Voice Rest

Expert advice from New York City doctors who treat hoarseness and other voice problems.

Voice rest, whether complete or partial, is a time of introspection and delegation. It is surprising how much the voice is needed, and how much is not necessary. You have been asked to rest your voice to allow your vocal cords to heal. Most sounds produced in your throat require the vocal cords to move and contact each other. Since this contact slows the healing process, it is recommended that you reduce or avoid throat clearing, coughing, humming, grunts, "uh-huh," and sneezing. Coughing may be necessary when it produces yellow, green or brown thick mucus from an infection, and should be treated by your doctor. If sneezing is unavoidable, it should be done with the mouth open. Heavy lifting and straining usually brings the vocal cords together and should also be avoided.

Partial (or "relative") voice rest is a way to reduce your total voice use. It is important not to raise your voice, and to speak in a quiet "confidential" voice. Whispering is bad because it still requires movement of your vocal cords, as well as other muscles that tend to strain and work harder to produce a sound. Cut out all unnecessary voice use. "Mouth words" (without producing any sound) such as "hello" and "thank you," particularly in loud public places. Screen telephone calls and reduce time on the telephone to no longer than five minutes if possible. It is supremely important to recognize your limitations, and cut voice use at the first sign of strain, fatigue or pain. This is an opportunity to delegate presentations and routine interactions, allowing yourself to act as "the final word."

Complete (or "strict") voice rest means avoiding all sounds from the mouth. You may find that people talk louder and slower to you, as if you have trouble understanding.

Carry an index card that says "I injured my vocal cords and should not speak." Carry a pad and pen wherever you go. If errands are necessary, then writing out a legible note in advance will help you communicate easier.

Beginning to speak when finishing a period of voice rest should be a gradual increase in voice use over the course of 1-2 weeks. You should not exceed your vocal limitations. It is also important not to resume damaging activities that precipitated your initial problem.