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Sorry, I didn't look at this sooner. Lots of stories here, aren't there?
I got CTS in Grad school, in both wrists, from typing up all those papers. It got so bad I could barely use my hands. Once I painfully finished the semester, I took a long vacation from the keyboard, and kept both wrists wrapped in wrist braces for a couple of months.
The CTS went away, but I am much more cautious about keeping my wrists supported. In fact, right now, my wrists are firmly planted on the desktop while I type with just my finger tips. Those gel wrist pads help a lot too.
If fly tying is what is aggravating your wrists, quit fly tying for while. At your age, the condition should heal in a few weeks, once you quit doing whatever it is that's hurting you. After the pain is gone, you can work on conditioning, and rebuild the strength of your wrists so you can resume tying.
If you've actually damaged your wrists, then surgery may be the only answer, but it's far more likely that you just have inflammation of the tendons or tunnels, or both.
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