EMA with TMJ and Migraines

Hello all. I have both sleep apnea and severe TMJ. I am currently unable to use my EMA oral appliance because I am having a lot of trouble opening my mouth to insert the EMA oral appliance. Then it hurts really bad when I can get the EMA oral appliance in.

I called my sleep dentist and they said to try heat and TMJ e exercises. I have bought a few items that can be used as heat items for TMJ but I can not get them hot enough for me.

Then I am not able to do the TMJ exercises. I can not move my jaws like they want me to.

I also suffer from migraines. My last eat one has lasted around 4 months now. I am now trying botox. It could try 3 weeks to see if the Botox will work. I am working on my second week to see if the Botox will work. Some of the referred pain has gone away but am still waiting for this migraine to go away.

I don’t know what else I can do to help with my TMJ pain while waiting to see if my insurance will cover the TMJ trigger point injections and nerve blocks for my TMJ.

Does anyone else have any suggestions for me to try that have worked for them? I am at a total loss.