Variably in symptoms depends on pressures. The heart also does this. You could do the same with a random selection in the public with calcium/blockages in their arteries and they would have no symptoms. At some point the body comes under stress and the brain is impacted. The stress on the jugular vein is too much (under certain circumstances). Then the feedback loops are impacted. Then symptoms persist. The body is trying to protect from future issues due to the pathology in the physiology. Just because it exists with no obvious symptoms doesn’t mean it’s ok. That’s like saying atherosclerosis is ok if there are no symptoms. It isn’t. And yet it is probably present in a large selection of the general public.
just because veins collateralize doesn't mean its healthy and not causing issues. collateralization is a sign there is an issue. if they are collateralized that means they are working harder than normal and that is not right
@@brendanschroeder1862 And still does not mean that repairing skill is enough to compensate all the troubles an IJV compression could create in some people. But of course, could be enough on some of them. As Dr. said... you can not tell for sure when IJV is a problem.
@@tomastorn1 What they don’t tell you is strengthening your cervical muscles is the key, strong ligaments are useless if you muscles are weak, weak tendons aren’t an issue if your muscles are strong the muscles keep the vertebrae in position
Hi Dr. Centeno - Can you help me understand which doctors can help me diagnose this issue? I have many of the symptoms, which have been escalating for at least a few years, but I am being dismissed or symptoms treated piece-meal by the PCPs, eye doctors, and Neurologists I have seen.
Why AO isn't a non-invasive option since C1 is usually one of the culprits of these compressions? Why jumping directly into PRP or surgery and not thinking of AO as a viable option? I'm confused on that part.
@@andytorres8507 Atlas Orthogonal. A kind of subtle chiropractic care where a chiropractor moves your atlas with a device. Tons of youtube videos to know more about it. Not every country has AO tho'. And not sure if it could make it worse for CCI/AAI since ligaments are not doing its work.
For anyone with a connective tissue disorder, it will likely not hold. I tried AO and we did before and after pictures each time and it wouldn’t last even 24 hours.
I am feeling very lousy worse than usual this past week if I don’t have my shoulders up in my head bent back so I can feel the drainage of the vein down my neck my heart starts to feel extremely heavy and I have to lay down please give insight
Can this venous compression lead to downstream complications or changes in venous flow/pressure such as weakness and numbness in the limbs and muscles below the neck? I have slight transverse ligament instability, synovial joint inflammation in the C1-C2 area, cervicla curve reversal, and likely intracranial hypertension arising from this specific problem. But whenever my C1 moves slightly abnormally to one side or too far forward I get stroke like attacks very suddenly that look like myelopathy. I don't have an upright MRI but the supine MRI did not show my dens hitting my spinal cord, or that the transverse ligament was nearly that hypermobile enough to do that according to DMX. There's no basilar invagination on my MRI. Transcranial doppler came back negative for VBI as well. So my next thought is either a CSF flow problem or a vascular one that's somehow affecting my brainstem or upper spinal cord as a result of instability.
Yes poor venous flow does have an effect downstream, I had prolo but it didn’t help much, but what I found of cervical muscle exercises had almost cured all of my problems, it’s only been 1 month since I bought the iron neck device, strong muscles correct the alignment
Blood flow isn’t stable. This is the issue with imaging also. Bodies move and the physiology changes. If there is pathology it is dependent on these variables. It is totally inappropriate for practitioners to think a pathology isn’t the cause of symptoms just because it exists in some without symptoms! There are genetic variabilities also.
Very good video , My right Internal jugular vein is compressed when my head is turned to the left and is ok when head turned to right ( a catheter angiogram has shown this ) , my neurological symptoms are better when keep my head turned to the right and dramatically worse when turned to the left, however my left internal jugular vein which is my dominant one is fine . Could this be the cause of my symptoms? And also is it true that the internal jugular veins collapse in the upright position and drainage is via the vertebral venous plexus. Does this mean that the internal jugular veins have no function when standing up and doing physical activity?
Hi there thanks for asking , I have pulsating tinnitus and constant eye pain and irritation, headaches and dizziness. I also have extreme fatigue of the limbs but everything goes away when I turn my head to the right or if I lie down for a while .
Variably in symptoms depends on pressures. The heart also does this. You could do the same with a random selection in the public with calcium/blockages in their arteries and they would have no symptoms. At some point the body comes under stress and the brain is impacted. The stress on the jugular vein is too much (under certain circumstances). Then the feedback loops are impacted. Then symptoms persist. The body is trying to protect from future issues due to the pathology in the physiology. Just because it exists with no obvious symptoms doesn’t mean it’s ok. That’s like saying atherosclerosis is ok if there are no symptoms. It isn’t. And yet it is probably present in a large selection of the general public.
