I have had tmj since I was 16. It kept getting worse. I have been on liquid/soft food diets, pills, had tmj splints made, and nothing helped. So I had my first surgery a bilateral artrocentesis done. It's where they go in with a giant needle and extract fluid from the tmj. Relief was only for 11 months. I then had an arthrosopic surgery done bilaterally, second. That only lasted for a year. My last surgery i've had was a little over a year ago and it was a bilateral reconstrutive jaw surgery. Its the best surgery i've had. I now have hardly any pain and when I do it's only for a day or two here and there. I am still working on being able to move my mouth from left to right, and I can no longer bite with my front teeth together. I have very little nerve damage--only along my temples where I can't feel anything anymore.
If I had it all to do again, i'd do it. For i'm no longer in bed for days,and my jaws are no longer falling out of place by bending my head over. It has helped me a great deal.