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If the brain is trying to distract me, why do I only get pain from using my voice?
Weird coincidence, although I use the same Google search engine as you do :)

Muscle tension is TMS, no doubt in my mind. Many people with TMS have one or more triggerpoints, oxygen deprived area's in your muscles that give pain and tension in the muscle. Every voluntary muscle (that's a giveaway already about the psychological cause) can have triggerpoints, so also the muscles that are involved with speaking. It is difficult to use a muscle that has triggerpoints in it, because it is shortened/tightened and it gives pain when you use it.