General Facts

Who gets voice problems?

Anyone, at any age!

  • More likely to occur in individuals who use their voice extensively or strenuously
  • May occur in individuals with limited voice
  • May occur in individuals who used their voices extensively prior to retirement, and now have a reduced voice use (the voice can become deconditioned!)

How do voice disorders develop?

Voice disorders can:

  • Develop quickly, for instance, following a surgery or loud screaming
  • Take months or years to fully develop
  • Lesions (growths) on the vocal folds may be chronic, or develop slowly, or they may be acute, developing suddenly.
  • Functional problems can develop like repetitive motion injuries in other parts of the body
  • Neurological disorders may develop insidiously over time, or appear quite quickly

The voice is considered disordered if:

  • There is abnormal, or poor quality, sound
  • The quality does not serve the voice needs of the individual
  • There is fatigue, discomfort, or pain associated with voice use (even if the voice sounds normal)
  • The voice cannot do what the individual needs it to do

Why do singers get voice disorders?

Singers, actors, teachers, politicians and other professional voice users are prone to developing voice disorders because of extensive and athletic use of the voice (for more about the definition of a professional voice user, please refer to our page on You and Your Voice). These problems may be obvious, such as a complete loss of voice, or barely perceptible by anyone but the individual, such as loss of high notes in a singer. A voice problem in these individuals may be career threatening and needs to be evaluated by a voice care team with experience treating professional voice users.

What are the different types of voice disorders?

Organic - Something is physically wrong with the mechanism
This can be some problem with the structure of the larynx or vocal folds, or a neurological problem, having to do with the nerves coming from the brain to innervate the larynx.

Functional - The physical structure is normal, but the mechanism is being used improperly or inefficiently.


Sometimes an organic voice disorder, such as polyps or cysts (growths on the vocal folds) can cause an individual to develop poor functional use of the voice. Other times, poor functional use, such as screaming or excessive throat clearing, can cause organic changes to occur, such as the development of nodules (a.k.a. "nodes").

The interaction between the organic and functional components of voice disorders is why it is so important to be treated by a team of voice specialists including at least an otolaryngologist (Ear, Nose and Throat doctor) with special training in the voice, and a certified speech language pathologist with specialized training in voice disorders and rehabilitation At the Lions Voice Clinic we are accustomed to dealing with complex, multifactorial voice disorders.

How are voice disorders evaluated and treated?

Visit our Treatments page to find out more.