TALAMANTES et al. (2021) - Superficial Cervical Plexus block and Ultrasound-guided styloid process infiltration in Eagle Syndrome

Here is another interesting article. I would like to try that Superficial Cervical Plexus Block with my pain therapist too.


Thanks for another helpful article! Interesting they do state that styloidectomy is the only permanent solution…
Are you still having pain? How are you after your surgery?

Thank you Jules. I think that’s right, in many cases Styloidectomy is the only solution that could provide permanent relief.

I had good experiences with Neural Therapy by Hueneke and had several injections in the cervical area and scars aswell after my previous surgeries. That often released the muscle hypertension in my whole body and I felt “normal” for some time. Astonishingly the improvements lasted much longer (hours/days) than the Procaine (local anesthesia) numbing effects (20 min only). By my own experience I can confirm the interference field theory and maybe it is worth to try the Superficial Cervical Plexus block too for eliminating them.

I’m doing already much better due to surgery in May. I’m in neurological rehab and can do much better workout in the gym and in gymnastic classes than before surgery. The symptoms I’m connecting to jugular compression are also improving. Also I had some neuro-psychological testing of memory and reaction speed. That was inconspicuous (even under influence of my painmeds). I didn’t had such a test before surgery. I’d say I would definitely have had a weaker result if I did.

I’m still dealing with some pain, muscle tension and discomfort on the right side where the half SP is still in and on the operated side aswell. The right SP is very thick or voluminous at the base like the removed left one too. Dr. Samji even had to perform a different technique because his usually used tools where too small for cutting my SP. It is important that all the dimensions (volume instead of length only) to be considered as well as the angulation before deciding for a half way or full styloidectomy. I learned that the hard way by experiencing and I would not recommend doctors who only perform resection to “normal length” of the SP like mentioned in the article. Otherwise you may have to have several surgeries with much higher risks like me.

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I’m really pleased that things are improving for you, & we’re very grateful for you still coming back on here with valuable info. I hope that things keep on improving with the issues you still have…

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Somehow I missed this post, TheDude. I’m sorry to be late in commenting.

It’s so great to read about how well you’re doing & that the therapy sessions have made such a good difference. :clap: :clap:

You made a good point about the degree of styloid removal. Partial generally doesn’t work very well for anyone, but in some cases may be all that’s needed; however, the surgeon needs to consider (as you said) the volume instead of length only of the styloid when deciding if some styloid can be safely left behind. Unfortunately, some doctors just get into a “zone” when doing a surgery repeatedly & do each surgery essentially the same way. That can benefit few & leaves many in pain & in need of revision surgery.

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