Three strikes

Dear Dr Bland

I have had three injections in each wrist and now find the condition in my right wrist getting severe.
At night waking me about every hour, the hand becomes swollen and unable to make a fist and constant pain in the day.
I am taking ibuprofen, doing physio and wearing splints at night.
I have completed the questionnaire Q id 223636 and sent an e-mail with my details.
I would like to progress to surgery if that is the next appropriate step.
I look forward to your response.