New Member, Here's my story and were I'm at

Hi All,

Not really sure where to start writing this but really glad I found this forum. This is a long post because its my first and don’t really have anyone to talk to about what I’m going through, and I’ve spent some time reading posts and seems there are alot of well educated and kind people here. I am just going to lay out my situation, I wish there was a TLDR :relieved:

I have struggled with many symptoms since mid childhood (7 years old) that I am now FINALLY! getting some direction on.

Symptoms:

  • stabbing pain in upper neck under the jaw on each side
  • facial numbness
  • feeling like something stuck in throat
  • no gag reflex
  • gross shakiness and instability moving
  • severe headaches in back of head
  • double vision
  • great difficulty swallowing
  • loss of feeling in arms and legs
  • persistent numbness in face and tongue
  • gastro paresis and difficulty digesting food
  • hoarse voice
  • weak voice
  • difficulty forming words and speaking at a normal volume
  • severe pressure headaches
  • deep mental fogs and memory issues
  • muscle cramping and twitching through out body
  • feeling like something is pressing on my throat
  • burning sensation in my body
  • pounding heart sensation
  • constant shortness of breath
  • constant tension in my muscles, a very uncomfortable feeling like when you hear nails on a chalk board or a large shocking sound
  • very hard to coordinate body movements
  • jerking in limbs when I move
  • unfounded constant state of fight or flight, a deep panic/anxiety in my body, its physical
  • grinding sensation in my jaw and at rear base of my skull

The symptoms have lead to a lot of issues such as:

  • many falls
  • multiple trips for stitches from cutting myself making food (can’t feel my fingers), scraping my legs on metal (can’t feel my legs), and multiple sprains. I’ve had to have my tongue sewed back together because I fell and bit through it as well has having 2 torn misniscuses from falls and a chronically sprained ankle. I’ve had 2 finger tips re-attached, stitches in my feet, face, arms and hands.
  • I had severe eczema and psoriasis until late adult hood due to the digestive issues
  • I ended up in the ICU due to a bowel perforation from undigested food due to gastro issues
  • I’ve been hospitalized for lung infections due to inhaled food, no gag reflex
  • breaking things like plates and glasses because I drop things, my hands are always numb and I don’t get tactile feedback from them - I can’t write clearly due to this
  • hospitalized for headaches that incapacitated me and made me bedridden for weeks at a time
  • I was home schooled for a few years because I couldn’t attend school with the issues
  • I was always a good student and was able to get into college, but in my 4th year could no longer continue with the symptoms and the fact that there were no answers (I mean nothing, that eats away at a person) and tried to kill myself. It was very painful because I was a dean list Bio-Chem major and was President of the Univeristies Pre-Med society with a good path into grad school at the time…but I just couldn’t cope any longer with the pain/symptoms and the interruptions they caused. Most importantly no explanation or diagnosis. (I am very glad to see the Crisis hotline as a resource in the group…there is value in that).
  • I was institutionalized at a State Hospital due to not having insurance and ended up homeless. Something that has happened again since that time.
  • I now live with relatives and have spent the last 22 years of my life on full disability, mostly house bound but do have some activities I get out to do like volunteering.

Over the years I’ve had numerous workups from every major medical specialty - including 6 muscle biopsies, liver and nerve biopsies, pain management, gallons of blood work, imaging, genetic testing and specialized and invasive screening from everything from MS to Glycogen Storage diseases, infectious diseases, digestive diseases, Wilson’s disease, Addison’s, Diabetics, Cardiac disease, the list is too long - All those conditions+ were ruled out and I’m “Fine” on all reports -picture of health. Its all so horrible, but I am finding by reading some others accounts on this site that this does happen to people.

