Voice disorders can be caused by tension in the muscles above, below or on the larynx. Overuse of the voice by singers or people who use their voice for long periods, such as teachers, salespersons or customer service agents, can cause imbalance in these muscles leading to hoarseness, loss of vocal range, pain or breathing difficulties. Manual physiotherapy can help to improve vocal quality and range, reduce pain and ease breathing difficulties. There can be other causes of vocal problems, so it is important to get this checked with a ear nose and throat specialist or speech and language therapist to exclude these. If you have problems with your voice, book an appointment with e-physiotherapy Edinburgh.