Vocal Physiotherapy

Physiotherapy for the voice or laryngeal manual therapy is a non-invasive treatment targeted at
addressing the muscular tension that may affect one’s ability to vocalize/phonate.

This highly specialized form of manual therapy involves manipulating the larynx and surrounding
soft tissue or musculature that control the movement of the larynx.

The larynx is held in place by muscles that are influenced by factors such as vocal workload,
specific voice qualities, support patterns, and posture. These factors can cause increased muscle
tension, resulting in limited vocal fold movement and various symptoms, including reduced
vocal range, breathy vocal tone, constriction during voicing, and vocal fatigue.

Laryngeal manual therapy aims to identify and treat any areas of restriction while addressing
their underlying causes. The treatment is customized to meet the individual's vocal demands
and goals, often involving soft tissue release of tight laryngeal muscles and passive stretches to
enhance vocal fold mobility. Additionally, jaw symmetry, support patterns, and neck and back
posture are assessed. Real-time ultrasound analysis of the abdominal muscles during singing is
sometimes used to ensure the proper support patterns are being used. Correcting any issues
allows for safe and consistent subglottic pressure levels, promoting healthy and sustainable
long-term voicing.

Pooja Verma is one of the first few clinicians in the Asian region practicing vocal physiotherapy.
She holds a Masters in Performing Arts Medicine and has also been trained at the most reputed
clinic in vocal physiotherapy in London and has had great experience working with artists from
various backgrounds. She has worked with numerous West End shows, local and international
artists, Royal Opera House, Musical Theatre/Drama students, bands, singers and actors.

What are the conditions you treat?

• Muscle Tension Dysphonia
• Pre nodular oedema
• TMJ disorders
• Globus pharyngeus

Some of the symptoms that benefit from this treatment include:

• Vocal fatigue
• Loss of resonance
• Breathy vocal tone
• Constriction whilst voicing
• Loss of range
• Neck / jaw tension
•  Muscular pain in extrinsic muscles
•  Effortful/ difficulty swallowing
• Sensation of lump in throat when swallowing

Who is this treatment meant for?
This treatment is beneficial for any professional voice user – singers, actors, voice actors,
musical theatre artists, presenters, teachers.

How may I seek this treatment?
You may be self-referred or, you may be referred by your ENT doctor, Speech therapist, vocal
coach, singing teacher.

Is this the same as speech therapy or vocal coaching?
This is not the same as speech therapy or vocal coaching. We liaise/ work WITH speech
therapists and vocal coaches. Vocal physiotherapy involves manual therapy to address the
muscular restriction with a hands-on approach.

How long are the sessions?
Sessions are typically 30 minutes. Extended sessions of 60 minutes are also available for booking
as required.