Beach Girl, I’ve been going through the same experience basically. My styloids are " a little above average" but also have a c1 fusion with occiput that is a big part of the same problem. I sent scans out to 4 eagles docs a few weeks ago, including Cognetti. Cognetti’s office called and said it would be " a few weeks" before he would even review my scans. Dr Carl Snyderman called me directly and laid out what he thought and in about 5 minutes He explained it better than any other doc has to date. I’m having surgery with him tomorrow - so I don’t have results to report but I am highly impressed with Snyderman and UPMC overall.