Inclusion Criteria:  Patients who report pain associated with voicing and are diagnosed with odynophonia  Exclusion Criteria:  • Vocal fold mobility or tissue abnormality  history of jaw surgery/TMJ history of neck surgery or trauma Uncontrolled reflux. (patient's scoring on Reflux Symptom Index(RSI) is 13 or higher: Normative data suggests that a RSI of greater than or equal to 13 is clinically significant.)