My TMJ came as part of my Fibromyalgia and Myofascial Pain Syndrome (needs to be diagnosed by a Rheumatologist.) I clenched my jaws at night even with a mouth guard, and woke up in terrible pain all the time. A proper diagnosis, some physical therapy to improve my upper body strength and neck strength and improve my poor posture, and an excellent physical therapist who knew how to do Myofascial Release Massage (she puts gloves on and goes inside my mouth and stretches the knots out of the tendons or muscles!) keeps it under control. Not many massage therapists have had adequate training in this specialized therapy. You'll have a better chance with a Pain Management Therapy program as part of a Rehab Hospital, I think. Make sure you're properly diagnosed.