One year update left side styloidectomy with Dr. Hackman

Wendy asked how I was doing and am posting this to update the group.

I am feeling much better, but with interventions. I am seeing a pain management doctor for occipital neuralgia type pain. Have had (3) bilateral ‘trigger point’ injections, twice at the base of the skull (a little maybe 1.5" above) and last time in upper cervical. They used lidocaine and prednisone and was immensely helpful. Suspect will be going for ablation if it doesn’t settle down. Would definitely recommend giving the injections a try for those that have skull base pain and wish I had known about this while waiting for surgery (first shots given at Neuro’s office and they would continue them, but was already on to seeking RFA for the occipital nerves at the pain management doctor).

I still have intermittent (daily) head pressure (and I ‘think’ it is pressure … can’t tell for sure if it is internal or external) and on both sides and/or alternates (ugh). I reduced my salt and that helped. Will ask the neurologist if can trial diamox as a data point, but aside from going back down the route for IIH, have done everything else. And that may come in the future, but am needing a break from exploratory Dr. appointments.

I did have high B6 (March) and some suspicions it has played a role in my dysfunction. It is a tough one as the neurologists recognize it can be a problem, but will say nothing to do but wait it out. There is a biopsy (lower leg) for Small Fiber Polyneuropathy which I have not had as those symptoms are improving. Was taking a B complex and multi (Trader Joes), so nothing unusual.
Symptom wise, besides my head, had weird nerve(y) feelings in legs, arms and torso, muscle weakness, clumsy hands, high heart rate (fluctuating), eye fatigue, heat intolerance, no sweating… a host of weird things that didn’t have before and wasn’t related to my styloid as best I could tell. (I was on gabapentin before and after surgery … so it would have masked some symptoms).

And am also being treated for MCAS (no positive testing still)… which can cause head issues among other things. But I am moving forward )). My case is not a great example as I do have other issues causing similar symptoms and they are hard to parse apart. However, I no longer feel like I have a fork in my neck :smiling_face: and the tightness from styloid to hyoid is gone. Shoulder issues diminished to mostly nothing. I am grateful for the surgery with Dr. Hackman. My neck continues to be overly tight and that may just be my lot …I seem to have inherited a twisted C1/C2 … my son has the same and suspect my grandfather did as well. So working towards getting as functional as I can for me.

Hope all are moving forward or moving on ))).

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Thank you for your update! I did comment on your other post, thank you for the info about the occipital nerve injections; I hope they keep working, has anything been said about how often you can have them? Some members have said they could only have the same injections into the tonsil area for ES 2 or 3 times, is that why you might have to consider ablation? It’s great that you have seen some improvements since your surgery with Dr Hackman so you can move on from that, I can totally understand that you need a break from some of these investigations…
There have been some discussions about MCAS on here if you’re interested…
I pray that you do get some answers and solutions to some of these other issues :hugs: :pray:

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I am happy to hear that nerve blocks helped with occipital neuralgia. I felt worse after having them and started using LifeWave stem cell activating and Aeon (addresses inflammation) patches and the occipital neuralgia resolved within two weeks.

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Thank you Jules ))… Regarding the injections, I have asked twice about how often with prednisone and haven’t received an answer (2 different providers)… I will get an answer before the next one. But yes, I did not know this was an option and would have helped me prior to and after surgery,
And I will be headed for ablation, as it can last 1.5 years…

Yes, the MCAS is still a question, but histamine is not in question. So will continue the (mostly) easy protocol for it. I knew in January (surgery was early November) that there was something going on with inflammation everywhere and started trying to figure that out.

I’ll check back in as things progress …
All the best to you and yours… ))

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So sorry you didn’t get a good response and thanks for the info… I’ll have a look into it. ))

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If you want to find out more about what @Laurah found helpful, you can always send a private message by clicking on her avatar .

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