muscle tension dysphonia

What is Muscle Tension Dysphonia?

Muscle tension dysphonia (MTD) occurs when there is excessive muscle tension or stiffness in the neck, jaw, shoulders, throat, and larynx (voice box). Imbalance in the coordination of the muscles of voice and breathing can occur with or without any anatomical abnormality and results in an abnormal voice. Voice treatment is the gold standard treatment for muscle tension dysphonia. There are no other treatments that can restore the muscle balance in the vocal mechanism. A speech-language pathologist is skilled in teaching exercises and training you in techniques that improve the way the muscles of breathing and voicing work together to create a better voice.

What are the symptoms of Muscle tension dysphonia?

  • Hoarseness

  • Vocal fatigue

  • Vocal strain

  • Pain when speaking

  • Throat tightness

  • Voice loss

  • Decreased voice projection

  • Sensation of lump in your throat

  • Loss of pitch range

  • Reduce vocal flexibility

  • Unreliable voice

  • Low, gravely voice

  • Voice breaks

  • Airy or breathy voice

  • Inability to sing

What are some contributing factors of Muscle tension dysphonia?

  • Poor vocal hygiene

  • Phonotrauma

  • Upper respiratory illness

  • Gastroesophageal reflux disease (GERD)

  • Laryngopharyngeal reflux disease (LPR)

  • Allergies

  • Certain medications

  • Hormonal imbalance

  • Prior injury to the back, neck, shoulders, head, hips, and/or pelvis

  • Trauma

  • Stress & anxiety

  • Pelvic floor dysfunction

If you think you have a voice problem, get help quickly from health care professionals with specialized expertise in caring for voices! This includes a laryngologist and a certified speech-language pathologist that specializes in voice care.