Vocal Cord Nodules

Vocal cord nodules (also known as singer’s nodules or teacher’s nodules) are small, benign (non-cancerous) growths that form on both vocal cords. They are caused by repeated strain or overuse of the voice, which leads to swelling and thickening of the vocal cord tissue.

Nodules are usually caused by chronic vocal strain, including:

• Speaking or singing loudly for long periods
• Shouting or screaming
• Poor voice technique
• Frequent throat clearing or coughing
• Smoking or exposure to irritants
• Untreated acid reflux (laryngopharyngeal reflux)
  

• Hoarseness
• Raspy or breathy voice
• Voice fatigue or weakness
• Reduced vocal range (especially for high notes
• Throat discomfort or tightness
• Frequent need to clear the throat
  

Diagnosis is usually made by an ENT specialist using a laryngoscope – a small camera that allows them to look directly at your vocal cords while you speak. Speech and language therapists may also be involved in assessment.

Most nodules improve with **voice therapy**, not surgery. Treatment includes:

SPEECH AND LANGUAGE THERAPY

• Teaching proper voice use
• Reducing strain and tension
• Improving breathing and posture
• Addressing habits like throat clearing

MEDICAL TREATMENT

• Managing reflux, allergies, or other contributing conditions

SURGERY (rare)

• Reserved for persistent nodules that don’t improve with therapy
  

• Rest your voice if it feels tired
• Avoid shouting, whispering, or straining the voice
• Stay hydrated
• Avoid smoking and environmental irritants
• Treat reflux or allergies if present
• Warm up your voice before heavy use (especially singers)
  

• Hoarseness lasting more than 3 weeks
• Changes in your voice that interfere with daily life
• You rely on your voice professionally (e.g. teacher, singer)
• You have recurrent or persistent voice problems
  

See your GP for referral to an ENT specialist or speech therapist. Useful resources:

• NHS: www.nhs.uk
• British Voice Association: www.britishvoiceassociation.org.uk