Muscle Tension Dysphonia

The Voice Clinic's

Muscle Tension Dysphonia

(Primary or Secondary)

Laryngeal massage or paralaryngeal palpation provides valuable information regarding specific areas of tension that may include the front neck, jaw, tongue, pharynx and larynx. Digital manipulation and laryngeal massage of the extrinsic laryngeal musculature can provide the clinician with valuable information regarding this tension.

As demonstrated by Nelson Roy in the late 1990’s, manual laryngeal musculoskeletal tension reduction may yield immediate improvement in vocal quality or an identifiable release in laryngeal tension within minutes. These changes are useful in providing the patient with an identifiable vocal improvement or release of tension and may indicate the patient’s responsiveness to therapeutic intervention.

Common Areas of Tension

  1. Tongue – (Anterior & Base of tongue)
  2. Jaw – Masseter & Temporomandibular joint
  3. Laryngeal tension – Intrinsic & Extrinsic laryngeal muscles
  4. Anterior/posterior neck - Strap muscles, Sub-occipital area, posterior cervical & SCM’s
  5. Shoulders - High shoulder posture Tightness/stiffness winged scapulae
  6. Upper chest - Anterior/posterior chest muscles (Clavicular area)

Aaron’s Voice Freedom Techniques have been developed to treat specific disorders of the front of the neck. He relieves patients suffering with speaking, singing and swallowing difficulties and provides home programming for continued maintenance of progress, therefore, preventing reoccurrence. In addition, patients suffering from chronic hoarseness or cough, singing voice fatigue or loss of range, ‘painful’ voice or swallowing and voice weakness or lack of projection can be cured forever.

Muscle Tension Dysphagia

The act of swallowing is produced by a pulling, squeezing and lifting action of the tongue and throat musculature which is tied to many other muscles of the jaw, collar bone and voice box.

Muscle tension in the front neck region is only now being recognized as a significant correlate to patients complaining to their Doctor about aspiration or coughing after swallowing, clicking sounds in the neck during a swallow and slowness, pain or stiffness in the neck when eating. This creates an unnecessary stress on a person’s most crucial quality of life.

In addition, chronic cough and chronic throat clearing often accompany swallowing problems. Releasing the front neck muscles specific to the problem of each individual allows the brain to return the freedom that is normal airway and laryngeal movement in the swallow, all while eliminating the overly protective coughing and clearing. The patient’s quality of life returns!

At The Voice Clinic, Aaron has been addressing these issues for over 22 years. He works with his own modified manual techniques to release the muscles associated with each individual and their issues. Generally, in the first hour, improvements are made.

Post COVID-19 “Long-Haulers” or Muscle Tension Dystussia (Cough)

In today’s world, the post COVID-19 Cough is present.

Does this come with connection to a muscle tension component? I believe so!!!

Letting the cricoid muscles be free of tension will make all the difference. Addressing voice exercises that help those with chronic cough will help those that have been intubated overly worried about breathing, anxious and or just ‘twisted’ up after the infection.

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