I'll tell you about my experience, even though your anatomy and pathology 
may be different. Full disclosure: I'm a retired physician but I did 
kidneys.  What I know about back stuff I learned from my own problems.

I had lower back pain for years but in the last year the predominant 
symptom became leg pain due to the irritated nerve root, like sciatica, 
which occurred because the disc had completely deteriorated.  It got to the 
point where I couldn't walk 10-15 minutes, or be on my feet, without 
excruciating pain down the outside of my right leg. Yet I was still able to 
do 2 wonderful multi-day bike trips this summer on my road bike, with drops 
level with the seat.  How?

Think of a Roman arch: the bricks on the inside of the curve are touching, 
but those on the outside of the curve have significant space between them. 
 On a road bike with drops, your back is in a gentle arch and the posterior 
space between the vertebrae opens up, relieving the pressure on the nerve 
(posterior=towards the back, anterior=towards the front).  In fact, when I 
tried Alba bars for a more upright, old man with back pain position, things 
got worse.  When you are upright, the vertebrae are stacked one on top of 
another, and without a normal disc between them as a cushion, the pressure 
on the nerve root increases.

I couldn't take the pain anymore and in Sept. I had a L5-S1 spinal fusion 
by an experienced spine surgeon.  While this is a complex procedure, it is 
pretty routine and results are almost always good.  It is a definitive 
treatment for the problem, at least for me. If your symptoms are severe and 
you do nothing, there is the risk of permanent nerve damage with resultant 
leg weakness.  Not good for anyone, let alone a cyclist.

 Running is clearly a no-no, but you should experiment with other cockpits 
and not assume that upright is always better for a bad back.  Conservative 
management includes physical therapy to strengthen the muscles that support 
the spine, Pilates and abdominal work in particular,stretching and 
swimming.  If you are near a major medical center, an orthopedist who 
specializes in spinal problems is your best bet, not a general orthopedist. 
 And a good physical therapist can teach you a lot, even is you've been 
active all your life.

So that's my story..as I said initially, your situation may be different 
but this is what I've learned from my problems.  Hope it helps.

Best,
Alan

On Wednesday, January 13, 2016 at 8:54:50 AM UTC-5, michael sellers wrote:
>
> Hi to all and hope the new year is starting well. After a year of sporadic 
> back problems i recently spent some time with a bone and joint specialist 
> and was told i have Degenerative Disc(sp?) Disease. Not terrible but not 
> really fixable without drastic measures. My Dr also advised me that time on 
> my Riv was certainly preferable to the running i was also doing.Having said 
> that i plan on adding some time to my current riding.Currently i have 
> Albatross bars on my Atlantis frame but my riding thus far has been mostly 
> short trips to town and back and short rides then breaks to eat,fish,etc. 
> As i increase the length of my rides will the Albatross(or some other 
> upright style bar you recommend) still be my best bet or will drops be a 
> better option?   Thanks in advance for any advice, Mike
>

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