It isn't strain so much as an impossible angle, which would be cured by lowering the brakes as margrette and Becky suggested. My back actually feels better on the flat part of the bars or bent over lower in the drops...halfway up with my hands forward to kinda try to reach the brakes, the muscles pull over the screws in my back.
The brakes are unreachable on the hoods as well, I generally use them by wrapping my entire hand around the little plastic brake support thingies (what are those called?)



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My LBS built the bike with the brake hoods level. I'm rarely in the drops unless climbing or accelerating but even then I mostly ride from the top of the bars or the hoods. I'm comfortable braking from the hoods with just two fingers. It's a rare day that I have to grab a handful of brake but if so I do I can do it from there. My hands are very small and yet this works for me.
