Medical gaslighting can be pretty common, but especially when it comes to conditions that impact the voice to pelvic floor connection. One of those is the feeling that you have a lump in your throat when you swallow or are at rest - BUT - you cannot visibly see or feel it from the outside.
Here's some things your practitioner may check to rule out/in:
vocal nodules and/or inflammation
narrow airway
reactive airway i.e. asthma or other cause
thyroiditis
thyroid or lymph nodules
cancers of that region
autoimmune issues
heavy metals or other metal poisoning
hormone balance
glucose levels
liver function
GERD
Silent reflux (larynopharyngeal reflux)
Unchecked or untreated trauma and stress
But, if all this is clear, you may end up with a diagnoses like "globus pharyngeus" or muscle tension dysphonia.
The origins of globus pharyngeus condition are sketchy, with it originally being called "globus hystericus" (associating it with hysterical personality types of a certain, ahem, female gender, especially at menopause).
This was not changed until 1968, so chances are, you could still be left with no answers - and a lump STILL in your throat - even after a visit to the ENT, SLP, DDS, or other practitioner that deals with the head and neck.
One thing I have noticed, by working in a team approach with all of the practitioners above, is that often a pelvic physical therapist or occupational therapist is missing from the orofacial team. In addition, quite often, the first line of treat is a PPI - a reflux med - instead of looking at less invasive and more sustainable long-term solutions like orofacial therapy - https://pubmed.ncbi.nlm.nih.gov/36350...
This video goes over what could be one of the many causes of the "lump in the throat feeling," which I personally had for over a year, and which stopped my vocal career dead in its tracks for well over that.
Turns out - in my case, my vocal cords and entire thyroid area were ALSO clear - but I STILL had the lump in my throat. What to do?
Enter the voice to pelvic floor connection. Turns out - there were some higher level orofacial, diaphragm, and pelvic floor issues that, with a little TLC, worked themselves right out, and left my voice even stronger and better than it was before. My vocal range increased, my effort decreased, and my frequent laryngitis disappeared.
I am not saying this single video will do that for you, but here are a few considerations I give folks to think about when it comes to tackling a chronic "lump in the throat" that has been cleared by the ENT and/or SLP.
First, have you:
mastered this breathing technique
mastered complete relaxation of the "strap muscles"
mastered a 6 count inhale and exhale while using the first 2 techniques?
had a pelvic practitioner clear your pelvic floor to make sure it's not also contributing to your lump in your throat? (not on video obviously, but you can find a therapist by reaching out to www.garnerpelvichealth.com)
Watch the video to see how it's done!
Read more about the Voice to Pelvic Floor Connection here: https://garnerpelvichealth.com/servic...
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Disclaimer: This and any other videos by Dr. Ginger Garner and the Living Well team do not constitute a patient-provider relationship nor are they a substitute for medical care or physical therapy. By participating in these videos user assumes all risk. Before starting this or any other exercise regimen you should seek the advice and/or clearance of your physician, nurse practitioner, and/or physical therapist. To learn with Dr. G and her team, visit https://www.livingwellinc.org.
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