ABSTRACT Pharyngeal hypertonicity and neuromuscular disturbances represent a complex interplay of autonomic nervous system reactivity, upper esophageal sphincter dynamics, and subtle mucosal irritations that disrupt normal swallowing comfort. These conditions manifest across a broad spectrum, ranging from intermittent throat discomfort triggered by emotional stress or fatigue to chronic, debilitating sensations of a lump or tightness affecting swallowing ease, vocal quality,…