In 2017 I was hit by a car and was injured. In 2020 I had a c5/6 disk replacement for the herniated disk after failing to recover from it in pain management, and also had my left shoulder reconstructed. After the neck surgery the symptoms I listed earlier increased to a level that was un-liveable, as I usually isolate in dim lit and quite room to help the symptoms abate. They became worse and didn’t resolve with rest/isolation. My surgeon referred me to an upper neck ortho in NY who reviewed my films and diagnosed me with Eagles Syndrome. I was shocked because I had multiple MRIs and CT scans prior to the surgery (and as an adolescent), and told my surgeon of my history and no one ever picked up on the Eagles Syndrome. I was so dismayed that I got a copy of all my head and neck imaging and began reviewing my files myself. Due to my educational back round, I started researching and learning Craniometry, which is the clinical study of the measurements of the distances and angles of bones and structures in the upper neck and base of the skull. I was sure he botched the surgery or missed something…I was going to go over EVERYTHING above my collarbone!!
I was able to get software and after several weeks of learning was able to make accurate measurements and learn how to read images and take measurements. The surgeon was right, the artificial disk was done fine, but I had hallmark clinical measurements for Cranio Cervical Instability and Atlantio Axial Instability, and could see the calcified styloids. I took my findings to my primary and was able to get a 3D CT Scan ordered and it appears that I am correct. I am now working on getting a referral to a CCI/AAI Neurosurgeon in Maryland whose white papers I used in my research and hope I can address that. In the mean time I am struggling to find an Eagle Syndrome surgeon to review my case for treatment options…I want them out! lol

Its been brutally hard, I am 42 with no financial resources and very limited abilities which I have high hopes these new revelations will lead to some interventions that will help me regain the ability to at least be able to go back to work after doing, I still have ambitions. The two things that I do have in my favor are that I don’t have any major diseases like diabetes or heart disease, (remember…“picture of health” YAY - except they never looked at the right pictures!)… and I do have MEDICARE, which is a widely accepted insurance. So I should be able to tolerate surgery well and hope there is a Dr. who will accept my insurance.

I am very scared, isolated, overwhelmed and quite frankly don’t have any more trust in the medical system. I know its going to take time/resources to get consults and a treatment plan etc…but mentally I just cannot come to a point where I trust anything from any doctor and am terrified that any treatments I do end up getting will fail - I know this is like a ptsd type of response, but its where I am at.





These are my Eagle Images. I don’t know if the hyoid is an issue, the process on right side seem to be growing up toward the styloid.

Thanks for coming to my TED talk…a joke.

I plan to be on the site alot and will ask questions as I move along this process. Its so nice to finally be able to at least have a name and some hope to the conditions that have stolen my life to this point, and be able to talk to people who are aware of what its even called. I am in NJ, USA and will start to contact the doctors on the list from the NY/PA area.
If anyone has advice or opinions/questions I am open to them.

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Hi. I’m sorry to hear everything you’ve been through; hopefully this diagnosis and treatment really helps. Lots of great resources here!!! The Newbies Guide in the Welcome Tab is very in-depth. You have some classic ES symptoms. There is the Dr list too. You are near some of the best in the country and if you search their names you can find lots of testimonials.Costantino, Cognetti, and Coniglio. Fargen in NC is also one the of the best.

Any chance you have had a CT of the Head and Neck with Contrast? ES is either Classic or Vascular, meaning compression. Your styloids are plenty long.

Most of us here know the long struggle it is going against a myriad of symptoms and going down every rabbit hole possible in hopes of finding a cure. It might just be part of the puzzle, but its a step in the right direction. Take some time to get to know ES, read testimonials, recovery stories, etc. So you can make the best decision for you.

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@Disabled_Inventor - All I can say is WOW!! You have certainly risen above your circumstances! It’s so great to read how you’ve worked to begin finding answers no trained medical personnel ever gave you. I can’t imagine how hard/frustrating it is to have a keen mind alongside an uncooperative body.

Most of our members who have CCI/AAI along w/ ES also have venous outflow obstruction, or as we call it internal jugular vein (IJV) compression, which is most often caused by the IJV being squashed between the transverse process of C1 & an elongated styloid. Other soft tissues such as nerves, vascular, scar, & connective can also cause IJV compression. We’ve had examples of all of those among our members over the years. In your imaging, your left styloid appears to be nearly resting on the left TPs of C1 & C2 which likely means you do have occlusion of your IJV on the left side.

