Division of
“The Royans Professional Vocal School”

Muscle Tension Dysphonia


Muscle tension dysphonia (MTD) occurs when the muscles around the voice box are too tight during speaking, such that the voice box does not work efficiently. A person may work very hard to get voice out or use too much “muscle tension,” sometimes without even noticing it.

MTD is a voice disorder related to how the voice is used. It does not occur when someone strains the voice one time. It is usually a problem occurring from a habit of straining to talk, resulting in a raspy voice or, in a worst case scenario, a lost voice.

Your voice may sound raspy or tight. Talking may make you feel tired, or you may even feel a muscle ache in the neck due to MTD.

There are two types of MTD:


Primary MTD: The muscles in your neck are tensed when you use your voice, but there is no abnormality in the larynx.

Secondary MTD: In this type of MTD, there is an abnormality in the voice box that impels patients to overuse other muscles for the voice production.


Causes –

No one fully understands what causes MTD. It usually begins without warning or explanation. It may be caused by irritants in the upper respiratory function such as smoking, acid reflux or excessive demands placed on your voice. Sometimes, more than one of these factors are present  when it comes to MTD.

Signs and Symptoms –

Muscle tension dysphonia has several signs and symptoms, including:

  • Husky, breathy, rough or hoarse voice
  • Tightness and even muscle aches in the throat
  • Strained or tight voice
  • Sudden breaks or fading of the voice
  • Sense of strained or effortful voice
  • Voice quality that worsens with use

Diagnosis – 

The condition is difficult to diagnose; and sometimes it is even misdiagnosed, as there is no specific test(s) for this condition. A complete suitable diagnosis requires a thorough examination by an experienced team of voice specialists. For a complete diagnosis, the vocal specialists generally take an entire history of one’s voice problem(s) as well as one’s speaking pattern (speaking voice application).

Treatment – 

The Royans Institute for Non-Surgical Voice Repair offers all of the above mentioned services and is known for the great success in non-surgical treatments of MTD, Spasmodic Dysphonia, Vocal Cord Paralysis, Acid Reflux and many other common voice/vocal disorders.

Our approach to dealing with muscle tension is revolutionary, holistic and non-surgical – For more information, contact us


Testimonials From Clients Who Have Been Successfully Treated From Muscle Tension Dysphonia Disorder:


Tone Aarstad – Muscle Tension Dysphonia – Voice Repair Client/Up and Coming Artist, New York:

“Thank you so much for fixing my voice & making it possible for me to sing again. Words cannot describe how thankful I am for what you have done and what I have learned from you. I thank you for the knowledge and making something possible that I may not have dared to dream about only 1 month ago. There is no reason for anybody to be skeptical. I’m a different person – this has really changed my whole singing experience. It’s amazing! I’m a new person going back to New York. It was so worth it to come from New York and you can’t measure this in money.”