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Laryngeal Manual Therapy

Laryngeal Manual Therapy (LMT) at our clinic supports voice users experiencing pain, restriction, or vocal fatigue, combining hands-on therapy with tailored advice and exercises following assessment.

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Singers performing on stage
Performers singing on stage
A performer singing on stage

Specialist Services

Our Laryngeal Manual Therapy in Manchester

Every Laryngeal Manual Therapy appointment at our Manchester clinic begins with a focused assessment to identify factors affecting neck function, laryngeal mobility, and voice performance. We regularly support performers with:

1. Muscle Tension Dysphonia

Addressing excessive muscular tension around the neck and larynx that can interfere with efficient voice production and lead to vocal strain or fatigue.

2. Pre-Nodular Swelling

Supporting voice users experiencing early tissue changes caused by vocal overload, with treatment focused on reducing tension and improving laryngeal mobility.

3. True Vocal Fold Nodules

LMT may be used alongside wider voice care to reduce surrounding muscular tension that can contribute to discomfort and altered voice quality.

4. Globus Pharyngeus

Managing sensations of throat tightness or a “lump in the throat” feeling by addressing muscular tension and restriction around the neck and larynx.
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A performer singing on stage

How We Assess

How We Assess Your Voice

At Elite Performance Physio MCR, our laryngeal-focused assessment is shaped by how muscular tension and movement restrictions affect voice production and comfort.

Our Assessment

Our Laryngeal Manual Therapy assessment focuses on identifying factors that may be contributing to voice restriction and discomfort.

This may include evaluating:

  • Assessment of soft tissue mobility around the neck, jaw, and larynx
  • Identification of tension patterns affecting voice function
  • Review of voice use demands and symptom history

 

This allows us to build a clear understanding of how physical factors are influencing voice use and to determine the most appropriate focus for ongoing treatment.

Why This Helps Our Physiotherapists

Through laryngeal-specific assessment, our physiotherapists are able to:

  • Identify muscular restrictions affecting laryngeal movement
  • Target areas contributing to voice strain or fatigue
  • Support safe and appropriate progression in voice rehabilitation

 

Our physiotherapists use this understanding to guide personalised treatment and ensure care remains aligned with your voice demands. This supports confident, informed progression back to comfortable voice use.

Dan Turnell Physiotherapist consulting with a client
Dan Turnell Physiotherapist consulting with a client
A performer playing the guitar
A performer playing the guitar

Our Approach

How Laryngeal Manual Therapy Works

Our approach builds on your assessment findings to create a structured, symptom-led treatment plan that supports healthy, efficient, and sustainable voice use.

Step 1: Initial Physiotherapy Assessment

Your appointment begins with a comprehensive physiotherapy assessment focused on identifying factors contributing to voice restriction, discomfort, or fatigue.

This includes assessing soft tissue mobility around the neck, jaw, and larynx, alongside discussion of voice use demands and symptom history.

Step 2: Identification of Voice-Related Factors

We identify specific muscular tension patterns, postural influences, and habitual voice-use behaviours that may be limiting laryngeal movement or increasing strain.

This allows us to understand how physical factors are influencing voice function during speaking, singing, or prolonged voice use.

Step 3: Targeted Laryngeal Manual Therapy & Personalised Care

Hands-on treatment including soft tissue release and passive stretching to improve laryngeal and neck biomechanics. This step may help alleviate symptoms such as:

  • Restricted vocal performance or projection
  • Hoarseness or breathy tone
  • Throat or jaw pain
  • Vocal fatigue or loss of range
  • Sensations of tightness or constriction

Treatment is supported by tailored advice and exercises to reinforce efficient voice use.

Step 4: Voice Management, Progression & Ongoing Support

A structured plan to support sustainable voice use beyond treatment sessions, including:

  • Advice and exercises to manage voice load and reduce symptom recurrence
  • Gradual progression back to performance or high voice demand
  • Ongoing support and collaboration with coaches or other professionals where appropriate

This step ensures improvements are maintained and adapted to real-world voice demands.

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What Our Clients Say

Our clients are at the heart of everything we do

Hear from clients who have elevated their performance and long-term well-being with our expert-led care.

Google Reviews
Google Reviews

“Block book appointments to avoid disappointment! A professional vocalists best kept secret!! Dan has become a staple to my busy life as a performer. I try to book in as regular as possible if he has a slot available. Dan is amazing, the best in the business. I always leave feeling more relaxed, with clearer tone and ready for performance mode again. I have recommended him to other performers, reluctantly because i want to always make sure I can get an appointment. Thank you Dan!”

