Vocal Cord Nodules

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What to expect

Vocal cord nodules

A vocal cord nodule is a lump of tissue which grows on the vocal fold meaning the folds cannot come together and close properly. This affects a person's ability to produce voice effectively. An individual may find it painful to produce voice, have a hoarse voice quality, and have less of a range in their use of pitch and volume. Nodules always appear bilaterally (opposite each other) and are almost always due to stress on the voice. Teachers, politicians and singers are all more susceptible to nodules due to the way in which they use their voice.

What is a vocal cord nodule?

A vocal cord nodule is a growth on the vocal cord caused by too much stress on the cords. This is known as vocal abuse. The longer a nodule is left the worse it will become. It will grow larger and over time become harder. Nodules always appear bilaterally, this means there will always be two nodules one on each fold. People who have to use their voice for work, such as singers and teachers are more susceptible to nodules and may develop them over a period of time.

The speech and language therapist will create an individualised voice programme for the individual, which will include advice, support and techniques on how to improve their vocal quality.

What causes vocal cord nodules?

The cause of vocal cord nodules is vocal abuse as well as misuse of the voice. Below is a list possible causes:

  • Incorrect use of pitch and volume
  • Tension in the neck when talking
  • Excessive screaming and shouting
  • Excessive talking in a loud voice
  • Excessive throat clearing and coughing
  • Chronic respiratory infections and allergies
  • Reflux

Nodules will not always develop if someone has any of these causes; however someone is more susceptible to nodules if they do have such conditions or work in such environments.

What problems caused by vocal cord nodules can speech and language therapy help with?

Speech and language therapy can help people who have vocal cord nodules and will work on the following:

Speech and language therapy aims to work on aspects of the voice which are not being used, to the best of their ability. Speech and language therapy can therefore aim to discover new ways of using the voice in order to avoid excess strain and tension.

How does speech and language therapy help vocal cord nodules?

Speech and language therapy can help to alleviate vocal abuse and establish a more efficient way of using the voice so the individual can use his / her voice in a better capacity, with less strain and tension. Speech and language therapy will investigate the cause and discover whether a reduction in the exposed tension can be reduced, and if not, ways of coping with the situation and developing a structure for that individual.

Benefits of speech and language therapy for people who have vocal cord nodules are:

What would speech and language therapy treatment for Vocal Cord Nodules involve?

Speech and Language therapy for vocal fold nodules, may take one or more of the following forms:

Specific treatment will include voice therapy.

An initial assessment will be carried out by one of our Speech and Language Therapists. This will highlight any worries and difficulties concerning the individual's voice and communication. An initial assessment will also provide a chance for you to share any concerns you may have, and allow you to discuss what you would like to work on and improve.

How do I arrange a speech and language therapy assessment for vocal cord nodules?

To arrange an assessment for vocal cord nodules please call 0330 0885 643 or email office@slt.co.uk and a member of the team will be happy to help.


Vocal fold nodules almost always occur as a pair. They are formed after a period of vocal abuse and can worsen if left over time. Speech and language therapy is treats the cause of nodules; therefore therapy will be a way of re-training and using the voice in a different way in order to get over the vocal stress and abuse. To book an appointment please call 0330 0885 643.

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Next steps

To speak to a Speech and Language Therapist or to book an appointment, call us on 0161 883 0111 or email office@slt.co.uk


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