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Laryngeal Manual Therapy

For voice users experiencing pain, chronic hoarseness, or vocal fatigue, our Manchester clinic provides laryngeal manual therapy that combines specialist expertise with targeted massages to help restore top speaking and singing performance.

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singer singing at the top of her lungs while on stage after getting vocal therapy
singer singing at the top of her lungs while on stage after getting vocal therapy
Singer on their last performance before focusing on laryngeal manual therapy in Manchester

Specialist Services

Our Laryngeal Manual Therapy in Manchester

At our Manchester physiotherapy clinic, our laryngeal manual therapy focuses on treating voice users with conditions affecting voice function and performance. Through vocal therapy and other targeted treatments, we regularly support performers with:

1. Muscle Tension Dysphonia

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

2. Pre-Nodular Swelling

Working with 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

Laryngeal manual therapy 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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Singer on their last performance before focusing on laryngeal manual therapy in Manchester

How We Assess

How We Assess Your Voice

At Elite Performance Physio MCR, we assess your concerns during your therapy appointment by identifying how muscle tension and movement restrictions affect your voice function and comfort.

Our Assessment

Our approach to laryngeal manual therapy is centred on identifying factors contributing to voice restriction and discomfort.

This may include evaluating:

  • Analysis 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 gives us a clear understanding of how physical factors influence your voice use, helping us identify the main cause and direct your treatment accordingly.

Why This Helps Our Physiotherapists

Based on the findings from your assessment, our physiotherapists are able to:

  • Identify muscular restrictions affecting laryngeal movement
  • Target areas contributing to voice strain or fatigue
  • Support safe progression back to comfortable voice use


This helps us to guide personalised vocal therapy and determine the most appropriate physiotherapy services to add to your treatment, including muscle tension dysphonia exercises and laryngeal massages where required.

Dan Turnell Physiotherapist consulting with a client
Dan Turnell Physiotherapist consulting with a client
a performer playing the guitar to see the progress of their vocal physiotherapy treatment
a performer playing the guitar to see the progress of their vocal physiotherapy treatment

Our Approach

How Laryngeal Manual Therapy Works

We deliver laryngeal manual therapy through a structured process, guiding you through each stage with a focus on reducing tension, improving voice efficiency, and supporting consistent voice use.

Step 1: Initial Physiotherapy Assessment

Your appointment begins with a detailed physiotherapy assessment focused on understanding your voice concerns and symptom history.

Step 2: Identification of Voice-Related Factors

Following the assessment, we analyse how your voice is used, identifying patterns of tension, posture, and habits that may limit laryngeal movement or increase strain.

Step 3: Targeted Laryngeal Manual Therapy & Personalised Care

Based on the findings, our physiotherapists deliver hands-on treatment, which may include muscle tension dysphonia exercises, vocal management, and other music-related therapies, to address your voice use concerns. 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

Step 4: Voice Management, Progression & Ongoing Support

As you progress through treatment, we provide a structured plan to support long-term voice function and safe progression to recovery. This includes:

  • Advice and exercises to manage voice demands
  • Ongoing support to maintain progress
  • Regular monitoring and adjustment of your plan based on progress
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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?

Laryngeal manual therapy is a hands-on physiotherapy technique used to address tension and restricted movement in the muscles around the neck, jaw, and larynx, supporting more efficient voice production, better control, and greater comfort during speaking or singing.

Who can benefit from Laryngeal Manual Therapy?

We support individuals experiencing voice-related symptoms or increased vocal demand. This includes singers, actors, teachers, media professionals, and those with ongoing voice fatigue, discomfort, or reduced vocal performance.

What Conditions Can Laryngeal Manual Therapy Help With?

Laryngeal manual therapy helps manage voice-related conditions where muscular tension and restricted movement are contributing factors. These may include muscle tension dysphonia, vocal fatigue, throat or jaw discomfort, reduced vocal range, hoarseness, and sensations of tightness.

What Happens During A Laryngeal Manual Therapy Assessment and Treatment Session?

Your session begins with a detailed assessment of your voice symptoms, posture, and soft tissue mobility around the neck, jaw, and larynx. Based on these findings, we develop a tailored treatment plan that integrates vocal therapy with specific advice and exercises.

Do I need a referral to book Laryngeal Manual Therapy?

No referral is required. You can book directly through our website at a time that suits you, and we will assess whether laryngeal manual therapy is appropriate for your needs.