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Avian Ronson on Instagram: "This is why it's called "functional"!!! There are two types of muscle tension dysphonia: primary MTD and secondary MTD. Primary meaning that muscle tension is the primary reason for the voice issue and secondary meaning that there is something underlying the muscle tension. In my case, we're trying to establish the underlying cause for the muscle tension. So what I once thought was primary MTD (and blamed myself for for years) is likely neurological and somewhat out o
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