Luvmyguys - I've a totally messed up neck (bad disk/arthritis/bone spurs) and arthritis in my hands/palms that don't allow me to put much weight on them. I cannot ride drop bars. Period. Proper bike fit is of paramount importance, even more so when we have physical issues.
The purple bike in this picture is my beloved Gunnar. She is a full custom design and I can ride her all day long without hand or neck discomfort. You will note the lack of drop bars and the grip shifters (high end SRAM).
The blue bike was my Long Haul Trucker (sold a few months back). While not custom, you will note the 2-inch riser bars on her as well - I could also ride her all day long without pain in any part of my body. Proper fit is more important than custom, which is why I mention both bikes. You will note that both bikes have bar-ends on the grips which allow for more hand positions - but I have to say that I've never felt the need to actually use them!
What is the impact of my very upright riding position? I certainly have more wind resistance than someone in a more aerodynamic position, and I won't break any speed records. To me it is more important to be able to ride as long as I want to and to not have pain afterwards.
I concur with Goldfinch, whatever you decide to do, that you should ramp up your mileage base/time in the saddle slowly. Listen to your body more than to a schedule.




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