What is Muscle Tension Dysphonia?

What is Muscle Tension Dysphonia (MTD)?

Muscle Tension Dysphonia (MTD) is a change in the sound of your voice due to excessive muscle tension in and around the larynx (voice box). Muscle Tension Dysphonia produces vocal symptoms without any physical damage. Commonly, people will have had their Larynx examined by a Ear, Nose and Throat Specialist and have been told that there is no observable physical damage. 

Muscle tension dysphonia may be caused by longterm ineffective voice use, voice overuse, irritants (such as Laryngopharyngeal Reflux) , infection or emotional stress. While the initial cause may go away, the voice changes remain because of the ineffective habitual voice use.

What are the symptoms of muscle tension dysphonia?

The most common symptoms of muscle tension dysphonia include:

  • Voice that sounds hoarse or strained

  • Voice becomes weaker and more effort the longer your voice is used.

  • Difficulty singing notes that used to be easy.

  • Pain or tension in your throat 

  • Feeling like there is something in your throat that needs to be cleared. 

How is muscle tension dysphonia diagnosed?

Typically, if you are experiencing voice difficulties, your GP will refer you to an Ear, Nose and Throat Specialist (ENT) for an assessment of your voice. Muscle Tension Dysphonia is diagnosed through the evaluation of your larynx using a camera in your nose to view your vocal folds. 

What is the Treatment for Muscle Tension Dysphonia?

The treatment for muscle tension dysphonia is voice therapy to reduce muscle tension and focus on effective voice use. You are likely to require 6-8 sessions of voice therapy to improve your voice. 

What does voice therapy involve?

Voice therapy involves

  • Vocal hygiene advice

  • Bespoke voice exercises 

  • Exercises to reduce laryngeal tension

  • Improving breath support for speech

  • Reducing harmful behaviours

  • Increase vocal stamina 

  • Improving pitch and volume

  • Improving voice amplification 

How long does it take for Muscle Tension Dysphonia to go away?

Most people require 6-8 sessions that they typically book weekly. It is very important that you follow the advice and complete the exercises given by the Voice Therapist outside of sessions to assist in your recovery from Muscle Tension Dysphonia. 

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy.