How do I take care of my voice?

How do you protect your voice when speaking?

Some people think that they should whisper to protect their voice. However, when we whisper we squeeze out vocal folds together causing more strain. Avoid shouting as this can damage your vocal folds. Try to talk at a normal volume. Rest your voice if you are unwell with acute laryngitus, or if your voice is becoming hoarse.

Be aware of the effect that your work has on your voice. In a job that involves a lot of talking and raising your voice - such as teachers, singers, actors or broadcasters. Try to allow yourself to have frequent voice breaks. Our voice therapists can work with you to teach you voice techniques, such as projection, so that your voice does not fatigue.

If you have developed a hoarse voice or have had recent voice changes you would benefit from your GP referring you to an Ear, Nose and Throat (ENT) Specialist for an examination.

Be aware of hobbies that might cause you to lose your voice such as karaoke or yelling at sports matches. Keep this to a minimum to let your voice recover.

What is the best thing to drink for your voice?

Its important to keep the vocal folds hydrated. Drinking 2 litres of water a day will be adequate. Water thins out the mucous on your vocal folds, and helps them vibrate smoothly. Try to avoid caffeinated drinks such as tea or coffee as these dry out the vocal folds - try decaffenated tea or coffee instead. Cut down on alcohol or balance drinks out with drinking water. Some medications can such as those for colds or allergies. Discuss any changes with your doctor beforehand.

Can foods affect the voice?

Foods that are high in fats, salts or spice can cause laryngo-pharngeal reflux (LPR). These might be include curries, fried food or fast food. These foods can cause stomach acid to move into the throat or oesophagus, causing heartburn or reflux. If you do experience reflux, talk to your GP about possible medications. Try not to eat within two hours of going to bed at night. Watery foods that dilute stomach acid such as melon, celery or cucumber are helpful for reflux.

How does smoking affect your voice?

Smoking dehydrates and irritates the vocal folds, becoming dry and inflamed. They do not vibrate as they should. Smoking can also increase laryngo-pharyngeal reflux which can affect the voice. It lowers voice pitch and causes vocal fatigue. As smoking affects lung function, you may have reduced breath support for your voice, and feel like you are running out of breath when you talk.

There is a voice condition directly related to smoking called Reinke’s odema which causes a gravelly low-pitched voice. This is a result of the swelling of the vocal folds. Smoking can also increase your risks of vocal cord cancer. You should either stop smoking or cut down. Have a chat with your GP about advice to stop smoking.

Stop smoking. If you can’t give up, cut down. Smoking irritates and damages the vocal folds. Talk to your GP about advice to support stopping smoking.

Why do I feel like I need to clear my throat?

Throat clearing is very common when people have a voice disorder such as muscle tension dysphonia due to the tension they feel in their throat. Many people feel like they have mucous in their throat. There are many reasons, including reflux and post nasal drip that our voice therapists can support you in identifying these difficulties and providing yiou with strategies to reduce this habit. Try not to clear your throat unnecessarily. It can create excessive mucous and lead to a further need to clear your throat. Try drinking water instead or swallowing, or try steam inhalation.

In summary:

• Stop smoking (or cut down)

• Drink 2 litres of water a day

• Reduce caffine - try caffine free drinks

• Avoid spicy and greasy foods

• Do not whisper or shout

• Rest your voice if you are sick

• Avoid dry and dusty enviroment.

Our Speech and Language Therapists are Clinical Specialists in Voice. Feel free to book a free consultation or email us for more information regarding our reasonable fees.

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.

How can my job cause Muscle Tension Dysphonia?

Jobs that require lots of talking and projection may result in voice overuse and voice abuse. Professions such as teachers,  actors and singers may lose their voices. This can have an impact financially and can feel stressful. Our UK Voice therapists will help you identify the causal factors and put together a bespoke plan to support you in improving your voice.

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 (MTD) diagnosed in the UK?

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 (MTD) in the UK?

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 in the UK involve for Muscle Tension Dysphonia (MTD)?

Voice therapy for Muscle Tension Dysphonia in the UK 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 (MTD) 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. 

Why do I have a hoarse voice and a feeling of a lump in my throat?

The tightness of the muscles in your throat due to Muscle Tension Dysphonia (MTD) causes people to feel that they have a lump in their throat, tightness or tension. The medical word for this feeling is ‘Globus’ and it is very common. It can be caused by main factors including anxiety, stress and reflux. It can be very effortful you to speak when they feel tension. Through Voice therapy we examine the factors that are causing you to have this sensation and aim to reduce the tension in this area.

Why do I have a hoarse voice, mucus in my throat and feel like I need to throat clear or cough?

As a result of tension people feel in their throat due to Muscle Tension Dysphonia (MTD) or Globus, people feel that they need to throat clear. Throat clearing often results in a habit of frequently throat clearing which produces more mucous. Throat Clearing is multi-factorial and we aim to reduce throat clearing through a thorough case history and voice therapy strategies.

Is a hoarse voice a symptom of anxiety or stress?

A hoarse voice as a result of Muscle Tension Dysphonia (MTD) may be linked with stress or anxiety. We all feel stress in different parts of our body and some people of vulnerable to holding tension within their laryngeal area. Our Voice Therapists have counselling skills that can support you to understand the emotional causes of your voice problem. If a voice problem is affecting your work, this can be an additional financial stress. Through voice therapy we can support you to improve your voice through vocal techniques to help you feel more relaxed.

Can I have Voice Therapy with the NHS in the UK?

The referral from GP to ENT can be a quick process. Unfortunatly, the wait for NHS voice therapy may take months, which could impact on your work. Our voice therapists are able to see you while you wait for NHS therapy. Voice coaching is not available in the NHS - our Voice Coaches are unique as they are also Clinical Voice Specialists.

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 in the UK.

Can Voice Feminisation harm my voice?

Many clients that come to us having already attempted some voice therapy independently using YouTube videos or voice Apps.  They are often concerned that they may have harmed their voice. 

Inappropriate voice use may strain or cause tension leading to voice damage known as Muscle Tension Dysphonia.  In some research studies, up to 30% of Male to female Transgender Voice clients had a voice disorder in their initial assessment caused by trauma to the voice box (larynx). Muscle Tension Dysphonia can be caused by excessive effort used when training your voice.

Muscle Tension Dysphonia can be caused by excessive elevation of the larynx, poor vocal hygiene, excessive tension and using an inappropriate pitch level. Excessive breathiness also leads to excessive tension in the larynx. 

Looking after your voice is important - read more here. 

For more information about Voice Feminisation Therapy - click here

Our aim is to prevent trauma by teaching you the best ways to achieve a feminine voice.  We are Clinical Specialists in Voice, Voice Feminisation and Voice Coaching.

How can I train my voice to sound feminine?

Trans* Voice - Tips for learning and exploring your voice

In therapy you will be exploring your voice. Repetition outside the clinic room is important to change. It is comparable to going to the gym for your voice. You are developing flexibility and freedom for your voice. When learning and exploring try to:

Be Playful – try out new things

Be Mindful – notice without judging

Be Curious – use all of your sense to explore your voice

Be Imaginative – find your own images, hand gestures to support exercises

Be Positive

Be Regular – Be creative about when and where you practice – little and often.

Be Patient – Let things develop and transfer to situations that are easiest first

Be Reflective – record your voice, keep a diary

Be Sociable – try to step out of solo practice into getting support from others

Adapted from The Voice Book for Trans and Non-Binary People – Matthew Mills and Gillie Stoneham

For more information about Voice Feminisation Therapy click here

We are Clinical Specialists in Voice, Voice feminisation and Voice Coaching. Send us an email or book a free consultation for more information.