yes.
If the saddle makes you do shennanigans with your pelvis to get comfy, your back will pay the price. If the saddle is too high/low or too fore/aft, it'll bug your back as you compensate for the positioning.
Great book to locate (if you don't have it already): Andy Pruitt's Complete Medical Guide for Cyclists. Also, check Sheldon for saddle info. www.sheldonbrown.com



and moved things that haven't been moved in a few years...
..
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