In the first image of your right styloid, the styloid appears to be normal length but looks like it’s resting on the vertebral body of C1; however, in the second image which is at a different angle, there looks to be significant space between the styloid & the C1 vertebral body. Based on the image angles, I believe there isn’t IJV compression on the right side. The separate calcification below the right styloid is your stylohyoid (s-h) ligament which when calcified can cause all the same symptoms that an elongated styloid process causes. It also appears you have slight bilateral calcification of the s-h ligaments extending from the lesser horns of your hyoid. Whether it’s significant enough to cause symptoms, I can’t say.
I’ve annotated the first image of your right styloid because it shows the calcification at the hyoid bone the best:

The greater horns of your hyoid bone do look thick & possibly a bit long, but the symptoms you’ve mentioned don’t include those we most often read about for Hyoid Bone Syndrome, thus my interpretation of what I’m seeing may be of no consequence. Your thyroid cartilage (just below the hyoid bone) looks a bit wild to me, but I’m not experienced with what is normal in that arena. Just wanted to point it out in case it could be a problem.

Finally, the lordotic curve is mostly absent from your neck. I acknowledge this may in part be due to the AAI/CCI, but it is a problem may of our members have & is correctable w/ gentle neck exercises & postural changes though I’m not sure that would be recommended or even possible in your case w/ your cervical instability. Loss of lordotic curve puts a lot of stress on the neck & spine & the supporting muscles, tendons, ligaments & other soft tissues.

I’m wondering w/ the physical challenges you’ve had if you’ve looked into hypermobile Ehlers Danlos Syndrome (hEDS). You do have some characteristics of that & may find that’s another key to understanding the struggles you’ve had in your body.

If you haven’t heard of or watched the two webinars below, you will find them fascinating. The second one just occurred on 2/2/25.

Dr. Costantino would be a good doctor for you to look into in NY area & Dr. Cognetti in Philadelphia as @Andy89316 mentioned. We only have one member who’s seen Dr. Coniglio & the quality of her surgical outcome had some question marks at last count, but she was still in early recovery.

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Looking at your images, I agree with @Isaiah_40_31 ! We don’t see too many images with thyroid cartilage, but it certainly looks weird in your scan!
Along with ES & CCI, & potentially EDS as @Isaiah_40_31 mentioned, I don’t know if you’ve ever looked into Thoracic Outlet Syndrome, several members have had that as well, might be worth a quick read up given the extreme numbness of your hands…
I hope that you’re able to get some help from one of the doctors soon, your strength in advocating for yourself , picking yourself up and keeping going is inspirational, and doing your bit to help others with voluntary work too :+1:

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Thanks for the annotations, I’ll check out the webinars too, and thank you for the kind words. Its been quite a trip, hopefully now I can make some progress.

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Jules, Thanks for the point about the thyroid cartilage, didn’t even know that was a thing. I’ll explore a bit about the T. Outlet Syndrome and let you know what I find.

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Andy, thanks for the question on the type…I don’t have that info yet and am hoping a one of the docs I see that are well respected here can help flesh that out. I defiantly am really surprised at how much info is on this site and the Newbies Guide is now going to be personal reading.

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I will look into EDS but don’t think that I have it due to not really having hyper mobile joints, my skin is not stretchy and there is no history of it in our family. Most of my injuries come from my body mostly feeling like pins and needles, like your leg is asleep and so my movements are really uncertain and my legs buckle and make weird angles when I walk because of the numbness, causing the injuries.
Here are some images with measurements showing a possible ventral (front side) compression of the brain stem from the CCI. My odontoid process, c1, is retro-flexed backwards, like a bent thumb putting pressure on my upper spinal cord where it exits the skull at the hole at the bottom (the forenum magnum). All my measurements are beyond the threshold for CCI diagnosis, just need to sit with a good neruo who can review my case, hopefully soon. Also there is an image of the back of my head/neck that shows the c2 vertebra is misaligned and there is extra space on the sides of my odontoid…which are the AAI part of the equation.

Diagnostic Markers: CXA Angle <135 degrees, Grabbs Oaks >9, McReas Line >12. The image below shows the diagnostic measurements and ranges for positive diagnosis.

My CXA Angle is 117-122 depending on the study. Pathological is <135, so I’m clearly there.

My Grabbs-Oaks measurement is 13.8mm, pathological is >9mm, so I’m clearly there.

My McRaes Line measurement is 12.3, pathological is =/>12mm, so I’m there also.

My odontoid, the small white M&M shaped dot in the middle of this image shows how the C2 vertebrae is misalgined. The spacing should be equal on both sides of the odontoid.

Personally I think it stands to reason that if my spine is being compressed right at the very start of it, that would lead to alot of the numbness and shakiness.

The back image of my neck shows the compression and tilt at the upper skull/cervical junction.