Chesqua - Professional Singer

“Dan is without doubt one of the best in his field of work. His knowledge and expertise is second to none. He has helped me not only physically by putting together a specialised plan for my injuries, but also mentally helping me understand by explaining everything throughly and intricately. Dan is warm, friendly and he genuinely cares about each of his clients. My sessions with Dan have not only begun to heal my injuries, but I have built strength, gained knowledge and it’s boosted my confidence. I come out of my sessions with spring in my step!”

Laura Harrison - Professional Music Theatre Performer

“After struggling with my knee for a few months, Dan popped round to make an assessment. He was clear, thoughtful, understood my lifestyle and my desire to get moving. He provided advice, guidance and hands on treatment that helped deal with the swelling and pain. I have recommended him to my son and you only do that when you trust someone to make a difference. Thank you Dan.”

Clare Hayward -Director At Cirus

“I’ve had the pleasure of being treated by Dan on two separate jobs, where he looked after my feet and voice. In only a few sessions I regained total mobility in my feet in a physically intensive show, and more recently have been making use of his vocal massage skills for a vocally demanding role. Dan has an amazing way of finding the crux of the issue and will resolve it with ease, reassurance and expertise. I would recommend Dan to anyone!”

Jed Berry - West End actor

“Dan is an extraordinarily effective physio who has helped me immediately with various joint and muscle problems over the last year and a half. In addition to the treatment he clearly explains the cause of the problems and gives exercises focusing on prevention of reoccurrence and strengthening of the area involved. I feel in great shape thanks to the treatment, core exercises and the inspiration he has given me to get back to running and exercising.”

A. Zuntz - Professional violinist

“An actress friend recommended Dan to me as I needed a vocal massage. I was on tour and my voice was getting tired. I didn’t think I would find someone in Manchester but then my friend told me about Dan. He was amazing. A really nice guy, I immediately felt comfortable and relaxed and he was so good. My voice felt so much better the next day. After that I saw him weekly, not just for my voice but for all the injuries I was sustaining on tour. He fixed my neck, back and calf, and I can’t thank him enough!”

Hayley Tamaddon - Professional actor

“I was referred to Dan by an NHS Speech and Language Therapist for laryngeal physiotherapy. Not only has Dan really helped me with this side of things, but he has also provided manual therapy and exercises for symptoms caused by autoimmune conditions and chronic pain. I am appreciative that Dan has liaised with the other healthcare professionals involved in my care as part of a holistic approach, and they have also appreciated this. He is honest and will tell you if something is likely to help or not and what may be realistic, and reviews your goals with you regularly. I would recommend him to anyone.”

Alexandra Brown - NHS psychologist

“Daniel has a real ability to understand his clients’ needs and implement the most powerful and integrative treatments. Superb in communication and application, he makes a real and lasting difference for successful recovery and physical development. With specific and varying needs, I always come away feeling empowered and reinvigorated. Dan’s the man and I will travel far and wide to get an appointment. Thanks Daniel!”

Rik Makarem - Professional actor

“Dan has helped me a lot with my piano playing related injuries and has gone further than any other physio I’ve had to combat the problem. I return regularly not only to maintain my wellbeing but to have a catch up too. I highly recommend Dan to anyone!”

Mackenzie Paget - Classical pianist

FAQs

Your Questions About Laryngeal Manual Therapy

What is Laryngeal Manual Therapy (LMT)?

Laryngeal Manual Therapy is a hands-on physiotherapy technique that focuses on releasing tension in the muscles of the neck, jaw, and laryngeal region to improve voice function, comfort, and control.

Who can benefit from Laryngeal Manual Therapy?

LMT is suitable for anyone experiencing voice-related symptoms, including singers, actors, teachers, media professionals, and other heavy voice users, as well as individuals with ongoing voice discomfort or fatigue.

What conditions can LMT help with?

LMT is commonly used to support people with muscle tension dysphonia, vocal fatigue, throat or jaw discomfort, reduced vocal range, hoarseness, or a feeling of vocal restriction.

What happens during an LMT assessment and treatment session?

Your session begins with a detailed assessment of voice symptoms, posture, and soft tissue mobility around the neck, jaw, and larynx.

Treatment then combines manual therapy with tailored advice and exercises based on your individual needs.

Do I need a referral to book Laryngeal Manual Therapy?

No referral is required. You can book directly with our physiotherapy team, and we will assess whether LMT is appropriate for your symptoms and voice demands.