The sound of your voice is used to make contact with others, convey emotions and create connections. Your voice is a part of your identity. Often, you may be recognized, by the sound of your voice.  Everyone needs their voice, particularly those who rely on their voice for their livelihood. This includes teachers, coaches, politicians, actors and singers. 

When You Have Dysphonia

Sometimes your ability to produce a clear, strong voice may change. This is called Dysphonia.

Voice problems may be caused by voice misuse and overuse (e.g. from yelling or straining to speak loudly). Disorders may also be associated with:

  • Reflux

  • Growths on the vocal cords (e.g. nodules, polyps)

  • Cancer or surgery

  • Allergies or asthma

  • Illnesses (e.g. common cold, bronchitis, laryngitis) and medications

  • Weakness, paralysis or involuntary movements of the vocal cords due to neurological diseases (e.g. Parkinson’s disease, motor neuron disease)

  • When you have dysphonia, you may experience discomfort or fatigue while speaking, and your voice may become:

  • A hoarse, breathy, raspy or strained voice

  • A raw or aching feeling in your throat

  • A need to clear your throat or cough frequently

  • Reduced breath support when speaking

  • Inability to speak loudly (i.e. decreased volume)

  • Reduced pitch range (i.e. lowest to highest sounds) when speaking or singing


If the voice changes don't go away, you should see your physician for an evaluation. Your physician may refer you to an ear, nose and throat physician, who will examine you further and develop a treatment plan. As part of your treatment, you may be referred to a speech-language pathologist for voice therapy.


Voice Evaluation


During your initial evaluation, the speech-language pathologist may:

  • Ask questions about your medical history, lifestyle and voice usage

  • Ask you to perform some speaking tasks and make some non-speaking sounds

  • Use measurements and computer analysis to determine if loudness, pitch and other characteristics are significantly different from others of your gender and age range

  • Refer to an ENT who may use special equipment to observe and record the movements of your larynx, or "voice box"

If, after the evaluation, the speech language pathologist determines you may benefit from an individualized plan of care, one will be designed and implemented specifically for you.


Voice Therapy


Lee Silverman Voice Therapy (LSVT-LOUD) and Speakout! are available for persons with Parkinson's disease.

Voice therapy, consists of, being lead through a variety of tasks which address the physical aspects of voice production:

  • Improving breath support

  • Reducing muscle tension

  • Strengthening the vocal muscles within the larynx

  • Recommending lifestyle changes that can improve your voice

  • Developing an at-home treatment program for use between sessions

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Hours of Operation
Monday - Thursday - 8AM - 6PM Fridays by Special Arrangement 

For more information or to book an appointment, please call



1333 North Buffalo Dr. #260

Las Vegas, NV 89128


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