Symptoms of Eagles Syndrome?

We have a Canadian member who just had her second ES surgery on Fri. She’s in Alberta. Do surgical priorities vary from province to province? Have you checked w/ the two doctors on our list from your province? Just in case you haven’t, here is their contact information:

•Dr Eric Monteiro, Joseph and Wolf Lebovic Health Complex, Mount Sinai Hospital, Toronto 416- 586- 4800 (possibly treat ES, he has done a surgery with Dr Ian Witterick, who no longer does ES surgery.)

•Dr Michael Gupta, Hamilton, Ontario, Canada -
1 Like

I hope referrals to some Canada docs are helpful and you dont have to wait years for relief.
Interesting the TOS showed up on ultrasound and also on EMG. Mine was diagnosed by a neurosurgeon who had developed a specialized MRI called a Neurogram. It shows nerves and whether they are compressed. I was lucky to have gone to this doc and was part of study. Generally you will not see these kind of soft tissue or nerve stuff on a CT. I just had surgery on one side for the TOS. It was a pretty simple surgery. No reason not to get the TOS fixed first if you cant get the ES surgery done right away. Im in the process of elimination with all my symptoms. I do next ES surgery in a week (yikes) it is coming up fast. I’m seeing a TMJ specialist the morning of the day I fly out for it. He will be able to track my symptoms before and after ES surgery.
I would think calcified ligaments alone in the neck can wreak all kinds of havoc especially if they are compressing nerves or arteries/veins.


Snapple is right about calcified ligaments from ES potentially causing problems in the neck & shoulder area which can also affect the arm. It would be worthwhile having ES surgery to see if you get improvement from TOS symptoms, & if so, surgery may be unnecessary for that problem.

1 Like

Hi Snapple, I had a comprehensive TOS MRI but it did not show compression. May I ask who did your TOS surgery? And who you got referred to that is doing the ES surgery? Many of my symptoms are consistent with TOS (esp on left side), but I also have symptoms that are similar to ES … plus the ES showed up on a CT. I have been referred to see Dr Gupta

Hi Isaiah, thank you. My ENT provided a referral to Dr Gupta. I don’t know how many procedures he has done, or if he will even offer surgery. I will contact Dr Monteiro to see if he is doing the procedure. Any one here had surgery with either Dr Gupta or Dr Monteiro??

There’s a couple of mentions in the older discussions:
Looking for Dr in Toronto / Ontario? - Symptoms and Treatments / Doctor Information - Living with Eagle
My symptoms please help! - General - Living with Eagle
You could always contact the members by a private message to find out more?


My TOS surgery was done at UCLA in Los Angeles by a Dr. Aaron Filler. He was the one (or one of the docs) that developed the specialized software for MRI that reads nerves. It is called a neurogram. Dr. Filler had already operated on my for scar tissue on my piriformis area. He has since moved out on his own from UCLA and had his own practice in Santa Monica:

You can find these specialized MRI’s elsewhere in the country now. A traditional MRI cannot pick up the nerves like with these. I had had several and they couldn’t find anything. Then I had one of these and cried (after 3 years of pain) when he told me about the mass of scar tissue compressing my sciatic nerve.

MR Neurography / MR Imaging of Peripheral Nerves (PNI)

MR neurography , or magnetic resonance neurography (MRN) , also known as MR Imaging of Peripheral Nerves (PNI) , is an advanced technique that is useful for diagnosing disorders of the peripheral nerves beyond the spinal canal.

I self referred to ES doc Dr. Samji in San Jose, CA after reading about him on this blog.


Thank you for this info. For some reason I thought you were located in Canada. I have been doing consults with some specialists in California, one is a PT that specializes in the ENVEST program for TOS and the other is Dr Osborne for ES (Head and Neck Institute). He confirmed my ES by reviewing the CT. I had a TOS MRI with Dr Werden which evaluated nerves … he is also located in California. The problem for me is that I will unlikely be able to pay out of pocket for surgical procedures in the USA, however I am looking into funding options! Canadians get the runaround for rare conditions and unfortunately have to look elsewhere for surgery.

