes, the styloid process does move as you move your head, that’s why with vascular compression it doesn’t always show if your head is in a fixed position; jugular compression for example gets typically worse when you look down, carotid artery compression can be worse if you look up, & either when you turn your head to each side- but this does vary depending on the angle your styloids have grown in…
We’ve had some discussions about MCAS, & some info about genetic testing to see which medications to avoid, you might find this discussion quite interesting:
Pain Meds Post Op with MCAS - Symptoms and Treatments - Living with Eagle
I’m sorry that your reactions have been severe & surgery will be very tricky…
I don’t know too much about the laser therapy you mentioned, but from a quick look online it sounds as if Photobiomodulation is more for supporting bone repair; with ES the styloids and stylo-hyoid ligaments have calcified & grown longer than they should be, so while the laser therapy might help with the inflammation in your neck, it would be unlikely to solve the issue of the styloids compressing nerves & blood vessels (if my understanding of it is correct), you need the styloids removing…
Also I would read up on the intra-oral surgery if that’s how your doctor does this- if there is vascular compression this method isn’t the best methos, as there’s less visibility of the structures, less of the styloid process can usually be removed, and so there might not be enough removed to improve symptoms, and also there’s a greater risk of infection too. It’s also a more painful surgery to recover from. There’s info about surgery in this section, the pros & cons of external vs intra-oral, questions to ask your doctor, recover etc:
ES Information- Treatment: Surgery - Welcome / Newbies Guide to Eagle Syndrome - Living with Eagle
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