I’ve had a right leaning head cock since childhood, which would be explained by the AAI issue.


That’s me as a kid on the left holding my head…literally not a happy camper :slight_smile:

I am wondering if I developed Eagle Syndrome because my body was trying to provide more support to my neck and calcified those ligaments to help do that. I am going to make calls tomorrow for appointments, but am wondering what order these issues would need to be addressed in…Eagle first or the CCI/AAI potential issues first. I won’t don anything until I get competent consults for each, I did read about the C1 shaving some Eagle people have done and that is the kind of question I’ll need to have both doctors aware of my other conditions so that one surgery doesn’t create more issues for the other.

One of the biggest helps is laying on the bed with my head hanging off. It releases so much pressure and tension and my breathing normalizes and the numbness in my body reduces and that sense of tension melts away…its magical. I think I am going to try to set up a monitor upside down so that I can use my computer in that position…I have a lot of reading to do on this site :slight_smile:

The hardest thing for me mentally is fearing being dismissed again by a doctor, even with all the receipts so to speak that I have now, I am trying to work on that but man is it tough. I’d rather get turned down from a marriage proposal than have to relive that feeling again of waiting months ot see a doc who is in and out in 4 minutes and dismisses everything without even reviewing my records.

Thanks for the reply’s, any thoughts on these images are welcome.

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Thank you for your replies. I edited 3 of your images to remove your personal information. Please be careful to take your name, address, &/or birthdate off any imaging you post to protect your personal privacy.

Good news that you don’t have the typical symptoms of hEDS. It would be nice to rule that out at the get go. The “pins & needles” in your arms, hands, legs & feet are likely nerve related as you suggested, & the craziness in your cervical spine along w/ brain stem & spinal cord compression could absolutely be the root of all that. Dr. Fraser Henderson in Washington, DC, is a super specialist for CCI/AAI. He would be a good doctor to consult with. I tried posting a link to his website, but it was a no go so you can look him up directly.

To get a solid non-biased opinion about what your scans show, I highly recommend Kjetil Larsen at mskneurology.com. He is meticulous in viewing CTs & other scans & is in medical school in Brazil at this time. He has helped uncover difficult problems for a number of our members who have sent their scans to him.

I don’t know enough about AAI/CCI & the measurements necessary to comment about the severity of yours, but do have some personal experience w/ a head tilt to the right. My C1 vertebra is significantly shifted to the left possibly from a cycling accident in 2015 where I went over the handlebars & landed on the right side of my face. Alternatively, it’s from a significant whiplash injury I received around 1979 & which the cycling accident could have exacerbated. I’ve wondered about my dens, & how it’s staying put in C1 at this point. The main repercussion for me was the left shift of C1 did squash my IJV between C1 & the remains of my left styloid as I’d already had that styloid resected when I learned of the IJV compression & the head tilt which I’ve been able to correct myself for the most part. I am not suggesting that is possible for you as your cervical situation sounds far worse than mine, but I wanted to give you a ray of hope that perhaps this is possible for you down the road.

This is a distinct possibility.

This also aligns with your cervical spine being a significant contributor to the nerve symptoms you have going on throughout your body. It has been noted that when the spine is compromised at the upper level, muscles & other soft tissues step in to aid the muscles/soft tissues that are dysfunctional thus doing jobs they weren’t meant to do. This causes a chain reaction which moves along the length of the spine causing muscle tension, fascial stress & nerve impairment. Though your case is extreme I can imagine it starts at the top of your spine as you have also suggested.
Good plan to put a monitor so you can use your computer when you’re in your most comfy position! I see from your wear a stiff neck brace. Does this at all help relieve the symptoms you find reduce when you hang your head off a bed?

It’s difficult to know where to start when there are numerous comorbidities. We suggest dealing with those you know for sure you have i.e. ES, CCI/AAI in your case, & seeing what improves as symptoms can blend together. I can’t advise whether ES or cervical instability should come first for you, but seeing some top notch doctors & getting their opinions will make it more clear.

It’s tragic that you’ve had to deal w/ so much rejection by the doctors you’ve seen when they should have been bending over backwards to try to find answers for you. Your mother was compassionate to homeschool you when you were young & disabled, & your current relatives are too for allowing you to live with them. It sounds like you have a pretty awesome family!

