I had my decompression in May 2012. Since the surgery I have suffered with joint pain occasionally and also headahces. I have cut back on my Fioricet because I was having rebound headaches and I take about once a week now if that. I have been trying to manage diet and caffeine and limit my activities to better control my diet. Before surgery I had a sleep study that noted 2.5 seconds pauses (not enough for qualification for CPAP), I have been having more trouble sleeping like prior to my surgery and it is becoming stressful because I am going for my Master's Degree. Before my surgery the doctors did talk about the chiari causing swallowing or gag reflex issues but I only noticed myself having the water ocassionally "go down the wrong hole" and now I keep getting food caught in my throat, kinda like that pop corn kernel that gets stuck up there and bugs the heck out of you... but with most foods, it doesnt matter the consistency. I am feeling fatigued again and wondering if others have gone through the same. I see my primary whom has done his dissertation with syrinx and chiari on tuesday and then I will set up my appt to see my NS in Miami but would like some help or discussion about similar occurences if anyone can help. thanks in advance.