04/10/2025
🗣️ Throat Symptoms and EDS and HSD
Did you know that throat and voice issues are common in Ehlers-Danlos Syndrome (EDS) and Hypermobility Spectrum Disorders (HSD)?
Latest research findings from Williams, H. R., Wood, G., Hakim, A. J., Birchall, M. & Hirani, S. P. (2023) in the paper, "Self reported throat symptoms in Ehlers–Danlos syndromes and hypermobility spectrum disorders: A cross-sectional survey study." Laryngoscope Investigative Otolaryngology, 8(5), pp. 1259-1264. doi: 10.1002/lio2.1120
- 86% of participants reported acid reflux (LPR) symptoms.
- 79% experienced swallowing difficulties (dysphagia)—including choking, food getting stuck, and throat fatigue.
- Over 50% reported voice problems (dysphonia) such as hoarseness, loss of voice, or creaky/dry vocal quality.
- Temporomandibular joint (TMJ) issues were also highly prevalent, especially in hEDS patients (57.3%).
- hEDS patients had the most severe symptoms compared to other EDS/HSD subtypes.
Why does this happen?
The muscles in the throat, tongue, and voice box are affected by hypermobility, leading to fatigue, instability, and difficulty with swallowing or speaking. Just like other muscles in EDS, they can become weak or uncoordinated over time.
Why Research Matters
A 2023 study asked 1,620 participants to fill out surveys online. Many members of EDS UK took part, enabling researchers to measure symptoms like acid reflux, trouble swallowing, and voice issues. Without their input, these issues would remain under-recognised!
What Can Help?
✅ A referral pathway is recommended: GP → ENT → Speech & Language Therapist (SALT).
✅ Tailored therapy and voice training can help manage symptoms.
✅ Small, frequent meals (instead of large ones) can ease swallowing difficulties.
✅ Textured foods (avoiding mixed consistencies) may improve swallowing.
✅ Voice rest & gradual strengthening—find the right balance between use and recovery.
✅ Temperature & carbonation adjustments (cold, hot, or fizzy drinks) may help with swallowing awareness.
Find this paper here: https://pubmed.ncbi.nlm.nih.gov/37899864/