Born with golden hare syndrome and have had major reconstructive surgery on jaw .. now 20 years later i have tmj .. suggestion on pain relief?

See surgeon: Goldenhar syndrome is a rare congenital defect characterized by incomplete development of the ear, nose, soft palate, lip, and mandible. You should consult surgeon to make sure symptoms are not related to change in mandible since original surgery. Immediate treatment could involve intermittently icing and applying heat to the TMJ joint. Some nonsteroidal antiinflammatory mediction may help.

More info needed: Do you wear an appliance called a splint (or a night guard) to reduce the stress of clenching and grinding? If not, it would be wise to have a dentist make you a custom-fitted guard (not a flexible mouthguard, and not anything over-the-counter, as these can make things worse), which will not only protect your joints and dentition, but should lessen the pain associated with TMJ issues.

TMJ specialist: Your TMJ problem is complex because of your jaw disorder and surgical history. See a TMJ/TMD specialist. 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.

See OFP specialist: TMJ disorder is a complex medical condition, therefore, it's a good idea to see an Orofacial Pain specialist for proper diagnosis and treatment. They are experts in TMJ issues.