Symptoms returned

Morning Dr Bland, I have been relatively pain free since the injection in my left wrist in January of this year but in the last few months the pains in both wrist and lower arms has increased to the point of waking me in the night and affecting me even if just sitting. I am currently attending orthopedics appointments for my shoulder and neck and the orthopedic professional has instructed me to contact you regarding this; as she has ruled out any connection to my neck/shoulder pains, should that be through this forum or do I need to contact your office?