I do not pretend to understand all I've heard from the medical people with an excruiating episode of TMJ (which I had never heard of until February 01), but I can share that what got me out of the debilitating situation was massage therapy with one trained in myofacial release technique. My other option was to continue with medication which would result in many days missed on the job. My hero is a massage therapist with TMJ training. All the reading I had done on the internet referred to various doctors, dentists, neurologists, etc. I did not find anyone referring to a massage therapists.