Strongly Believe I’m Experiencing ES

Good morning all - I hope everyone is well.

Before I start my story here I’ll let you know all the symptoms I’m dealing with as of June ‘25:

Crazy ear pressure that is relieved for a split second when I jerk my jaw around. The relief is more pronounced when I simultaneously move the jaw and pull my fingers downward on the area right below/behind my ear lobe (where I now know the styloid is). My voice is extremely sensitive and will fatigue/rasp up with limited use. It’s extremely hard for my friends to hear my in a noisy bar, which furthers the issues as I have to scream for them to hear me. I feel pressure build up whenever I swallow, and the area behind my ear/lobe is very often swollen/tender. All of these issues are always flared up at the same time so I know they are at least somehow related. It’ll also worsen when I smoke weed or even eat a THC gummy. I also have a lot of issues that, through research over the past year or so, seem to be related to vagus nerve issues. I had a bit of an ‘Ah Ha’ moment when I saw that the vagus nerve can be compressed with Eagle. These issues include fatigue, swallowing/motility issues, brain foginess, newfound concentration issues, and even issues with gripping stuff. Like I feel like I’ve gotten super clumsy over the past few yrs. I should also mention that I highly suspect that I have EDS though haven’t been able to get with a geneticist to confirm. Lastly, I can move my neck bone (hyphoid?) easily. Not sure if that relates to anything. Also, I’ve had 24/7 globus feelings since 2023 and, while it’s not constant, I regularly feel like I am choking from the inside. The symptoms certainly fluctuate in severity and seem to be worse when going thru stress.

Further Detail:

I am a 30yr old Male, very active with lifting weights and running several times a week. Ive has been dealing with a wide number of unusual symptoms for quite some time now. Looking back, the symptoms go all the way back to 2013, but they’ve been more pronounced and with many additional symptoms for the past 2yrs or so.

I vividly remember the first symptoms. It was the middle of our ‘Hell Week’ during our pledging semester for our fraternity back in 2013. I remember waking up on the floor of our gross fraternity basement , feeling cracking in my right ear for the first time, and that cracking has not gone away since. After the ENT saw nothing wrong in my ear, I remember telling my mom that I wanted to hire a team of doctors one day so they could calibrate and figure out what was wrong with me. Even then, I knew something was up.

Fast forward to the beginning of 2023. The ear cracking/fullness had gotten much worse, and while the right side is worse, the left is pretty bad now too. For the first time, I felt a strange sensation of pressure building up and being blocked in my throat/back of nose that would happen when I swallowed. Since then, I had slowly started noticing that my voice was weakening to the point where it would even be more challenging to just speak. I work a fast paced job in the finance world where I am on the phone all day, so this began to be a big issue as time went on. I also am a singer in a band, which has obviously been impacted greatly.

I’ll notice that my symptoms are always much worse following a heavy band practice with a lot of singing. My ears, throat, and sides of neck will tense up and my hearing becomes a bit muffled. It’s also much worse in the mornings.

I’ve been in the habit of gripping with my fingers the area where I now know the styloid to be to relieve pressure behind my ears. I’ve been doing this for years before even knowing about styloid stuff. While in bad flare ups, I remember being able to feel something in that area that was hard and sore (which again, I now know to likely be the styloid)

I’ve gone to several doctors to figure out what’s going on, mostly ENT and GI professionals in the recent months, but also rheumatologist in the beginning. I tried PPIs, and other silent reflux (LPR) treatments, but nothing really worked and my symptoms were not clearly associated with diet or any of the other typical reflux things. My GI had me do a 24hr PH level test (horrible experience) and a swallowing test. He said there was really no “smoking gun” with the PH test, but that I did seem to have weakened swallowing abilities.

I really think something else is going on outside of traditional ailments.

I feel like there is more to share in terms of symptoms that I am not thinking of, but wanted to run this by the group to see if it resonates at all with your experience.

I am actually praying that I DO have Eagle because it would finally give me something concrete to point to that is responsible for these symptoms I’ve been dealing with. I am a bit scared at the thought of surgery because of permanent nerve damage (especially if mine involves the vagus nerve). But at the same time would probably risk it at the chance of relieving these symptoms.

I am in DC, and surprisingly there are not many people here who work with this condition but I am trying to get imagining done ASAP.

Let me know yalls thoughts. Thanks all!

Certainly your symptoms sound like they could be ES; swallowing and globus issues are the most well known of the ES symptoms. Ear fullness, pain around the jaw & ear are common, neck pain and also voice weakness/ hoarseness & pain if you’re talking or singing are common. We’ve had some professional singers who have had to give up singing until surgery- you can always use the search function to look up discussions about that.
Lifting weights probably doesn’t help, lots of members have had to give up exercise as it can affect ES particularly if there’s compression of blood vessels.
There are risks with surgery, but nerves should be monitored during the op to minimize that risk, as well as seeing an experienced doctor.
I think given your symptoms it’s certainly worth trying to get a CT done; ask for it to be evaluated for ES, from the skull base to the hyoid bone, and if you can get copies of the imaging that would be helpful- an awful lot of radiologists are ignorant of ES and send the report back saying ‘nothing remarkable’ when people have great long styloids! Good luck!

