Tmj/ear problems but have had conflicting diagnoses from tight muscles to clenching to arthritis . confused .will this go on its own. what to do next?

Time: If indeed you have a TMJ and muscle pain problem then 90% of the time it will go away. In the 10% of the time it does not go away on its own you may need a bite guard as a next step to treatment. Muscle relaxants can also be used if it does not go away.

Common Scenario: Unfortunately, what you're describing is common. Diagnosis of tmd is very complex and often not accurate on the first attempt. In either case, common sense approaches which work most of the time include a nightguard (to stop clenching/grinding during sleep), soft diet, gentle jaw stretches, hot/cold compresses, and perhaps some pharmacological support. Then re-evaluate and adapt treatment to fit.

Another opinion?: Betted, unfortunately it is not unusual to see conflicting opinions in this area. Tight muscles are a symptom not a cause. Clenching is a causitive factor but bruxing (tooth grinding) is more common. If there is no history of arthritis it is unlikely. If no tests done to confirm arthritis it shouldn't be an answer until confirmed. Do some research on the background of the TMJ specialist.

See a specialist: Tmj problems don't usually subside on their own. The cause and source of the tmj/tmd pain must be evaluated, along with a super thorough history. A TMJ specialist should be consulted to get the answers that you desire.

TMJ Expert: Your symptoms suggest spontaneious resolution unlikely. Best solution is to see a TMJ specialist for diagnosis/treatment. Any dentist can be a TMJ expert with the proper training and experience. Most commonly, oral surgeons, prosthodontists, and orofacial pain specialists. Ask your MD, your dentist and your dental society for referrals.