Impact of Manual Therapy on Laryngeal Function Following Total Thyroidectomy

Manual massage applied to the anterior neck, including hyolaryngeal elevators, depressors, sternocleidomastoid.

Description of how the pain system works from a neurobiological level, discussing the biopsychosocial model that influences pain.

Bilateral cervical side bending, cervical extension and bilateral rotational neck stretches held for 20 seconds x3.

Digital manipulation of the scar itself in circles.

Stemple Voice Exercises

Will apply extremely light manual contact to the anterior neck, including hyolaryngeal elevators, depressors, sternocleidomastoid.

Will discuss how pain will as a result of the surgical intervention.

Will ask patient to look down as a neck stretch held for 20 seconds x3.