Hi, knowing what to do first is always a tricky decision.
So in my case I spent most of 2021 in Shropshire with Newport Chiro seeing if could help fix me. I stayed in some quiet rural places & I learnt that my misalignments were not movement related (eg ligaments) but probably pressure related as they happened when lying still & had a “pop sound”. After learning about IJV compression I think my body could not cope with high pressure that caused in my head.
I did fusion first & for me that was like putting stable foundation back in place. But I think it increased blood flow to head & pressure remained bad. That said I did not misalign at C1/C2 anymore, which was a huge help.
Mr Hughes & Mr timothy know about each other as I have spoken to them about the other. But I do not know if they have spoken. From patient viewpoint if you have JV compression then having any decompression in one (maybe combined) operation makes sense. Having 4 separate neck operations, as I did, just due to how medics divide specialisms is madness. So ENT do styloids & Neurosurgeons do C1 trim. No reason can’t both be in theatre together except they are in different cities/hospitals.
Will reread your message to check if more can add. D