Returning pain and numbness

Hello,

I have had the pain return in both hands, it has been back quite bad for a few months now and i keep putting off contacting the clinic but i have got to a stage where i am unable to sleep again due to the pain, i am back to wearing splints at night and it is helping a bit but not enough, Driving is also causing me pain. The pain and numbness seams to be travelling further up my arms this time around. Is it possible to get an appointment at some point?