Swallowing & Upper Airway Rehabilitation & Coaching
Breathe, Eat, and Speak with Confidence and Ease
Swallowing Disorder Evaluation and Treatment (Dysphagia)
Swallowing disorders, also known as dysphagia*, occur when an individual experiences difficulty or discomfort while swallowing food, liquids, or even saliva. This can affect a person’s ability to eat and drink, leading to concerns for pulmonary health, poor nutrition, and hydration, along with reduced overall quality of life. Swallowing difficulties can arise from a variety of conditions, such as stroke or other neurological disorders, injuries, or structural issues, and may cause symptoms like coughing, choking, food “going down the wrong way,” and food getting stuck.
At VoiceOver, we understand how eating and drinking play a vital role in enriching our lives in several ways:
Nourishment and Health
The primary function of food and drink is to provide essential nutrients that our bodies need to function optimally. A balanced diet can lead to better physical health, increased energy levels, and enhanced mental clarity.
Social Connections
Meals are often a communal activity, bringing people together. Sharing food and drink fosters connections, strengthens relationships, and creates a sense of belonging. Family dinners, celebrations, and gatherings often revolve around shared culinary experiences.
Social Connections
Meals are often a communal activity, bringing people together. Sharing food and drink fosters connections, strengthens relationships, and creates a sense of belonging. Family dinners, celebrations, and gatherings often revolve around shared culinary experiences.
Sensory Experience
Eating and drinking engage our senses. The flavors, aromas, and textures of food and beverages can evoke emotions, memories, and sensations, making the experience of eating deeply pleasurable.
Creativity & Experimentation
Cooking and mixing drinks can be a form of artistic expression. Experimenting with different ingredients, flavors, and techniques allows individuals to unleash their creativity in the kitchen.
Mindfulness and Enjoyment
Taking the time to prepare and enjoy a meal can promote mindfulness. Savoring each bite and being present during the act of eating can enhance overall enjoyment and appreciation of food.
Tradition and Ritual
Many cultures have specific food and drink traditions that mark important life events, holidays, and rituals. These practices help to create lasting memories and reinforce cultural heritage.
Exploration & Adventure
Trying new foods and beverages can be an exciting adventure. It encourages exploration and discovery, whether through travel or local dining experiences.
In summary, eating and drinking are not just about sustenance but are integral to our health, relationships, culture, and overall life experience.
*Dysphagia is a swallowing disorder that involves the mouth, throat and/or esophagus. Dysphagia may also be impacted by laryngopharyngeal reflux (LPR) and gastroesophageal reflux, as well as dry mouth, poor dentition and side-effects of medication.

How It Works
You’ll first undergo an in-clinic swallowing evaluation. During this initial assessment, we’ll take a detailed history of your symptoms, perform an oral motor exam to check the cranial nerve function that affects swallowing, and observe how you manage different foods and liquids. Our Speech-Language Pathologist will guide you through these trials and provide a close evaluation of your swallowing abilities.
Depending on your needs, treatment might include strategies to improve strength and coordination for swallowing safety, strengthening exercises, or referrals to other services for further testing. Some of the techniques we use in therapy include biofeedback to guide exercise efforts, tongue strengthening with visual feedback, respiratory muscle training, and even stretches to improve the range of motion for swallowing muscles. Our team is here to support you every step of the way to help you with your goal of swallowing with confidence and ease.
Upper Airway Evaluation & Treatment
Upper airway evaluation and treatment focuses on your breathing for athletic performance, everyday movement, and talking by addressing respiratory issues which affect your upper airway. Conditions like chronic cough, inducible laryngeal obstruction (PVFM or VCD), and respiratory dystonia can make everyday activities like walking, talking, and laughing challenging.

How It Works

Conditions We Treat
Upper Airway
- Hyperresponsive Larynx
-
Inducible Laryngeal Obstruction
- Vocal Cord Dysfunction
- Paradoxical Vocal Fold Motion
- Chronic Cough and Throat Clearing
- Obstructive Sleep Apnea
- Shortness of Breath
Swallowing
- Difficulty with Swallowing (Dysphagia)
- Muscle Tension Dysphagia
- Coughing
- Choking with Meals (Food or Liquid)
- Food Getting Stuck
FAQ: Swallowing & Upper Airway
Do I need a referral from a doctor to see a speech pathologist?
What is an instrumental swallowing study?
An instrumental swallowing study uses imaging, such as videofluoroscopy or endoscopy, to observe how food and liquids move through your mouth and throat. This can provide detailed information to help develop an effective treatment plan for dysphagia.
How long does upper airway rehabilitation take?
Patient Testimonials
