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Adam's Apple Pain: What You Need to Know

Updated: May 1

A Man Experiencing Adam's Apple Pain.

The Adam's Apple, also known as the laryngeal prominence, is a unique and interesting part of the human throat. It's not just a noticeable bump; it's also important for making and changing our voices. In this guide, we'll look closely at Adam's Apple, answering common questions and giving detailed information about things like Adam's Apple pain, what causes it, how to treat it, and ways to prevent it.

What is Adam’s Apple or Laryngeal Prominence?

Adam's apple, also called the laryngeal prominence, is a noticeable bulge in the front of the neck. It's more visible in males than females because of differences in the size of the larynx (voice box) and the prominence of the thyroid cartilage that forms it. During puberty, hormonal changes cause the voice box to grow larger in males, making the Adam's apple more noticeable. Its main job is to protect the vocal cords and help regulate their tension for speaking and swallowing.

Why is it Called Adam’s Apple?

The term "Adam's apple" refers to the bump in the throat, more noticeable in males, known scientifically as the laryngeal prominence. It's linked to a Christian tale about Adam and Eve. The story says Adam got a piece of fruit stuck in his throat after eating from the Tree of Knowledge. Though the fruit isn't specified, it's often depicted as an apple in art, leading to the term "Adam's apple." Despite its name, its job is to protect the vocal cords and help with speaking and swallowing.

Who Has an Adam’s Apple?

Both men and women have a bump in their throat called the laryngeal prominence, often referred to as the Adam's apple. But it's usually more noticeable in men. This difference comes from hormonal changes during puberty. In males, increased testosterone causes the cartilage to grow bigger in the throat, making the Adam's apple more visible.

What Does the Adam’s Apple Do?

The Adam's apple, also called the laryngeal prominence, mainly protects the vocal cords in the throat. It's more noticeable in males and acts like a shield, guarding the delicate vocal cords from harm. Additionally, it helps adjust the tension of the vocal cords for different pitches and tones when speaking or swallowing. Though its size can differ, its job of safeguarding the vocal cords and aiding voice production stays the same.

What Causes Adam’s Apple to Grow?

The Adam's apple, also known as the laryngeal prominence, grows mainly because of hormonal changes, especially during puberty. In guys, the surge in testosterone levels spurs the growth of the voice box, or larynx, which includes the thyroid cartilage forming the Adam's apple. As the larynx gets bigger, the thyroid cartilage sticks out more, creating that noticeable bump in the neck. This growth happens mostly during teenage years and is more noticeable in guys due to differences in hormone levels. While hormones are the main reason for Adam's apple growth, genetics, and individual differences also play a role in how big and prominent it becomes.

How Come Some People Have a Larger Adam’s Apple Than Others?

The size of the Adam's apple can differ from person to person because of various reasons like genetics, hormone levels, and how fast it grows during puberty.

1. Genetics

The size and prominence of the Adam's apple are influenced by genetic factors. If an individual's parents or close relatives have a more noticeable Adam's apple, there's a higher likelihood that they will exhibit a similar trait.

2. Hormonal Levels

Hormones, like testosterone, affect how big the Adam's apple grows. During puberty, males produce more testosterone, which makes their voice box (larynx) grow bigger. This growth includes the thyroid cartilage, which forms the Adam's apple. Since females have less testosterone, their Adam's apples are usually smaller and less noticeable.

3. Rate of Growth During Puberty

The timing and rate of growth during puberty can vary among individuals. Some may experience a more rapid enlargement of the larynx, leading to a larger Adam's apple, while others may have a more gradual growth.

4. Age

The size of the Adam's apple may change with age and the overall physical development of an individual. It tends to become more prominent as individuals go through puberty and reach adulthood.

5. Overall Body Size

If someone has a smaller or thinner neck, their Adam's apple might look bigger compared to someone with a larger neck. It's all about how it fits with the rest of their body, and people with different body shapes may show it differently.

Is Having a Larger Adam’s Apple a Medical Condition?

Having a larger Adam's apple is typically not considered a medical condition. The size of the Adam's apple is a natural and normal variation among individuals, primarily influenced by genetic and hormonal factors. Both males and females have an Adam's apple, but it is generally more prominent in males due to the hormonal changes associated with puberty, particularly the increase in testosterone.

While a larger Adam's apple is a common and normal characteristic, extreme growth or abnormalities in the size of Adam's apple could, in rare cases, be associated with certain medical conditions. These conditions might include:

  • Thyroid Disorders: Conditions affecting the thyroid gland, such as goiter or thyroid nodules, can lead to changes in the size of the thyroid cartilage and, consequently, the Adam's apple.

  • Infections or Inflammation: Infections or inflammation of the thyroid cartilage may cause temporary enlargement of the Adam's apple and could be associated with discomfort or pain.

