Its back again sorry

Sorry to report its back with a bit of a vengeance mainly my right hand at night sometimes both hands. I have very few problems during the day just sometimes goes a bit numb if i'm not very active. But at night it wakes me up with my whole hand in pain. Usually my right hand is the worst. I think my last injections were December so its only been about 7 months. The only cure is to get up and get active.
PGG