For me the most effective treatments have been physical therapy:
1. craniosacral therapy
2. alphastim
3. cold laser
Craniosacral is a form of massage. Alphastim and cold laser are treatments my TMJ specialist has provided.
I've had TMJ for 20 years, and while splints and supplements help, physical therapy (craniosacral in particular) has been extremely helpful at relieving pain, reducing muscle tension, and improving my sleep. Before I started doing physical therapy, the muscles in my jaw were constantly knotted, and I had fairly severe pain in my neck and back. Now it is much more manageable. I prefer straight, full body craniosacral therapy and not a craniosacral/massage blend.
NOTE: I've read reviews that debunk the new agey aspects of craniosacral therapy and what it does with bodily rhythms, bladablada (see for example:
http://www.quackwatc...cs/cranial.html). I don't know or care about any of that. After 20 years, I know what works-for me-and what doesn't. It may not do everything its developer claims, but it does what I need it to do.
P.S. about the adjustments. My current dentist (the one who intro'd me to alphastim and cold laser) has a different and much more effective approach than any other dentist I've gone to. He makes a splint for the lower teeth (all others have been for the top teeth) and then for the first three months or so he had me come in for an adjustment to my splint every 2-3 weeks until things stabilized. The idea is that this trains your muscles back into their appropriate location. It hasn't been the magic bullet for my nighttime bruxing, but it has been far more effective than other splints, and it has helped reduce day-time clenching. Once I got to a point where my splint adjustments leveled off, he then did minor adjustments to my actual teeth which has also helped a lot.