Pain in the vocal cords may be caused by improper use of voice, acute pharyngitis, acute tonsillitis, acute epiglottitis and other reasons. 1. Improper use of the voice: long time talking loudly, shouting, resulting in vocal cord congestion, pain in the vocal cords. 2. Acute pharyngolaryngitis: acute inflammation of the throat caused by bacterial and viral infections, resulting in sore throat and sore vocal cords, which can be accompanied by coughing and phlegm. 3. Acute tonsillitis: the tonsils are congested and edematous, and purulent secretions are attached to the surface, which stimulate the vocal cords and cause congestion and edema, leading to vocal pain. 4. Acute epiglottitis: acute inflammation of the epiglottis and surrounding tissues causes severe pain in the throat and pain in the vocal cords. If you have pain in your vocal cords, it is recommended that you consult a doctor in a timely manner to determine the cause of the problem and follow the doctor’s instructions.