Is Something Wrong With My Voice?!

Getting a call from a singer worried about a voice disorder is not uncommon. Our voice is deeply personal, and when something feels off, it can be unsettling. Unlike aches and pains elsewhere in the body, vocal issues often feel more urgent because of how integral the voice is to daily life—especially for singers.

The good news? Sometimes, nothing is wrong. But when something does seem off—like difficulty sustaining pitch, breathiness, or a sudden loss of vocal range—it’s worth investigating. Below, I’ll explore common voice disorders, their symptoms, and treatments, so you can better understand and care for your voice.

Common Voice Disorders in Singers

1. Muscle Tension Dysphonia (MTD)

MTD occurs when the laryngeal muscles work inappropriately to compensate for weak vocal function. It can affect both speaking and singing, leading to:

• Breathy, inconsistent, or crackly tones
• Overactive laryngeal muscles
• Vocal discomfort due to random muscle tension

Treatment: Voice therapy is the primary treatment for MTD. By retraining muscle groups involved in vocal production, singers can regain control and ease in their voice.

2. Polyps

Polyps are demarcated masses (not cancerous!) that usually appear mid-point along the vocal folds. While more common in males, they can occur in anyone. Symptoms can vary because polyps don’t always disrupt sound as they “wiggle” on the vocal folds.

Treatment Options:

• Voice rest
• Voice therapy
• Surgery, if necessary

3. Cysts

A cyst is a collection of material, often mucus, surrounded by a membrane. Cysts form in the lamina propria (a connective tissue layer of the vocal folds) and are usually caused by irritation.

Treatment Options:

• Vocal rest
• Surgery

4. Nodules (Not “Nodes”!)

Nodules are like calluses and occur bilaterally (on both vocal folds). These are often caused by overuse or hyperfunction and are more common in females.

Treatment:

• A minimum of 6–8 weeks of voice therapy
• Excellent vocal hygiene (think hydration, rest, and mindful use)
• Surgery is NOT typically recommended

Why Voice Therapy Matters

In all the cases above, voice therapy plays a significant role in treatment. Here’s why:

• Muscle Re-education: Vocal production relies on a network of muscles, and when these muscles are overused or misused, they need to be retrained.
• Long-Term Recovery: Therapy teaches your muscles new habits, preventing recurring issues.
• Enhanced Vocal Health: Therapy not only heals but also helps strengthen the voice for future use.

When It’s Not a Disorder

Sometimes, when singers think they have a voice disorder, the reality is much simpler: the voice is just out of shape. In these cases, what’s needed isn’t treatment but training. Voice lessons can:

• Build strength and stamina
• Improve coordination
• Boost confidence in your vocal abilities

Regular vocal workouts can help bring your voice back to peak performance, ensuring it stays healthy and vibrant.

Caring for Your Voice

Your voice is your instrument, and it deserves care and attention. Stay sensitive to its needs, practice good vocal hygiene, and don’t hesitate to seek help if something feels off. Whether through therapy, rest, or lessons, you can keep your voice strong and ready to shine.

Remember, have fun singing—it’s one of the best things you can do for your voice!