Thanks for the reply Jules! Yea tommorow I’ll talk with the PT about that and how to precede with second opinion referal at my doctors clinic. If the eagle would be ruled out I could at least start a PT. I would rather trust a dental surgeon that had expierience with the eagle and would actually look inside my mouth and asses what is the structure behind uvulva
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I don’t know if it’s helpful (and presumably you’d need to get it translated), but one of our members wrote an article for physiotherapists with info about ES, as if they’re not knowledgeable about ES more harm than good can be done:
WESTBROOK et al. (2020) - Eagle’s syndrome, elongated styloid process and new evidence for pre-manipulative precautions for potential cervical arterial dysfunction – Doctor info and research article - General / Research Papers - Living with Eagle
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I already have discussed with him that no PT will be done untill the ES is ruled out. He came with the idea to get referal to his friend. Tommorow ill ask for direct contact to her, as I said before she expressed interest in treating me already but nothing can be done without direct referal.
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It is hard to see clearly if you have elongated stylois on the images.
The last image looks like you may have cervical ribs. (extra set of ribs). They can cause thoracic outlet syndrome with similar symptoms as ES. Need a chest x-ray to see all your ribs to be sure.
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I think your left styloid is visible, but it looks very short. What @Jules thinks is a curved greater horn of your hyoid, I think might be calcification of your stylohyoid ligament coming off the lesser horn of the hyoid. It’s simply not clear enough in the image to tell for sure.
I annotated a couple of the images to show you what I’m guessing might be abnormal. You must remember we aren’t doctors so nothing we tell you can be used for an official diagnosis.
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Thank you for on input I really appreciate that especially during difficult time for me like this.
So I went to PT today and he wanted to examine the boney structure behind my uvulva, he said with high degree of confidence that this should not be there. He will write a letter for me to my GP to request sending me to a ENT specialist ASAP. I still think that vES is the most likley diagnosis in my case, you don’t have to worry about cervical ribs as I had X-ray of my chest done during childhood and no abnormalities were detected. Calsified stylohyoid is also unlikley as it is too low for the bone stuck in my throat also it is too hard to be a cancerous growth and is stable with minimal movement. but only true CT scan can make sure diagnosis in my case.
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@Eazy You can have both ES and TOS with cervical ribs. In the image above it looks like a classic image of someone with cervical ribs. Need to verify with image to count all ribs just as you need to verify styloids with CT. Its not uncommon to have multiple spot of venous compression. Treating one may not help. Not knowing what your dealing with before treating one can lead to problems. Just trying to be helpful. Again I’m not a MD and just taking a educated guess.
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Yea I get it, but currently I just hope it’s not AAI or CCI
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But just to be clear i really appreciate that you told me that and I will bring it to attention of the ENT
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When you get your CT scan done, request they give you some 3D images of the area between your skull base & hyoid bone. If you get your CT with contrast, it will help show if you have vascular compression, too.
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