CLAIMANT HAS COMPLAINED OF PAIN AND DISCOMFORT IN HIS UPPER EXTREMITIES ON BOTH HIS LEFT AND RIGHT SIDES. HE IS DEVELOPING BI-LATERAL CARPAL TUNNEL SYNDROME IN HIS WRISTS, ELBOWS AND SHOULDERS. THIS CONDITION IS AGGRAVATED BY HIS REPETIVE WORK DUTIES, SUCH AS MOTION GRIPPING AND ELBOW FLEXION OF THE JOYSTICK WHILE RUNNING HEAVY EQUIPMENT.