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Can acupuncture help vocal chord strain?

Q:  I am suffering with vocal chord strain, after having a conversation with friends my voice box hurts, I have had all the tests done via ENT and nothing is showing up. This started after I had a trip in India and got larangyeal tonsillitis and at the same time I got vocal strain 4 months ago. Can acupuncture help me?

AThere are a relatively small number of studies which report successes in treating vocal cord paralysis, two examples of which are

http://www.ncbi.nlm.nih.gov/pubmed/2741280

http://www.ncbi.nlm.nih.gov/pubmed/848460

The abstracts of the papers do not cite the exact treatments used, and both speak of acupuncture being used in conjunction with other forms of treatment. In one paper, as is commonly found to be the case, the use of acupuncture alongside the conventional treatment appears to speed up the patient's recovery. However, it is best to consider these papers as indicative rather than conclusive; there are no large scale studies which make a confident prediction possible. A great deal will also depend on the extent of
the cordotomy. The operation is not supposed to interfere with a patient's vocal capacity if they recover naturally, but as with all surgical procedures there is an inherent risk that some of the changes are not reversible.

We suspect that some of the treatment offered in the studies was local, i.e. in the area near the problem, and this can often be very effectively in stimulating a return to good function. However, a practitioner may well want to establish whether this is simply a local problem or whether this is the tip of a much larger iceberg - this would have implications for how much treatment may be required and whether it is worthwhile attempting to address this as a local issue if there is a backdrop of much more extensive imbalance.

If we were being brutally honest we would say that treatment may be more in hope than in expectation, but acupuncture treatment has a reputation for occasionally achieving unexpected but significant results,. so we would be happy to advise you to seek a face to face assessment with a BAcC member local to you who can give you a much better assessment by looking at the problem and your father's health in the round.

Your situation is not quite so drastic as this case, and there may be some greater hope that treatment may encourage a return of some of the lost function.
Acupuncture treatment will certainly not do any harm, and since there are a number of functional disturbances seen from a Chinese medicine perspective which impinge directly on the effective use of the voice, it may be that an experienced practitioner can see a direct intervention which may help. Even in the absence of a direct connection, the underlying premise of Chinese medicine, the treatment of the patient rather than the illnss, may offer some possibility of a speedier recovery.

It is best to talk to a BAcC member face to face, though, to get a more accurate assessment of whether acupuncture treatment may be of benefit, and we
are confident that you will receive honest and impartial advice.

Although your problem is not quite as advanced as this, we believe that the same advice holds good. There may well be local treatments which can help to improve the
energy flow in the affected areas and reinstate better function. There may well also have been functional disturbances in the system as a whole brought on by the tonsillitis and which treatment may be able to help. However, in both of these cases you would need to have a better qualified view from someone who sees you face to face to determine whether there is something in the energetic patterns which they believe would indicate that improvement would be likely. At this distance it is difficult to say and without solid research to go on, even of the anecdotal and less formal type, it is hard for us to say more. If you did find a practitioner who felt it was worth a try we would advise that you set regular review periods to ensure that you do not invest a great deal of time and money in something which isn't achieving very much.