I used Soma for a short time for the TMJ on the one side and PT, also for a short time. the TMJ discomfort on the left side is now gone. But that darn ATN pain on the right side is still there loud and clear. If I miss a dosage of my cream, sleep on that side or get a cool breeze on that side....whamm-o...lots of bad pain. But, the Desipramine pills and the compounded cream have kept the pain more tolerable. I have something stronger for breakthrough pain, but try hard not to use it.