What are Vocal Cord Nodules?

Vocal cord nodules are small, benign (noncancerous) growths that develop on the vocal cords due to repeated strain or injury. They are often called “singer’s nodules” because they commonly affect people who use their voice extensively, such as singers, teachers, or public speakers.

These nodules cause the vocal cords to become irritated and thickened, affecting voice quality.

What Are the Symptoms of Vocal Cord Nodules?

Common symptoms include
Hoarseness or a raspy voice
Breathiness or a weak voice
Frequent voice breaks or loss of vocal range
Throat discomfort or a sensation of something stuck in the throat
Voice fatigue or strain after speaking or singing
In severe cases, difficulty speaking loudly or clearly.

What Causes Vocal Cord Nodules?

The primary causes include:

Vocal Overuse or Misuse
Excessive talking, shouting, or singing without proper technique.

Chronic Vocal Strain
Talking loudly over noise, speaking for long periods without rest.

Smoking and Irritants
Can worsen irritation of the vocal cords.

Gastroesophageal Reflux Disease (GERD)
Stomach acid irritating the vocal cords.

Poor Vocal Hygiene
Not hydrating well or clearing the throat frequently.

How are Vocal Cord Nodules Diagnosed?

Diagnosis involves:

Laryngoscopy
A procedure where a doctor uses a thin, flexible scope to examine the vocal cords for nodules.

Voice Evaluation
Assessing voice quality and patterns of hoarseness.

Medical History
Reviewing vocal habits and risk factors.

How are Vocal Cord Nodules Treated?

Treatment depends on severity:

Voice Rest and Therapy
Reducing voice use and working with a speech therapist to learn healthy vocal techniques.

Hydration and Avoiding Irritants
Drinking plenty of water, avoiding smoking and allergens.

Medications
For associated conditions like GERD or allergies.

Surgery
Rarely needed but considered if nodules do not improve with conservative treatments.

What Are the Complications of Vocal Cord Nodules?

If untreated, nodules can lead to:

Chronic hoarseness or voice loss
Permanent vocal cord damage
Impact on professional voice use and quality of life.