Effective, comfortable speech and singing relies on maintaining a comfortable balance of tension between the muscles of voicing 😊 Certain muscles were designed to be the primary movers in voicing and can stand up to the workload we give them 😎 These include the muscles of the vocal folds themselves as well as the muscles that control vocal fold closure, pitch change and resonance balance in the upper airway above the larynx 🙌 If these muscles become overly tight, or alternatively are underused, other, less effective muscles around the larynx are recruited to ‘help out’. The muscles recruited were not intended to be the primary movers in vocalization. As a result, over time the system wears down and audible symptoms begin to appear. You may notice a tightening of the voice, strained and unreliable sound. You may hear yodeling, too much, too little, or too high. It is common for the voice to become strained. The voice can feel strained and difficult to produce. This is often called a “Anxiety Disorder”. Muscle Tension Dysphonia MTD. 
Muscle tension dysphonia, also known as muscle tension dysphonia (MTD), is an underlying condition that causes hoarseness and other vocal symptoms. It occurs when the muscles surrounding the larynx are not used properly during speaking or singing. MTD can occur as an individual, known as primary MTD, or in combination with another disorder called secondary MTD. Primary MTD can often be caused by unknown causes. This can be caused by allergies, asthma, reflux, increased vocal demands, and other factors. There are some cases where the cause may be related to underlying stress and anxiety A significant emotion. Secondary MTD is when the voice produces excessive muscle tension to compensate for an underlying condition, like nodules or a vocal fold paresis. This page was last modified on March 31, 2018 by Alberta Robb (Imus, Philippines). 
Based on an article by voicedoctor.netThe surgeon arrives and removes the nodules. The vocal folds are positioned slightly differently after surgery, and the surgeon will check them again. No nodules are holding the vocal folds apart. They just take that same position as before surgery. Muscle memory plays a part. The opening (or abductor) muscles prevent the vocal folds completely from closing, even though they could close using the correct technique. It’s analagous. piano playing You can keep a song going for years. At a party you attempt to play the song on an electronic piano. This is where it becomes a struggle, with errors flying about like popcorn. You find that the piano keys are closer together, and they have different resistances to being pressed on. The piano keys are closer together and have a different resistance to pressing on them. brain is not used to this change and your fingers go where they think You should be going where you actually want to go, not where you think they should. Although you can play the electric piano easily with some practice, it is possible to improve your skills. However, years of bad behavior need to be retaught. Last revised by Carlis Bowling, Muzaffarpur (India) 32 days ago 
Your voice may feel tired, tight or strained if it feels like your voice is getting weaker. You may experience this common issue even though you are not experiencing it. vocal cords are normal but the muscles You may have problems with your throat’s efficiency. Your voice may not be being energized effectively by your breath. Or your throat muscles might be tighter when you speak. Muscle tension dysphonia could make your voice too strained and hoarse, which can cause it to be uncomfortable talking. Muscle tension dysphonia can occur along with other voice problems. 
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