Vocal Nodules: Causes, Symptoms, and Treatment
Vocal nodules are benign (non-cancerous) growths on the vocal cords caused by chronic voice strain or overuse. They are also called “Singer’s Nodes” or “Teacher’s Nodules” because they commonly affect people who use their voices excessively.
Causes of Vocal Nodules
🔹 Overuse of the voice – Frequent shouting, singing, or talking loudly.
🔹 Poor vocal technique – Incorrect breathing or throat tension.
🔹 Vocal cord irritation – From smoking, acid reflux (GERD), or allergies.
🔹 Chronic throat clearing or coughing – Puts strain on vocal cords.
🔹 Dehydration – Dry vocal cords are more prone to damage.
Symptoms of Vocal Nodules
✔ Hoarseness or breathy voice
✔ Loss of vocal range (especially in singers)
✔ Throat pain or discomfort
✔ Feeling of a lump in the throat
✔ Frequent voice fatigue
✔ Cracking or roughness in the voice
Diagnosis of Vocal Nodules
Laryngoscopy – A small camera checks the vocal cords.
Voice evaluation – A speech therapist analyzes voice quality.
Stroboscopy – Uses a slow-motion light to examine vocal cord vibrations.
Treatment for Vocal Nodules
1. Voice Therapy & Lifestyle Changes
Vocal rest – Avoid yelling, whispering, or talking excessively.
Stay hydrated – Drink plenty of water to keep vocal cords moist.
Avoid smoking, alcohol, and caffeine – These dry out the vocal cords.
Use steam inhalation – Helps soothe the throat and vocal cords.
Manage stress – Reduce tension in the throat through relaxation exercises.
2. Speech Therapy & Vocal Training
Learn proper voice techniques – Helps prevent strain.
Use a microphone – If speaking to large crowds to reduce vocal effort.
Modify speech patterns – Reduce throat tension when talking or singing.
3. Medical & Surgical Treatment
Treat acid reflux (GERD) – If it contributes to irritation.
Steroid injections (rare cases) – To reduce swelling in severe cases.
Surgery (only if necessary) – For large or prsistent nodules that do not respond to therapy.