Do I have TMJ?

Your reaction to Invisalign is not common but this can happen. Generally speaking TMJ symptoms improve with those using Invisalign, but not always. Depending on where the pain is coming from would help determine the cause. There are a number of things happening that could cause the symptoms.

Most often when your symptoms occur, and it is only with a few, wearing the Aligners triggers clenching. This is the opposite with most patients.

Only testing various scenarios can you come up with the correct answer. Therefore, if the problem continues, only visiting your provider or someone else will correct the problem.

Then again, the problem could disappear on its own.

Jaw pain and headaches are typical signs of TMJ and can be triggered by bite problems. I would advise visiting your dentist and letting them know about your symptoms, so they can properly examine you and decide if you should pause your Invisalign treatments. 

People with a TMJ condition can have a number of problems with the jaw joint,
most of which can be improved by Invisalign treatment via bite correction. Some
cases may remain the same and in very rare cases can be aggravated by
appliances.

In general, your body does not like change. Although our bodies, especially our temporalmandibular joints, are quite adaptable, dyfunction and symptoms in these joints is common. The cause of symptoms, however, is extremely multifactorial. Tooth movement can exacerbate an underlying problem and bring about your TMJ symptoms. With all of your patients, regardless of treatment, we warn them that if they start developing TMJ symptoms, that treatment may need to be put on hold, and that they have to go through a separate phase of treatment, usually involving a splint, until their symptoms have alleviated. Then, they MAY by a candidate to finish treatment.

TMJ Dysfunction can result from  tooth movements if the TMJ's are not in a healthy functioning position to begin with.  This is what you are describing .  Otherwise the slight movement into tray 6 would not be enough to cause the problem.  Your dentist/orthodontist may not have picked this up in the evaluation.  Disucss your situation with them to come up with a solution.  Invisalign, or braces for that matter should not be used to treat TMJ Dysfunction if the dysfunction is present when starting treatment.