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931-438-1100 - Fayetteville, TN

With speech, language, and swallowing disorders common following stroke, head and neck cancer, and a variety of other illnesses and injuries in adults, the speech-language pathologists at Patrick Rehab-Wellness Center encourage residents to learn the signs—and seek an evaluation—if they have concerns about themselves or a loved one. This is a timely message, as May is recognized nationally as Better Hearing & Speech Month.

“Many people may not appreciate their ability to communicate until it’s lost,” said Dr. Domenic Canonico, Ear, Nose, and Throat physician with Ear, Nose, and Throat Associates of Middle Tennessee, PC.  “From having your basic needs met to nurturing relationships and earning a living, communication is at the core.”

Speech and language problems in adults can result from various causes. They include brain injury, stroke, and diseases that affect the brain such as Alzheimer’s disease, multiple sclerosis, and Parkinson’s disease. They can also stem from breathing problems, cancers in the head and/or neck region, and voice damage.

Speech and language disorders that may be acquired in adulthood include the following:

  • This involves problems speaking, understanding, reading, writing, telling time, and/or using numbers. Often misunderstood, aphasia does not affect a person’s intelligence. The most common cause of aphasia is a stroke.
  • Cognitive-communication disorders. Problems with thinking and communication can affect each other. Some examples are difficulty paying attention, remembering, organizing thoughts, and solving problems.
  • Apraxia of speech. Speech difficulties arise from problems planning motor movements. It is caused by damage to the parts of the brain that are involved in speaking.
  • Speech difficulties (e.g., slurred speech) due to the weakness of muscles involved in breathing and/or speaking.
  • Voice disorders. Changes in pitch, loudness, and vocal quality that negatively impact communication. These may result from nodules on the vocal cord, overuse/misuse of voice (e.g., yelling), diseases such as Parkinson’s or multiple sclerosis, and other causes.

Speech-language pathologists can help adults with these and other communication problems.

“May is also a time to spotlight swallowing disorders, called dysphagia, which too are treated by speech-language pathologists,” Canonico added. “Dysphagia is another common side effect of numerous diseases in adults. A person’s ability to eat and drink is critical to maintaining good health and promoting recovery from illness. Food is also a central part of many social experiences—contributing to an enjoyable and fulfilling life. Treatment can be truly transformative to a person’s quality of life and overall health.”

Speech-language pathologists treat dysphagia in various ways, including these:

  • Helping people use their muscles to chew and swallow
  • Finding better positions for people to sit or hold their head while eating
  • Identifying strategies to make swallowing better and safer
  • Advising people on their dietary choices, including softer foods or thicker drinks

Lincoln County residents who would like to schedule an assessment may contact Patrick Rehab-Wellness Center at (931) 433-0273 or visit for more information.

About Ear, Nose, and Throat Associates of Middle Tennessee, P.C.

 Ear, Nose, and Throat Associates of Middle Tennessee, P.C. diagnoses and treats disorders of the ear, nose, and throat and provides hearing evaluations, hearing aids and related amplification products.  The practice which has been treating patients for more than 25 years, consists of ENT-otolaryngologist Domenic Canonico, MD, and audiologists Robin Baker, Au.D.  and Emily E. Jones, Au.D. The ENT office will be open at the Fayetteville location every Wednesday and Thursday from 8:00 am – 4:30 pm with plans to include Tuesday clinic hours in the future.  To schedule an appointment at the Fayetteville practice, please call 931-684-3504.

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