Have you been diagnosed by your dentist and/or oral maxillofacial surgeon and ruled out injury to the teeth or jaw, misalignment of the teeth or jaw, teeth grinding, poor posture, stress, arthritis, and gum chewing as causing the TMJ? Did they suggest Botox as an alternative to manage your pain? If so, they probably know board certified plastic surgeons or board certified cosmetic dermatologists in your geographical location who can provide the injections. Inquire about their costs as a package deal may be available for return visits. The effects of Botox usually last three months. The Botox injections relieve jaw tension by making muscles unable to engage in the powerful, often unconscious movement of the jaw that produces headaches and pain.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA