dakotamomy, I know nurse will have much more info, but as someone who has been suffering from TMJ for a while, I can tell you a couple of things. The thing that helped me was a bite plate to wear at night, stops that awful rock crunching sound of grinding teeth and protects the teeth from wear and tear. For really bad times, my dentist gave me a prescription for a wicked strong muscle relaxant. Relaxation techniques, some massage and stretching helped too. Mine has improved dramatically since I took a lot of stress out of my life (moving to Mexico!). I feel your pain, good luck!