Have moderate degeneration in left tmj and severe degenerative changes in the right. my rheumatologist says not ra. what treatment is likely?

Surgery: There are surgical options which can help. I would suggest consultation with a maxillofacial surgeon.

Arthritis of TMJ: Most likely degenerative arthritis due to displaced discs. See a TMJ expert for conservative treatment. Most cases will improve.

See OFP specialist: Treatment includes a soft diet, NSAIDs for control of pain and inflammation, and a muscle relaxant in the presence of hyperactivity. Joint lavage or arthroscopy should be considered. See Orofacial Pain specialist for diagnosis and conservative treatment.