Grips almost parallel to the top tube
I started riding a hybrid again 2 years ago, after 25 years off my bike (I also hang out in the 50-plus forum). I was having terrible numbness on the flat bars, and felt like riding on bar-end grips kept me too far from the brakes. I rode anyway, with numbness starting after about 8 miles, and getting bad by 25-30 miles. Eventually, I developed enormous pain at the base of my thumb, and had to stop riding. After a couple of months of physical therapy, I switched to mustache bars with bar-end shifters, and they were much better; instead of numb hands at 10 miles, I could ride a century with at most occasional numbness which went away when I got off the bike for a minute. I did have significant elbow pain, which was because the mustache bars were too wide for me. I eventually switched to narrow, (40 cm) short and shallow drop bars, and ride on the hoods 90% of the time. No numbness, no elbow pain, and multiple hand positions.
Originally Posted by NightShift
However, I had very bad single-bike crash 6 weeks ago, and today will be my first attempt at a ride since multiple broken bones and internal injuries. It could have been worse; I wasn't an organ donor, though I'm told I would have been had I not been wearing a helmet. I crashed at the start of a 60 mile long, 4500 foot up ride. For me, that would have been an all day ride. I'm planning to try 10 flat miles today. I might not get 10 feet. Wish me luck!