I have very small hands and I recently had my handlebars slightly tilted up higher to help me grip the brakes easier. My LBS stated that may help with the slight discomfort I was feeling in my hands, which when tired - my hands and fingers could hardly get a good grip on the brakes. It's easier to reach now, but I still have to take it on a long ride to see if that will help make a difference. They also moved the brakes/hoods up just a tinge.