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 http://entnet.org/.
Best of luck to you!