  • Tumors: While rare, the presence of tumors on the thyroid cartilage or surrounding structures can contribute to an abnormal enlargement of the Adam's apple.

Causes of Adam's Apple Pain

Adam's apple pain can stem from different sources. It's important to know these causes to address the issue properly. Here are some common reasons for feeling pain or discomfort in the Adam's apple:

Vocal Strain

Excessive use of the vocal cords, such as prolonged speaking, singing, or yelling, can lead to strain on the muscles and tissues surrounding the Adam's apple, causing pain.

Inflammation or Swelling

Inflammation of the thyroid cartilage or the tissues surrounding the Adam's apple can result from infections, irritation, or allergies, leading to pain and tenderness.

Injury or Trauma

Physical trauma to the neck, such as a blow or impact, can cause damage to the thyroid cartilage, resulting in pain and discomfort in the Adam's apple region.

Gastroesophageal Reflux Disease (GERD)

Acid reflux, a common symptom of GERD, can cause stomach acid to flow back into the esophagus, leading to irritation and pain in the throat, including the area around the Adam's apple.

Thyroid Disorders

Conditions affecting the thyroid gland, such as thyroiditis or goiter, may lead to inflammation of the thyroid cartilage, contributing to pain.

Muscle Tension or Strain

Tension in the muscles surrounding the Adam's apple, often due to stress or poor posture, can result in discomfort and pain.


Inflammation of the larynx, often caused by viral or bacterial infections, can lead to pain in the Adam's apple region along with changes in voice quality.

Neck Strain

Poor neck posture or strain on the neck muscles, commonly associated with activities like using a computer for extended periods, can contribute to Adam's Apple pain.

Nerve Irritation

Irritation of the nerves in the neck area can cause referred pain to the Adam's apple region, especially if there are issues with nearby structures.

Structural Abnormalities

Rarely, structural abnormalities or malformations in the throat or neck region may contribute to persistent Adam's apple pain.

Symptoms of Adam's Apple Pain

Pain in the Adam's apple area can show up in different ways, signaling discomfort or problems in the throat and neck. Spotting these signs is important for getting the right diagnosis and treatment. People with Adam's apple pain might experience the following:

  • Pain and Tenderness: The most common symptom is localized pain and tenderness in the area of the Adam's apple. The pain may range from mild discomfort to sharp or throbbing sensations.

  • Difficulty Swallowing: Pain around the Adam's apple can make swallowing hard, often due to irritation or swelling in the throat's structures.

  • Changes in Voice Pitch: Adam's apple pain might cause shifts in voice pitch or sound. This can happen because of the strain or discomfort affecting the vocal cords.

  • Sore Throat: Pain in the Adam's apple may extend to the surrounding throat, causing a general sore throat sensation.

  • Hoarseness or Voice Changes: Persistent Adam's apple pain can lead to hoarseness or changes in the voice. This is often a consequence of vocal cord strain or inflammation.

  • Swelling or Lump Sensation: Swelling or a lump-like sensation in the throat, particularly around the Adam's apple area, may accompany the pain.

  • Redness or Inflammation: Visible redness or inflammation in the neck region can be a sign of an underlying issue contributing to Adam's apple pain.

  • Pain with Neck Movement: Moving the neck in certain ways or pressing on the Adam's apple area might make the pain worse. This could suggest that muscles or structures in the neck are involved.

  • Coughing or Clearing the Throat: Persistent coughing or frequent throat clearing may be a response to the irritation or discomfort associated with Adam's apple pain.

  • Radiating Pain: The pain may radiate to other areas of the neck, jaw, or ears, depending on the underlying cause of the discomfort.

Medical Conditions Related to Adam's Apple Pain

Adam's apple pain can be associated with various medical conditions that affect the structures in the neck and throat. Here are some medical conditions related to Adam's apple pain:

  • Thyroiditis: When the thyroid gland becomes inflamed, called thyroiditis, it can cause pain and tenderness around the Adam's apple area. This inflammation might happen due to infections, autoimmune disorders, or other reasons causing swelling.

  • Goiter: When the thyroid gland gets bigger, called goiter, it can press on nearby tissues, causing pain and discomfort around the Adam's apple.

  • Laryngitis: When the larynx (voice box) gets inflamed, usually because of viruses or bacteria, it can cause pain around the Adam's apple. This might also bring changes in voice sound and throat irritation.

  • Muscle Strain or Tension: Too much stress or strain in the muscles near the Adam's apple, usually because of stress or bad posture, can lead to pain and discomfort.

  • Thyroid Nodules: Abnormal growths or nodules on the thyroid gland can lead to localized pain in the Adam's apple area.

