09/10/2025
Some patients watch the clock for a special moment—regular food day.
A speech-language pathologist at Helen M. Simpson Rehabilitation Hospital in Mechanicsburg, Pennsylvania, remembers a patient who pushed himself every day to improve his swallowing ability. He started by digesting thin liquids and advanced to slowly chewing and swallowing solids all toward one tasty goal: his wife’s lasagna. Once he passed his swallowing tests and got care team approval, his wife brought it to him along with a slice of homemade peach pie.
Another speech-language pathologist at Northshore Rehabilitation Hospital in Lacombe, Louisiana, helped a patient practice swallowing like it was an Olympic event. His payoff: a trip to the hospital’s annual crawfish boil. Peeling the crawfish was a chance to exercise his fine motor skills. But eating them? The pure bliss of a hard-won, gold medal.
Sometimes an injury to the back or neck comes between food-loving patients and their nosh of choice.
Spinal cord injuries – particularly in the C1 and C2 vertebrae at the base of the skull – can cause dysphagia, or an inability to swallow. About 41% of people with quadriplegia suffer difficulty swallowing, according to the National Institutes of Health.
Often the problems are temporary and caused by inflammation after surgery. Doctors often perform assessments to find muscles not doing their jobs.
If they spot muscle weaknesses, therapists can apply a range of techniques to address those muscle deficiencies. Patients may do chin tucks against resistance or move food around their mouth differently to compensate for weaknesses. There’s even a device that operates like a bench press for your tongue—resistance training which builds the muscles that move food from mouth to throat.
Most of all, therapists ask patients to practice swallowing.
Often it takes plenty of practice to get back to solid food. Patients start with liquidized food, move to pureed, minced-and-moist, soft and bite-sized, easy-to-chew and finally … regular foods, that special moment.