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Osteopathy and Voice: Spasmodic Dysphonia, story of A.



Spasmodic Dysphonia

A., 42, came to my office yesterday to have osteopathic counseling for spasmodic dysphonia. The disorder vale of A. has been present for almost three years. It all started about three years ago with a colds laryngitis. From that moment A. began to have dysphonies that manifested themselves more and more frequently and regularly with breaks in the voice, the sound came out but at times. The aggravation was accompanied by vocal lowering. When he came to my office, A. spoke and still speaks in a low voice, this is because to speak in a 'sonorous' way he has to exert a strong effort which then leads to pain in the neck and throat. I asked A. if from the beginning the worsening were still continuing or if it had been like now for a while and he replied that it has been like this for 7-8 months.

In the survey A. reported a very interesting thing: lying down, with his head very bent, he can calmly read a book, even for a prolonged period of time.

I then asked A. if he had already been an ENT / phonologist and he replied that he had changed several of them who had told him at the beginning that he could have an irritation caused by the concomitance of reflux, then a problem of glottic hyperpressure, then he was given a Botox chordal infiltration, all without result and, obviously, the drug therapies were all 'tried', arriving as a last resort to the diagnosis of spasmodic dysphonia.