NMM/OMTCASE REPORT

Eagle syndrome treated with the fascial distortion model

Yazmin Gamble, BS; Thomas L. Kincheloe, DO; and Sarah Sander, BS, ART, ARDMS, RVT
Notes and Affiliations
Notes and Affiliations

Received: June 30, 2025

Accepted: July 26, 2026

Published: October 5, 2026

  • Yazmin Gamble, BS, 

    College of Osteopathic Medicine at Pacific Northwest University of Health Sciences, Yakima, WA, USA

  • Thomas L. Kincheloe, DO, 

    Division of Osteopathic Practices and Principles, Department of Family Medicine and Osteopathic Practices and Principles, Pacific Northwest University of Health Sciences, 200 University Parkway, Yakima, WA, USA

  • Sarah Sander, BS, ART, ARDMS, RVT, 

    Simulation Department, Pacific Northwest University of Health Sciences, Yakima, WA, USA

Abstract

Eagle syndrome is a rare condition characterized by an elongated cranial styloid process (≥30.00 mm), leading to pain and dysfunction in the surrounding anatomy. Current treatment options include styloidectomy, analgesics, corticosteroids, and antidepressants. The fascial distortion model (FDM), a newer osteopathic approach, offers a different perspective on treating Eagle syndrome. This case study examines the use of the FDM to manage Eagle syndrome by treating the cranial styloid elongation as a continuum distortion (CD). A 27-year-old female with a 3-year history of left-sided facial pain and associated symptoms underwent FDM treatment to the cranial styloid tip, performed bi-weekly for 5 weeks. Ultrasonographic measurements of the cranial styloids were taken at weeks 1 and 5, along with somatic dysfunction assessments. Results demonstrated a reduction in sonographically measured cranial styloid length, increased tissue mobility, and symptom relief. True osseous shortening, resorption, or fracture could not be confirmed because posttreatment computed tomography (CT) was not obtained. This case report suggests the FDM may serve as a viable conservative treatment for Eagle syndrome, offering an alternative to invasive or pharmacological interventions.

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