In this clinical trial, the investigators are seeking to learn if a course of voice therapy, including neck massage, stretches and pain science education in addition to voice exercise and scar massage will effectively treatment patient complaints of swallowing or voice changes after total thyroidectomy as compared to voice exercise and scar massage alone. The main questions it aims to answer are: Will neck massage, stretches and pain science education reduce patient complaints of swallowing changes after total thyroidectomy? Will neck massage, stretches and pain science education reduce patient complaints of voice changes after total thyroidectomy? Will neck massage, stretches and pain science education reduce patient complaints of scar tethering and quality changes after total thyroidectomy? Will neck massage, stretches and pain science education improve quality of life after total thyroidectomy? Participants will: Participate in 4 visits with the participant's endocrine/laryngology surgeon. One prior and 3 after surgery for endoscopic evaluation and tests. Participate in 5 Speech-Language Pathology Sessions for intervention exercises and tests. One prior and 4 after surgery. Complete a journal of the participant's Home Exercise Practice
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Acoustic measures of voice clarity
Timeframe: Baseline, 1 year
Acoustic measures of speaking voice pitch
Timeframe: Baseline, 1 year
Acoustic measures of speaking voice quality subjectively
Timeframe: Baseline, 1 year
Swallowing Quality of Life as assessed by the Eating Assessment Tool - 10
Timeframe: Baseline, 1 year
Laryngeal sensation
Timeframe: Baseline, 1 year
Scar Tethering Distance
Timeframe: Baseline, 1 year
Scar Quality as assessed by The Patient and Observer Scar Assessment Scale
Timeframe: Baseline, 1 year
Voice Quality of Life as measures by the Voice Related Quality of Life - 10
Timeframe: Baseline, 1 year