Speech Language Pathology

Conditions We Treat

10 Conditions

Laryngopharyngeal Reflux (LPR)

During gastroesophageal reflux, the contents of the stomach and upper digestive tract may reflux all the way up the esophagus, beyond the upper esophageal sphincter (a ring of muscle at the top of the esophagus), and into the back of the throat and possibly the back of the nasal airway. This is known as laryngopharyngeal reflux (LPR), which can affect anyone. Adults with LPR often complain that the back of their throat has a bitter taste, a sensation of burning, or something stuck. Some patients have hoarseness, difficulty swallowing, throat clearing, and difficulty with the sensation of drainage from the back of the nose (postnasal drip). Some may have difficulty breathing if the voice box is affected. Many patients with LPR do not experience heartburn.

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Paradoxical Vocal Fold Movement (PVFM)

Paradoxical vocal fold movement (PVFM), happens when the vocal folds close instead of open. For example, when taking a deep breath, the vocal folds should open to let air through to the lungs. With PVFM, the vocal folds will close, making it hard to breathe. Often misdiagnosed as asthma, PVFM most often causes wheezing, stridor, and breathing problems.

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Spasmodic Dysphonia

Spasmodic dysphonia is a rare, chronic neurological disorder that causes spasms in the vocal chords, interrupting the ability to create sound. Symptoms may start slowly, with the voice sounding tight with breaks when speaking. Symptoms develop over time until speech is difficult to understand. The cause of the spasms is generally thought to be an abnormality in the central nervous system.

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Vocal Cysts

Vocal cord cysts, or vocal fold cysts, are blisters filled with fluid on the vocal cords. The cords are structures that open for breathing, close for swallowing, and vibrate as air passes through them, producing sound. Cysts sometimes form when there is a blocked duct or a person is born with an abnormal mucous membrane. Cysts may cause cydysphonia, a condition where the vocal cords produce different tones at the same time, making speech hard to understand.

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Pediatric language disorders
- Delayed expressive and receptive speech
- Articulation
ARFID
Picky eating
Laryngomalacia
Globus
Aphasia
Dysarthria
Communication disorders
Cognitive disorders
Gender-affirming voice care
Alaryngeal disorders

Speech Language Pathology

Conditions We Treat

Cleft Lip and Cleft Palate

Dysphagia

Laryngopharyngeal Reflux (LPR)

Long COVID

Lymphedema

Nodules, Polyps and Cysts

Paradoxical Vocal Fold Movement (PVFM)

Pediatric Feeding Disorders

Spasmodic Dysphonia

Vocal Cysts