It is nearly 2yrs since I had an open bilateral carpal tunnel release procedure done. The condition was diagnosed on EMG but I never had positive symptoms on the test where the Dr bends the wrist back. No x-rays or scans were done prior to the op. The post-op recovery seemed straightforward. After my 3 month review I was given the go ahead to return to full actvities. I routinely have to lift weights up to 25kg and carry out heavy manual work. Once I started heavy work it triggered a lot of pain. Initially I was unconcerned as I thought that I probably just needed time to rebuild strength etc. However 2yrs on I have constant moderate pain. I have pain on the palm of my hand at the base of the thumb close-ish to the wound area and I can feel a lump there. I also have pain in the palm side of the wrist below the scar. In addition certain combinations of wrist and hand movements trigger intense electric shock type pain. Strangely the pain is in the same position on both hands. I have weakened grip and clumsiness in both hands. I find it hard to hold things such as a paint brush or steering wheel. On the upside I rarely get tingling now. I saw the surgeon again today who requested x-rays which were clear. I mentioned concern regarding swelling around the scar area but he said that the swelling seen was not exceptional and to be expected. He said that I had two options; one to carry on and put up with the pain or secondly to change my occupation. He said that I needed to give my hands at least 3 months rest (not feasible without losing my livelihood). I asked whether there was any diagnostic test that could be performed to identify the cause of the pain which might then indicate some way of treating it. He said that there was not. Currently I just try hot and cold treatment and wear wrist splints at night and when doing heavy work. I take paracetamol since NSAIDS cause GI symptoms. I am in my mid 50s and otherwise in good health apart from some osteoarthritis. I have requested a second opinion and he has recommended one of his colleagues at the same centre.