A contact ulcer is a painful sore that develops on the vocal process—the point where the vocal cords meet—usually from chronic irritation. It is often an early stage in the same process that leads to a contact granuloma. The ulcer may be caused by voice overuse, excessive throat clearing, or acid reflux, and typically occurs on one side of the throat. Patients with a contact ulcer often report a sharp pain during speaking or swallowing, and may feel like something is stuck in their throat. Hoarseness and a dry, irritated throat are also common. These ulcers develop slowly and can become more painful over time if not addressed. Treatment does not usually involve surgery. Instead, we focus on stopping the irritation: this includes voice therapy to change speaking patterns, non-acid and acid reflux treatment, and sometimes an inhaled or injected steroid to reduce inflammation. If treated early, contact ulcers usually heal without the need for further intervention.