Monday, October 22, 2012

Voice Problems

I have had a problem with speaking for at least 4 years now and I have been seeking help but I haven't gotten any diagnosis. The ENT specialists said there was nothing wrong and that they didn't understand why my voice was the way it was. All I can get out of my voice are whispered tones and I have to really strain and push to get one sound out and it is hard to maintain that sound for a full sentence.  Occasionally, I can talk a few sentences but my voice will go from voice to no voice at any second and continues to fluctuates. There is pain when I try to speak. And when I do speak there is this "werbolly tone" as one doctor described it. There is just this unstable sound to my voice and it is very unpredictable. I don't have any problems with the "high" pitch to my voice it is just the quality/clarity of it. THANK YOU SO MUCH FOR YOUR HELP!
I have been doing some research and do you think my condition is muscle tension dysphonia?   

Melissa Kim M.S., CCC-SLP replies...

If you've seen an ENT who performed a visual examination of your larynx (using either a flexible or rigid endoscope) and did not diagnose any obvious reason for your symptoms, I would suspect at least some element of a muscle tension dysphonia, or a problem with the way in which you are using your voice. If this is the case, voice therapy with a speech pathologist would be helpful. There are, however, additional voice conditions that might present in the way that you describe. I would suggest that you see a laryngologist, an Ear, Nose, and Throat physician who specializes in voice disorders, for another opinion. Visit the American Academy of Otolaryngology website to search for an ENT by subspecialty at

Best of luck to you!

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