Your best bet to avoid carpal tunnel and joint pain, is to start your dose low and slowly build it up. If you plan on taking 5iu GH ED, I would start with 2iu. Then about every 2 wks, increase the dose by .5iu, If you notice that you are starting to feel joint pain or CT, don't increase until the pain has gotten better. Once you get to 3iu, I would split the dose into 2 shots a day.
Also watch the joint pain on winstrol. That stuff will dry your joints out pretty bad and can cause aches within several weeks. I don't think that winstrol is an ideal drug to use while trying to gain mass, for this reason. It is good for strength, but achey joints and heavy weights dont always go together. So pay attention to that. If you are on the winny and feel pain in your joints, it may not be the GH