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Numbness and tingling in bilateral hands and arms

I have been suffering from severe numbness and tingling in bilateral hands and arms for over 2yrs.  It has progressively gotten so bad that it wakes me up at night,often keeping me up all night. The numbness is so bad that it is very painful for me.  It inteferes with my ADL's. I am often absent from work due to this, not just the numbness and pain but from lack of sleep I can't function on the job.  In a 2 week period I have slept 1 night without waking up from this problem.  I can't handle this, it is driving me crazy.  I am very fatigued , irritable, and unhappy. What can I do?  I am at the end of my rope, I can't deal with this for the rest of my life!  
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