Hi TenaciousE,
You are NOT alone. TMJ is a nightmare that too many of us have to face everyday. For whatever reason, we have a hard time believing that the jaw joint could cause all the muscular pains that it does. And doctors don't seem to be aware of anything TMJ. They slough it off as "just dental," which means we end up with large medical bills and no pain relief.
After 27 years I think I finally understand the "why," but it doesn't make having TMJ any easier. It basically has to do with balance. There are so many different things that can go wrong or that can happen to us that throws this balance off kilter or downright damages it. Our bodies do a marvelous job in adapting but sometimes it just can't take it anymore. Oh, it is also "normal" for only one side of the head/neck/body to hurt with TMJ.
Have you been doing any of the self-help methods that are posted here sometimes? The list is a little long but they really do help. Following is some of the basic self-help information:
Use lots of moist heat and/or ice.
Use ibuprofen, IF you can, for pain and to reduce any swelling. Use up to 800 mg if you feel the need. Do not take Motrin/ibuprofen on an empty stomach and even though I don't know the exact amount, I wouldn't take more than 1600 mg a day.
Certain supplements are also very beneficial. Chelated magnesium (or just the regular stuff) can be very helpful if you are clenching and/or grinding your teeth at night. Try it even if you don't think you have night-time bruxism. Up to 1200 mg a day. Super vitamin B complex is another great one (for repairing, etc.). You might even try glucosamine, fish oil, calcium and vitamin d.
Anti-depressants can be very helpful for TMJ pain. It sounds crazy, but it does. If you don't want to find an anti-d that works for you (not all will), you might try St. John's Wort. It's supposed to be a "natural" anti-d.
ALWAYS check with your doctor about any vitamins and supplements that you plan on trying before you start taking them.
Stress. Poor Posture. These are TMJ's biggest enemies. Please believe me. I've gone through this for 27 years and rejected the stress and posture theories when I first heard about them. What a transformation when I finally made the changes. Even with all the damage done to my joints, the pain is now very manageable. Seriously!! Use any method to de-stress or relax that you can - hot tub, exercises, Yoga, massage therapy, etc.
Diet - liquid or softer foods for a few weeks (or months). No gum chewing, hard, chewy or gooey foods. Treat your mouth like it has been sprained (like a knee). Baby it. Rest it and that does mean to talk as little as possible.
Be careful about opening your mouth wide for a long period of time. Sometimes even yawning can cause the jaw to "catch."
I have to go back to posture as this is so very important with the computer age now. Evaluate how you are sitting in front of a computer or desk. Your back should be reasonably straight, shoulders back and down, neck and head over body with the chin down (not too far down). Be very careful to not thrust your neck/head/chin up or out towards the computer to see the screen better (or any other reason). No slouching. Go to
www.nismat.org/ptcor/tmj website for more directions on proper posture and good basic info on tmj.
Get enough good sleep (like that's an easy one).
Don't give up on bite splints. A good one is worth it's weight in gold. Sometimes a splint will be purposely made to change a bite (repositioning splints) but in these cases, there should be a "next step" to fix the bite permanently but only AFTER you have no more pain and your bite feels stable with the splint in your mouth.
I hope and pray that the TMJ Specialist will be able to help you. There are some newer treatments that sound very promising. It usually a matter of finding the "perfect" specialist.
God bless you,
Carol