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Treatment

If your voice seems hoarse, rough, weak, painful, crackly, strained, or effortful, and the problem has lasted more than two weeks, you should be examined by a laryngologist, an ear-nose-throat doctor who specializes in voice problems. The doctor can then determine the best treatment for your problem. Treatment for voice problems may include medication, voice rest, rehabilitation (voice retraining) or a combination of these therapies.

For diagnosis and medical treatment, ask your primary care doctor for a local referral to an Ear, Nose, Throat doctor. Or ask other vocalists whom they rely on for care. Information on some medical centers can be found on the Web, keyword "Otolaryngology." A great educational site with photos of the larynx, acoustic data, and info on laryngeal exams and disorders is www.voice-center.com.

Once you've been checked out by a doctor, voice therapy may be recommended. I am licensed to provide treatment in Southern California; for information go to the studio page. In other parts of the USA, contact the American Speech-Language and Hearing Association. Ask for a referral to a speech pathologist who specializes in voice problems. American Speech-Language and Hearing Association (ASHA) www.asha.org; (301) 897-5700

Once your voice is healthy, develop it further with a reputable teacher. The National Association of Teachers of Singing (NATS) is oriented mostly toward classical singing, but many member teachers also work with pop, Broadway, rock, and other styles. www.nats.org; The Voice and Speech Teachers Association (VASTA) focuses on actor-training. www.vasta.org. I belong to both of these organizations. For general skills in public speaking, especially for business, find a local Toastmasters club through www.toastmasters.org.