I appreciate your care in presenting it so it can be understood easily, by anyone. Thank you
Just logged in to congratulate and thank you for this awesome video. Thanks for the knowledge, doc!
just because veins collateralize doesn't mean its healthy and not causing issues. collateralization is a sign there is an issue. if they are collateralized that means they are working harder than normal and that is not right
On the contrary, If you are able to create collaterals, that is a very good sign you are healthy in the repairing regard.
@@brendanschroeder1862 And still does not mean that repairing skill is enough to compensate all the troubles an IJV compression could create in some people. But of course, could be enough on some of them. As Dr. said... you can not tell for sure when IJV is a problem.
Good point
@@tomastorn1
What they don’t tell you is strengthening your cervical muscles is the key, strong ligaments are useless if you muscles are weak, weak tendons aren’t an issue if your muscles are strong the muscles keep the vertebrae in position
Thank you for sharing! Love your videos. Does your office offer Telehealth appts. In order to get testing needed to diagnose this type of problem?
Hi Amanda,
Please reach out to our office and they discuss telehealth options with you. 303-429-6448
Hi Dr. Centeno - Can you help me understand which doctors can help me diagnose this issue? I have many of the symptoms, which have been escalating for at least a few years, but I am being dismissed or symptoms treated piece-meal by the PCPs, eye doctors, and Neurologists I have seen.
Eagle Syndrom?!
Thank you for making this video?
Do the compression cause white matter or/and chronic small vessel ischemic disease?
Why AO isn't a non-invasive option since C1 is usually one of the culprits of these compressions?
Why jumping directly into PRP or surgery and not thinking of AO as a viable option? I'm confused on that part.
What's AO?
@@andytorres8507 Atlas Orthogonal. A kind of subtle chiropractic care where a chiropractor moves your atlas with a device. Tons of youtube videos to know more about it. Not every country has AO tho'. And not sure if it could make it worse for CCI/AAI since ligaments are not doing its work.
For anyone with a connective tissue disorder, it will likely not hold. I tried AO and we did before and after pictures each time and it wouldn’t last even 24 hours.
@@theadventuringzebra
Buy the iron neck device, it works wonders
Strong neck muscles is the cure
Muscles hold it all together
38:00 fullness, sense of fluid; 44:00 arcuate foremen
I am feeling very lousy worse than usual this past week if I don’t have my shoulders up in my head bent back so I can feel the drainage of the vein down my neck my heart starts to feel extremely heavy and I have to lay down please give insight
Great video
Can this venous compression lead to downstream complications or changes in venous flow/pressure such as weakness and numbness in the limbs and muscles below the neck? I have slight transverse ligament instability, synovial joint inflammation in the C1-C2 area, cervicla curve reversal, and likely intracranial hypertension arising from this specific problem.
But whenever my C1 moves slightly abnormally to one side or too far forward I get stroke like attacks very suddenly that look like myelopathy. I don't have an upright MRI but the supine MRI did not show my dens hitting my spinal cord, or that the transverse ligament was nearly that hypermobile enough to do that according to DMX. There's no basilar invagination on my MRI. Transcranial doppler came back negative for VBI as well.
So my next thought is either a CSF flow problem or a vascular one that's somehow affecting my brainstem or upper spinal cord as a result of instability.
Yes poor venous flow does have an effect downstream, I had prolo but it didn’t help much, but what I found of cervical muscle exercises had almost cured all of my problems, it’s only been 1 month since I bought the iron neck device, strong muscles correct the alignment
Blood flow isn’t stable. This is the issue with imaging also. Bodies move and the physiology changes. If there is pathology it is dependent on these variables. It is totally inappropriate for practitioners to think a pathology isn’t the cause of symptoms just because it exists in some without symptoms! There are genetic variabilities also.
Can this compression cause pain when reading, ringing in the ears and trouble looking at screens?
Very good video , My right Internal jugular vein is compressed when my head is turned to the left and is ok when head turned to right ( a catheter angiogram has shown this ) , my neurological symptoms are better when keep my head turned to the right and dramatically worse when turned to the left, however my left internal jugular vein which is my dominant one is fine . Could this be the cause of my symptoms? And also is it true that the internal jugular veins collapse in the upright position and drainage is via the vertebral venous plexus. Does this mean that the internal jugular veins have no function when standing up and doing physical activity?
What are your symptoms
Hi there thanks for asking , I have pulsating tinnitus and constant eye pain and irritation, headaches and dizziness. I also have extreme fatigue of the limbs but everything goes away when I turn my head to the right or if I lie down for a while .
A stent would help you
Sir please can you give your appointment so that i can consult you online
please don't forget the eagle syndrome here

Can IJV become calcified if irritated or conpressed for many years?
No, veins don’t calcify to my knowledge