Upper right quadrant pain and numbness in both hands and arms

I am a 57 yr old female that started having numbness intermittently from one arm to another and often both at same time. The pain/numbness is most extreme at night waking me up at approx 1:30 and 4:30 AM. Usually at 4:30 the numbness is so painful I just get up. When I get up and start moving it subsides substantially. I have been shovelling large amts of snow for several hours several days in a row, so I am assuming perhaps I have an inflamed nerve or something. Now I am starting to have upper right quadrant pain and just feel in general fatiqued. My gallbladder was removed several yrs ago, although it was not due to gallstones. Should I be concerned or go to a doctor?