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@AugustWest94 -

Because of the number of cranial nerves that can be affected by ES, there are numerous & diverse symptoms that it can cause. It seems each person who is symptomatic for ES has their own set of symptoms w/ some being more common & some less common. I had a weird symptom that only occurred after hard aerobic activity like rope slamming. The roof of my mouth & upper gums would feel like I’d just poured scalding water on them & like the skin would peel off. The sensation would last an hour or so then gradually fade away. It was uncomfy but it stopped as soon as my right styloid was removed. Another symptom was severe pressure on the back left side of my tongue yet nothing was pressing on it. That one went away when my left styloid was removed.

We’ve had a number of members diagnosed w/ GERD & treated w/ PPIs that didn’t help because their problem was caused by an irritated vagus nerve not true GERD. Again, a styloidectomy was helpful in reducing or eradicating those symptoms.

I hope you’re able to get a CT scan (w/ contrast would be best as it will show your carotids & jugulars in case there is some vascular compression) soon. Request some 3D images from your scan, & you can post them here for our non-medical opinions.

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Hi @AugustWest94 I am also new to this forum and added my first post earlier this week. I too heard a cracking noise in my left ear just before my symptoms started and if I move my ear with my finger it creaks and pops.

I had an dental OPG done to check my teeth were not causing my pain (which they weren’t) but this Xray appears to show that I have an elongated left styloid/ligament as far as we can make out. Maybe take a look at my post.

I have no diagnosis yet and waiting private ENT appointment.

Rose

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Hi, I was diagnosed with ES in November 2024. I have hoarseness in my throat, burning skin on the neck area, coughing at times and at the end of the day my voice has changed and is weak. Also feels like tightening by the hyoid. My husband says it is hard for him to hear me.
I too have fluid like sounds in my ear as they always feel plugged. Many times throughout the day I do the Valsalva maneuver where I hold my nose and blow gently to relieve the pressure. My ears pop just about every time. ENTs have looked inside and said “no problem, your ears look good.” :pensive_face: I have other issues with ear pain inside my ear and outside in the muscles where the styloids are located. Mine are 3.2 and I do not understand why they can cause so many issues.
Others have styloids much longer than mine. I do think maybe the vagus nerve for whatever reason comes into play. No one ever answers questions that make sense about this diagnosis. But every day is a new day. I remain hopeful. I pray you find a resolution to your ES health issues. I know it is hard to deal with on a daily basis.

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@Deb7 , it’s not just the length of the styloids which can cause issues, but the angle they’ve grown at, and also how thick they are. Several of the cranial nerves as well as the IJVs and the ICAs come out of the base of the skull from a very small opening called the jugular foramen, the styloids are right beside this opening so if they’re angled or very wide they can easily irritate the nerves there.

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Thank you Jules, that makes sense to me. I believe mine are thinner. I seen an ENT last week but he could not tell me much. I started 3 1/2 months before my appointment to get my records and CT scans to him. In that length of time I made many phone calls to double check if they arrived, including one month before appointment, and 2 days before as they still did not have them I guess. Finally I called the day before and said you absolutely have to get this done for me. I got 2 calls the night before saying, yes you are good to go. I went to my appointment June 5th. He said he could not access my records because they did not send the CT images he needed. So my wait for months to see him was for naught. To say I was upset would be an understatement. He finally received them 5 days after my appointment. I was told he will call me in 2-3 weeks and let me know if he can help. He said initially at my appointment, have you seen a neurologist pain management doctor? Ahhhh…no as I do not even know my problem yet. Sigh! Dealing with Eagles sure wears you out. I am always happy to hear of others who found at the very least answers to their questions. :smiling_face:

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@Deb7 - I’m so sorry for your frustrating appointment & for the ridiculous amount of time it took for your CT images to get to the ENT. I can imagine you were sad, mad & VERY frustrated! If the doctor doesn’t get back to you in the next 2-3 weeks (I think he should have made it a priority to call you back next week!), please get on the phone & push for his follow-up call or a telehealth appointment, whatever you need to in order to have the discussion you should have had last week.

If you have access to your CT scan, you can turn them into 3D images so you can see what is going on in your neck more easily. radiantviewer.com is best for PC users & Bee Dicom Viewer is best for MacIntosh users. If you’re able to make 3D images, you can post some of them here & we’d be happy to give you our non-medical opinions which could be helpful but not usable for a diagnosis. It can also help to take 3D images to a doctor to show him/her so you can have a more informed discussion.

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Oh no, that’s so frustrating! I hope that you don’t have to wait too long for another appointment :hugs:

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Thank you so much. I will check on this. :blush:

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Thank you Jules. Yes after all my work to get them there 3 months prior to my appointment, it was hard to take. Waiting for an appointment these days with a specialist is very long. I should have been able to get my questions answered. Sigh. Well “mercies are new every morning.” I will go with that. :blush:

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@Deb7 - Indeed, “mercies are new every morning”! I thank God for that!

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