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Hey there… I’m looking through your symptoms and a lot is lining up with classic ES, and what my husband feels with his controversial diagnosis of CCI (some agree, some don’t). I’m wondering though, have you been vetted for Thoracic Outlet Syndrome (TOS)? Some of your symptoms, including pins and needs kind of line up there. Some members on this site also have TOS. I have limited knowledge, but I thought I’d toss it out there.

Also, I’m going to see if I can embed the link for a product. My husband has this device that’s mounted to the headboard so he can move his phone around depending on how he’s feeling. You can lie with your phone mounted completely above you. It might be helpful if you find that helps alleviate your symptoms. That in itself can be helpful to know because you aren’t in a chin tuck in that position. If you do have a compression anywhere in your upper torso then laying with your neck back could be helping to open up the flow.

Re: CCI vs ES first. If you get a firm diagnosis of ES then you may not be able to deal with your CCI until the styloids come out. In JC’s case, there is the possibility that every time he chin tucked the styloid pressed on the IJV which knocked the C1 out of place. Until the styloids came out there was no way to deal with the C1. He’s only 2 months post-op after years of dealing with chronic illness so recovery is an uphill battle but we are seeing improvements.

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I’m in Canada but I’m certain you’ll find this product online if you query the US site.

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@Val7426 - Thank you for the link. I think it will come in very handy for other members as well (including me!).

I hope JC is moving forward w/ recovery. I know it has been up & down for him. He’s in my thoughts & prayers. :hugs:

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Thanks Val, I am glad he got the styloids out, hopefully it helps with his overall health.
I am not sure right now about much accept that I know I have ES, firm diagnosis based on clear imaging. I am waiting for a consult with Dr. Fraiser Henderson in Maryland who is a CCI specialist. I will ask about the order of any needed surgeries if I need to address the CCI with surgery…and also get a second opinion. I am afraid to have the ES surgery without getting a good consult and more imaging for the CCI because I want to have all the cards on the table before I do anything as invasive as a surgery. I will get the type of stand you linked to, should be very helpful in preventing chin tucks when on devices.
My understanding is that CCI and AAI are as easy to see on the right imaging studies as Eagles is with the right doctor reviewing the films. You need a FONAR standing MRI with flexion and extension and also rotation. The geometry of the upper skull, c1, c1 change if you have CCI/AAI and the only way to see it is with those studies. They also do cone beam CT scans.

I don’t think I have TOS because my torso and also legs are always numb and tingling. I will keep on on the list of things to be aware of and ask about, but after reading about it not sure if it really applies to me…time will tell.

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@Disabled_Inventor sorry if this has been mentioned, memory is failing me a bit atm, but quite a few members have also had May Thurner Syndrome & Nutcracker Syndrome, there does seem to be some members who have lots of vascular issues in other areas, might be worth looking into alongside TOS symptoms…

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I will google them and look. Thanks for the thought. I have an appt next Wednesday with Dr. Constantino at Lennox Hospital in NYC, which I am eternally grateful for this forum’s resource list or else I would have never even known about him. Their office said to bring the CT scan I have, but that he will probably order a CTV that shows the cervical vascularity…so hopefully I’ll know soon what is going on up there with the blood vessels and arteries.

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Dr. C is great, especially in person! I hope you can get some answers & hopefully some steps moving forward

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That’s really good news, will you keep us posted with how you get on?

Of Course!!

I am seeing my Primary care doctor on 3/11 so he can order a MRI of the upper cervical with felxion and extension to bring to my consult with Dr. Henderson in Maryland for a CCI/AAI assessment.

I will update after my visit with Dr. Contantino and share what I get back with the forum.

Hope everyone has a good weekend…I am going to use a CNC machine to work on a table I stopped building last year due to my symptoms…Its really hard for me to use hand tools, so I learned how to program a CNC machine to do the dirty work and rent one for cheap at a local shop…hopefully its a good experience and I pray that after my surgeries my symptoms resolve enough so I can do woodworking as a hobby.

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It’s good you’re making the effort to keep busy & have found resources that help you do what you love when you can’t do those things manually. I hope you’re able to finish the table project. Post a picture when it’s finished if you’re happy with the outcome. :blush:

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Thanks I will. Its my small way of saying “F! You” to my illness. Not going to lie…YouTube is the best teacher I ever had…I don’t think I would have made it in the pre-internet world :grin:

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