I had a bilteral radial tunnel release, 5 months post op, but no pain relief. negative emg/ncs. xrays & mri are good. hindering my ability to work.

SUGGEST: Let's assume delayed healing, and reliable post-op workup. Your next step involves rehabilitation intervention, and would strongly endorse experienced hand therapist, usually an occupational therapy background in concert with a physical therapy team. You need a rehab facility, with extensive experience, as all clinics are NOT equal, and some could be wasted effort. Good luck.