Deborah Aloba - Singing Teacher

Deborah Aloba - Singing Teacher

Vocal Nodules – Treatment Today

Vocal Nodules – Treatment Today

In most cases vocal nodules are treated successfully. Vocal nodules may resolve with rest alone in their acute stage, but if the trauma occurs repeatedly, then treatment will be required. Voice therapy is usually the treatment of first choice. Voice therapy involves vocal exercises that are designed to restore efficient vocal function so that the nodules resolve. These exercises are specifically targeted to deal with the problems identified for each individual during their assessment. If the nodules have become hard however, or if there are time constraints such as specific engagements or training, surgery may be the quickest and most effective solution. Voice therapy is required post operatively to rebalance the voice production and prevent recurrence.

When is a Nodule not a Nodule?

When is a Nodule not a Nodule?

Occasionally the vocal folds develop “nodular” swelling as a result of other conditions, such as vocal fold cysts or scars. These conditions do involve tethering of the epithelial vocal fold cover and do not resolve completely with conservative treatment such as rest and voice therapy. They will require more complex surgery to resolve them. They need careful assessment in a voice clinic to differentiate them from simple vocal nodules.

Help is at Hand

If you have symptoms that suggest you may have vocal nodules:   Seek a medical opinion from a Laryngologist experienced with voice problems. The best solution is to ask your GP for a referral to a multidisciplinary voice clinic. A list of UK voice clinics is available to download here Whenever possible rest your voice and avoid speaking against noise, shouting or coughing violently. Inhale steam to soothe irritated and swollen vocal folds Keep well hydrated and avoid inhaled irritants, such as smoke. If you are a singer discuss suitable warm up exercises with your singing teacher and do not try to sing high and quiet – you will be doomed to disappointment until the nodules have resolved. If your Laryngologist refers you to a Speech and Language Therapist...