What is the best way to treat sever tmj?

Usually self limitin: Most TMJ is self- limiting and usually does not get progressively worse. Short term use of an NSAID frequently helps relieve some of the discomfort, as do some muscle relaxants. You should be consulting your dentist who may recommend a physiotherapist, a nighttime dental bite plate or in very severe cases, a dental surgeon.

Need proper eval.: Tmd, temporomandibular dysfunction, is a complex problem involving the actual joint at times, but more often the muscles and other soft-tissue attachments as well as the complex of nerves around the face and head. You need to be seen by a specialist who knows how to evaluate these types of problems. Not all dentists know how. Ask around.

Orofacial myologist: Tmj syndrome can be complex problem. It is often associated with grinding teeth, which can be stress-related, and structural imbalances that may best be treated by a dentist. Evaluation by a dentist who specializes in this is wise, as is getting a 2nd opinion. Some ENT docs also treat this. But i also advise evaluation by an orofacial myologist who does pt for this. See http://www.Iaom.Com/.

Expert: See an expert who can treat you both non-surgically (hopefully) and surgically if you don't respond to non-surgical treatment.