A pain specialist will first do a thorough evaluation of your bite and may take x-rays to see how your temporomandibular joint moves. If there are issues found, then the severity of your condition will be what the specialist uses to decide on a treatment plan. Common treatment options to alleviate pain include the use of Botox and trigger point injections. Each cause of TMJ is very individual, but most are not severe and very treatable with lifestyle changes and oral appliances.