Re: splints: do things temporarily get worse before they get better? And for how lon
I think that in order for splints to be most effective, you need other treatments in conjunction.
If your pain is from muscle spasms, you need to find a way to help lessen the spasming. The splints help reposition your bite into a correct position. Eventually, your muscles should get used to this position and the spasming should reduce, but in while the muscles are adapting, the spasms can get worse.
You really need to include supplementary treatment to address the spasming in addition to the splint. In my case, I found a good manual physical therapist who was able to do trigger point releases on my masseter and pterygoid muscles. It hurt like crazy, but over time really really helped. I also worked on my neck and shoulder muscles as well since the tightness there was directly related to the tmjd spasms. When things were really bad, I also took flexeril as well.
Tens and ultrasonic treatment may also help as well. Massage also helps.
Asthma, Allergies, severe LPR/GERD, Anemia, TMJD, Hearing Loss, Ulnar Impaction Syndrome, Shoulder Impingement--both shoulders, Benign Joint Hypermobility, possible Ehlers Danlos Syndrome