  • Neck Trauma: Injury or trauma to the neck, including the thyroid cartilage, can result in Adam's apple pain. This may occur due to accidents, blows to the neck, or other physical injuries.

  • Referred Pain: Health issues impacting neighboring areas, like the esophagus or nerves in the neck, might cause discomfort felt in the Adam's apple region.

  • Laryngeal Cancer: Although rare, cancer of the larynx can cause persistent pain or discomfort in the Adam's apple. Other symptoms may include changes in voice, difficulty swallowing, or a lump sensation.

  • Infections: Different infections, like bacterial or viral ones affecting the throat or breathing system, can add to discomfort around the Adam's apple.

Diagnosing Adam's Apple Pain

Diagnosing Adam's apple pain involves a comprehensive evaluation by a healthcare professional to identify the underlying cause of the discomfort. The diagnostic process may include the following steps:

1. Medical History

The doctor will start by asking about your health history, including when the pain started, how long it's been bothering you, and if anything makes it better or worse. They'll also want to know if you've been sick lately, had any injuries, or noticed any changes in your voice.

2. Physical Examination

The doctor will carefully look at and feel your neck and throat. They'll check for any soreness, swelling, redness, or signs of inflammation around your Adam's apple. They might also press gently on your thyroid gland and nearby areas to see if there's any tenderness.

3. Voice Assessment

Since the Adam's apple is connected to your vocal cords, the doctor might also listen to your voice. They'll see if there's been any change in how high or low you can speak, if your voice sounds different, or if it's become hoarse. This helps them understand how your Adam's apple might be affecting your vocal cords.

4. Imaging Studies

Sometimes, the doctor might suggest taking pictures of the inside of your neck. They might use ultrasound, CT scans, or MRI scans to see the thyroid gland, larynx, and nearby tissues. This helps them check for any problems or unusual structures.

5. Laryngoscopy

During a laryngoscopy, a doctor uses a tiny camera on a flexible tube to look inside your throat, including your voice box and vocal cords. This helps them see if there are any issues that might be causing your Adam's apple pain.

6. Blood Tests

Your doctor might suggest blood tests to look for signs of inflammation, check your thyroid function, or see if there's any infection present. The results of these tests can give important clues about what might be causing your discomfort.

7. Swallowing Studies

If you're having trouble swallowing, your doctor might suggest a swallowing test. This helps them see how well your throat muscles are working and if there are any problems with swallowing.

8. Consultation with Specialists

Based on the findings, your doctor might send you to specialists like an ear, nose, and throat doctor (otolaryngologist) or a hormone specialist (endocrinologist) for more tests and treatment.

Adam's Apple Pain Treatment

1. Rest and Warm Compress

Allow your voice to rest and apply a warm compress to the throat. This helps relax the muscles and reduce inflammation, providing relief from Adam's apple pain.

2. Hydration and Humidification

Make sure to drink lots of fluids to stay hydrated. Using a humidifier can keep your throat moist, ease irritation, and help you heal.

3. Over-the-Counter Medications

You can try pain relievers and anti-inflammatory drugs you can buy without a prescription, like ibuprofen or acetaminophen, for temporary relief. Just be sure to follow the recommended doses, and if the pain keeps going, talk to a healthcare professional.

4. Voice Rest

Limit activities that strain the vocal cords, such as excessive talking or singing. Whispering should also be avoided, as it can strain the vocal cords.

5. Throat Lozenges and Sprays

Try sucking on throat lozenges or using throat sprays with soothing ingredients to ease discomfort and calm irritation in the Adam's apple area.

6. Prescription Medications

If Adam's apple pain is linked to underlying medical issues like infections or acid reflux, doctors may suggest prescription medications tailored to treat those specific problems.

Home Remedies for Adam's Apple Pain

1. Warm Saltwater Gargle: Gargling with warm salt water helps reduce inflammation and soothe the throat.

2. Honey and Lemon Tea: A warm tea made with honey and lemon can have soothing properties, providing relief from pain and irritation.

3. Steam Inhalation: Inhaling steam from a bowl of hot water can moisturize the throat and reduce discomfort.

4. Stay Hydrated: Drink plenty of fluids, such as water and herbal teas, to keep the throat moist and aid in the healing process.

5. Soft Diet: Consume soft, easily digestible foods to minimize strain on the throat while it heals.

Types of Adam’s Apple Pain Surgery

It's essential to know that surgery for Adam's apple pain is not common. Doctors usually try other treatments before considering surgery. Surgery is only an option when other treatments haven't worked, and there's a clear problem in the structure causing the pain. Here are some types of surgery that might be considered in certain cases:

Laryngeal Surgery

If the pain in the Adam's apple is due to problems inside the larynx (voice box), doctors might suggest surgery on the voice box itself. This surgery aims to fix issues like cysts, polyps, or nodules that could be causing the pain.

