I've got two bikes that I ride regularly. One is a bianchi castro
valley 58cm. The other is a tandem I ride with my gf. It is a burley
paso doble. I've noticed that I get some back and wrist pain riding
the burley that I don't get riding the bianchi. I broke out my tape
measure to figure out what's different between the two of them.
There's about a 4-5cm difference in the bar height versus the saddle
on the burley. On the bianchi the difference is only about 1-2cm. I
can't really drop the saddle down a great deal w/o losing a full
extension of my leg.

The bianchi has a 15 degree rise stem. The burley MIGHT have a 6
degree rise (if that).

I was considering replacing the stem on the burley with either an
adjustable stem like this one:

http://jensonusa.com/store/product/ST308B06-Kalloy+Road+Adjustable+Rise+Stem.aspx

or a fixed stem 30 degree, like this one:

http://www.jensonusa.com/store/product/ST295A00-Ritchey+Comp+Stem.aspx

Does anyone had any other suggestions?

Thanks,
-sv

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