Massage for MTDY / MTD – Muscle Tension Dysphagia – Muscle Tension Dysphonia

I’m very experienced with this condition because I myself was diagnosed with this condition so I have a lot of empathy for people with this condition. I would recommend purchasing my package of 10 1 1/2 hr massages to treat this condition.

Muscle Tension Dysphagia

 
dĭs-fā′jə, -jē-ə

noun

  1. Difficulty in swallowing.
  2. In pathology, difficulty in swallowing. Also dysphagy.
  3. Difficulty in swallowing.
What is muscle tension dysphagia?

Dysphagia is a medical diagnosis used to describe impairment in swallowing food, liquids, pills, or saliva.  Muscle tension dysphagia refers to excess tension in the muscles of the larynx, neck, jaw, tongue, or chest that impacts an individual’s ability to swallow, in the setting of normal oropharyngeal and esophageal swallowing function on a modified barium swallow study (MBSS).  Muscle tension dysphagia is diagnosed only when other causes for dysphagia have been ruled out.

Speech-Language Pathology Evaluation & Therapy

Our Speech-Language Pathologists have specialty training and expertise in swallowing and swallowing disorders.

  • A detailed history collection
  • Quality of life measures
  • In-clinic food trials
  • Instrumental swallowing study to assess the physiology of the swallow to guide treatment planning.  There are two types:
    • Modified Barium Swallow Study (MBSS) / Pharyngogram – This is a video x-ray study used to assess your ability to swallow food and liquids.  The study is completed by a Speech-Language Pathologist, a Radiologist, and a Radiology Technologist. During the study, you will eat and drink different food and liquid items containing barium.  Barium allows the SLP and Radiologist to see the food and liquid as you swallow under an x-ray.
    • Fiberoptic Endoscopic Evaluation of Swallowing (FEES) – The procedure involves the Speech-Language Pathologist passing a flexible endoscope through the nose, into the throat, so that the voice box and upper airway can be viewed from above.   Once the scope is placed, you will be given food, dyed green to contrast against the tissues in the throat, and assessed the function of the swallowing mechanism.
  • Referral for additional workup with Neurology, Otolaryngology, or Gastroenterology, as warranted
  • Referral for ancillary services, such as massage, acupuncture, counseling, etc.

If you are recommended for therapy for muscle tension dysphagia, therapy will target:

  • Education on your swallowing impairment
  • Massage and stretches to reduce tension in the larynx, tongue, jaw, neck, and chest
  • Voice exercises to help reduce tension
  • Diaphragmatic breathing and rescue breathing strategies
  • Progressive therapeutic trials

Muscle tension dysphagia (MTD) is often encountered in otolaryngology clinical settings. It is a diagnosis of exclusion for a functional idiopathic swallowing disorder associated with abnormal laryngeal muscle tension. Abnormal laryngeal muscle tension is often associated with disorders of laryngeal hyperresponsiveness such as muscle tension dysphonia, chronic cough, Globus pharyngeus, and paradoxical vocal fold motion. Patients with suspected muscle tension dysphagia may exhibit concurrent disorders of laryngeal hyperresponsiveness. Proper dysphagia and gastroesophageal screening are critical in the diagnosis of muscle tension dysphagia and must not be omitted. Our studies have shown high treatment efficacy with the unloading of laryngeal muscle tension with the use of voice therapy techniques utilized in the treatment of muscle tension dysphonia.  

 

 

                

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  MTD is a diagnosis of exclusion for a functional idiopathic swallowing disorder associated with abnormal laryngeal muscle tension. Abnormal laryngeal muscle tension is often associated with disorders of laryngeal hyperresponsiveness such as muscle tension dysphonia, chronic cough, Globus pharyngeus, and paradoxical vocal fold motion. MTD patients may exhibit concurrent disorders of laryngeal hyperresponsiveness. Proper dysphagia and gastroesophageal screening are critical in the diagnosis of MTDg and must not be omitted. Our studies have shown high treatment efficacy with the unloading of laryngeal muscle tension with the use of voice therapy techniques utilized in the treatment of muscle tension dysphonia.               

    Muscle tension dysphonia (MTD) is one of the most common voice disorders. It has classically been divided into primary and secondary types. Primary MTD, the focus of this presentation, is best defined as a multifactorial voice disturbance in the absence of structural or neurologic abnormalities. MTD, often a diagnosis of exclusion, is known by many names, which reflects the challenge of identifying one term for a disorder that encompasses a variety of patient-reported symptoms and subjective and objective clinical representations. In this course, Dr. Gillespie will present the historical context of MTD, provide students with an accessible overview of the MTD literature, and discuss current trends in MTD treatment.  

 

 Massage for MTDY / MTD – Muscle Tension Dysphagia – Muscle Tension Dysphonia

https://www.slideshare.net/felicitygraham/mtd-laryngeal-massage  

more info at:

https://med.stanford.edu/content/dam/sm/ohns/documents/Health%20Care/06-10-2020-swallowingsymposium/Erpenbeck-What-is-Muscle-Tension-Dysphagia.pdf

https://www.slideserve.com/hoyt-solomon/functional-dysphonia-muscle-tension-dysphonia-mtd

https://www.medbridgeeducation.com/course-catalog/details/muscle-tension-dysphonia-amanda-i-gillespie/

https://pubs.asha.org/doi/10.1044/2020_PERSP-20-00069 https://pubmed.ncbi.nlm.nih.gov/27352887/

MEDICAL MASSAGE IN CASES OF DYSPHAGIA

 

   

 

*Disclaimer: This information is not intended to be a substitute for professional medical advice. You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. The information provided is for educational purposes only and is not intended as a diagnosis, treatment, or prescription of any kind. The decision to use, or not to use, any information is the sole responsibility of the reader. These statements are not expressions of legal opinion relative to the scope of practice, medical diagnosis, or medical advice, nor do they represent an endorsement of any product, company, or specific massage therapy technique, modality, or approach. All trademarks, registered trademarks, brand names, registered brand names, logos, and company logos referenced in this post are the property of their owners.