Thyroid Surgery (Thyroidectomy)

If the Adam's apple pain is associated with thyroid disorders or abnormalities, surgical removal of part or all of the thyroid gland (thyroidectomy) may be considered. This could be necessary in cases of thyroid nodules, goiter, or thyroid cancer.

Cervical Spine Surgery

In rare cases, Adam's apple pain may be related to cervical spine disorders or abnormalities. Surgical procedures on the cervical spine, like cervical fusion or disc replacement, might be looked at in rare situations where these spine problems seem to be causing the pain.

How to Prevent Adam's Apple Pain

Taking proactive measures can help prevent Adam's apple pain and promote overall throat health:

1. Vocal Hygiene

Take care of your voice by avoiding yelling or speaking too loudly. Use proper techniques to project your voice without straining the vocal cords.

2. Manage Acid Reflux

Change your diet, avoid eating late at night, and raise your head while sleeping to manage acid reflux. This helps prevent throat irritation.

3. Quit Smoking

Smoking can irritate your throat. Quitting or avoiding smoking is important to prevent Adam's Apple pain and keep your throat healthy overall.

4. Stay Hydrated

Adequate hydration is important for maintaining throat health. Drink plenty of water throughout the day to prevent dryness and discomfort.

5. Throat Exercises

Try gentle throat exercises, including stretches and relaxation techniques, to improve flexibility and reduce tension in the neck region.

When to See A Doctor

While occasional discomfort around Adam's apple may not be a cause for concern, some signs and symptoms require prompt medical attention. Here are signs it's time to consult a doctor about Adam's apple pain:

  • Persistent or Worsening Pain: If the discomfort around the Adam's apple persists or gets worse, it's wise to see a doctor. Persistent discomfort might signal an underlying problem that requires attention.

  • Difficulty Swallowing or Breathing: If you're having trouble swallowing or breathing along with Adam's apple pain, it's crucial to see a doctor right away. These signs might indicate a more serious issue that needs urgent attention.

  • Hoarseness or Voice Changes: Persistent hoarseness or noticeable changes in the voice lasting more than a few weeks should prompt a visit to a healthcare professional. This could be indicative of vocal cord issues or other underlying conditions.

  • Swelling or Visible Abnormalities: If you notice swelling, redness, or anything unusual around your Adam's apple, it's important to see a doctor. These signs could indicate inflammation, infection, or structural problems that need to be checked by a healthcare professional.

  • Referred Pain to Ear or Jaw: If you feel pain from your Adam's apple spreading to your ears or jaw, it might signal some underlying issues that need medical attention. This could be linked to nerve problems or other related conditions.

  • Fever or Signs of Infection: If you have a fever or notice signs of infection like warmth, redness, or pus around your Adam's apple, it's important to see a doctor right away. Infections can be serious and might need treatment.

  • History of Thyroid Disorders: If you've had thyroid issues before and you're feeling pain in your Adam's apple, it's crucial to talk to your doctor. This is especially important if you notice any changes in how your thyroid works or looks.

  • Persistent Cough or Respiratory Symptoms: If you're coughing a lot or having trouble breathing along with Adam's apple pain, it's important to see a doctor. These symptoms could mean there's something going on with your respiratory system or throat that needs attention.

Ready to Discuss Your Adam's Apple Concerns?

If you have questions or need personalized advice regarding your Adam's apple, Center One Medical is here for you. Our team of medical professionals is ready to provide expert guidance and solutions tailored to your unique needs. Don't hesitate— contact us and schedule your consultation today and take the first step towards optimal Adam's Apple health.


In conclusion, the journey through the realm of Adam's apple is both fascinating and enlightening. From its mythical origins to its complex structure and functions, this feature plays a special role in our bodies. Understanding its intricacies helps us manage discomfort, make wise choices about surgery, and keep our Adam's apple healthy. Whether you're dealing with pain or considering surgery, this guide is a valuable resource in the realm of Adam's apple health.


1. Can women experience Adam's Apple pain?

  • Yes, although less common, women can experience Adam's Apple pain due to similar causes affecting both genders.

2. Is surgery the only option for severe Adam's Apple pain?

  • No, usually surgery is considered only for very severe cases. Many people find relief through treatments that don't involve surgery and by making changes to their lifestyle.

3. Can stress really contribute to Adam's Apple pain?

  • Yes, stress-related tension can cause muscle tightness in the neck, leading to discomfort around the Adam's Apple.

4. Are there specific exercises to prevent Adam's Apple pain?

  • Yes, vocal exercises and relaxation techniques can help prevent tension and reduce the risk of Adam's Apple pain.

5. How long does it take for home remedies to work?

  • The time it takes for home remedies to work can vary, but many people feel better within a few days.

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