Vocal nodules are small, callous-like growths that form on both vocal cords due to repeated strain over time. They typically develop gradually in people who use their voice heavily—like teachers, singers, or public speakers. The most common causes include vocal overuse, poor technique, and untreated reflux. Patients often notice a hoarse, raspy, or breathy voice that worsens with use and improves with rest. Some may feel vocal fatigue, loss of vocal range, or tightness when speaking. Treatment focuses on behavioral changes and healing the tissue without surgery. We begin with voice therapy to reduce strain, along with hydration and reflux management. If inflammation persists, an in-office steroid injection may be used. Surgery is rarely needed unless nodules fail to respond to therapy. Recovery takes several weeks, and most patients improve fully with conservative treatment.

Vocal Fold Nodule

Vocal Fold Nodule in Vibration