Hmmm. I wonder have you ever checked into buying health insurance for use in the US that would pay for surgery? There has got to be companies that you can purchase international health insurance with. Whether it is affordable or not is a question. Does you canadian health insurance have any travel benefits? Just a thought.

1 Like

My experience is pain under my jaw, this place like epicenter of my pain and then it echoing down my neck, sometimes my shoulder. Inside my throat and sometimes ear. My cheek on this side also got pain with the time and spasms. A lot of spasm I do not really know anymore the normal relaxed position of my mouth as there is a spasm on my cheek as well as on the tongue. It’s non stop for the last almost a year
Ther is a burning sensation as well in all the area.and weird feelings in the mouth that I cannot describe. Like a metal taste, only on one side .
I feel better in the morning for the first half hour and then the pain start slowly to appear. I. The evening it’s the worst.
Getting ready for my surgery

1 Like

Thank you Natasha. Those symptoms sound familiar, along with my TOS symptoms too. Which country are you in? And do you mind sharing which surgeon is doing the procedure?

I am having a very very difficult time finding someone in Canada that does this surgery. My TOS can’t be “fixed” without proper posture changes, and I believe ES is making this impossible.

1 Like

I’m in Middle East region. My doctor is dentist.
He never saw a case of ES before, but he took time to do his research, and seeing how I suffer he agreed to do the surgery. In in the mouth with local Anastasia. I wanted my surgery to be from the neck, but no other doctor would agreed.
So I said to myself it’s kind a destiny to make it with him in a way that I did not want. But now i agreed on all the terms, even that if he do not find it he will just close the incision up.
He did a lot of research and he said anyway it’s the best way , the safest.
My steroid anyway not behind the tonsils, it’s at the root of my tongue, under it. So the way he proposes looks reasonable for my case.
I trust him, he will do his best, even he never did it before.
Good luck to you with finding the doctor. It’s not easy I visited around 12 doctors of different specialties to find one that agreed to help. But do not give up

I hope your surgery goes well; a bit nervy with someone who’s not done it before but glad he’s done lots of research…have you got a date? Will pray for you :pray:

Thank you Jules! It’s around 12 of December. In one week. I will se him on 8 of december to set up the date

1 Like

Hi @outdoorgirl
Just wondering how you are doing? Is your POTS still improved since the styloidectomy? Hope you are dong very well!

Hi! I would say my pots is 20% improved. I have 5 health issues that can cause or contribute to POTS so I am happy to have a 20% improvement. I need to have the other side done in 2021 and if that gives me another 20% improvement, I will be thrilled!


Yes, we are complicated creatures aren’t we?! That is great it has helped. Hopefully 2021’s next styloidectomy will bring even more good for you! Cheers, be well!


So glad that you’ve seen some improvement! Let us know when you have a surgery date…

1 Like

hi snapple. wast he second surgery a success? I am curious - where is the sensation of something being stuck in throat? i feel this too, just curious where others experience this. is it middle of throat? or closer to jaw?

HI Bmc,
Sorry so long in responding. Ive been out of town and started a new job. I had my 2nd surgery on Dec 7th so Im about 4 months out. This is the side I had the “bone in my throat” feeling and the source of the shooting pain than ran up my neck to my ear. Alot of times, (not all) just swallowing would trigger the shooting pain. Mine was in the middle of my my throat/neck slightly right but not much. I imagine it might depend on where the styloids or calcifications grow as we all are different.
After this past surgery, that area did hurt when swallowing and was sore for awhile even though doc said he didnt go that low during the surgery. Go figure? I seem to be doing pretty good overall but also got shots of sterioids and botox in my jaw to help with my TMJ. That has helped. I’m readying to get a permanent appliance due to bone loss due to osteoarthritis in my jaw on that side. The only residual I have after surgery is alot of numbness under the chin into the neck. It seems to be slowly going away.