Muscle Tension Dysphonia Causes, Diagnosis And Treatment

A muscle tension dysphonia is a medical term for a voice disorder. Muscle tension dysphonia is one of the most common disorders that occurs when the muscle around the larynx is so tight during speaking that the voice box does not work efficiently.

Muscle tension dysphonia (MTD) is more frequent among people of 40-50 years of age and especially in women.

There are two types of MTD:

Primary MTD: The muscles in your neck are tensed when you use your voice, but there is no abnormality in the larynx.

Secondary MTD: In this type of MTD, there is an abnormality in the box that impels patients to overuse other muscles for the voice production.


No one fully understands what causes MTD. It usually begins without warning or explanation. It may be caused by irritants in the upper respiratory function such as smoking, acid reflux or excessive demands placed on your voice. Sometimes, more than one of these factors are present when it comes to MTD.

Signs and Symptoms

Muscle tension dysphonia has several signs and symptoms, including:

Husky, 신림동출장안마 breathy, rough or hoarse voice

Tightness and even muscle aches in the throat

Strained or tight voice

Sudden breaks or fading of the sound

Sense of strained or effortful sound

Voice quality that worsens with use


The condition is difficult to diagnose; and sometimes it is even misdiagnosed, as there is no specific test(s) for this condition. A complete suitable diagnosis requires a thorough examination by an experienced team of specialists. For a complete diagnosis, the vocal specialists generally take an entire history of one’s voice problem(s) as well as one’s speaking pattern (speaking voice application).


The best therapy for MTD or spasmodic dysphonia is voice therapy provided by a qualified specialist. Voice therapy is a special technique in the field of speech and language pathology focusing on the treatment of vocal disorders. A voice therapist works with patients to modify the method of voice production, promote vocal fold healing and help to remove harmful vocal habits. Additionally, a therapist will customize a treatment plan in sync with the patient’s unique issues and capabilities.


The Royans Institute for Non-Surgical Voice Repair offers all of the above mentioned services and is known for the great success in non-surgical treatments of MTD, Spasmodic Dysphonia, Vocal Cord Paralysis, Acid Reflux and many other common voice/vocal disorders.

In a nutshell, muscle tension dysphonia can represent a long-term learned behavior that requires appropriate vocal therapy in order to improve it. Such alternative voice therapy, directed for the restoration of one’s normal voice, is usually successful.

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