It started last night after I went to bed. it started in the top of my hand and has spread to my entire right hand and forearm. I have taken tylenol rapid dissolve and ibuprofen for pain relief. I have put icy hot on the arm from elbow down and that doesn't work. the pain is so bad I can barely use my hand or arm to do anything. I can barely grip a light piece of cardboard like paper like a playing card. the pain was so bad last night it kept me awake for hours last night and it woke me up this morning.