83 miles this past friday! no wrist pain, but yes, i believe there is a trade off between perineum pressure and wrist pressure.
daily about 7 miles. used to do 20 miles on weekends, rarely 40, 50 mile trips
i've had varying handlebar heights, from mild aggressive before, to more upright the last 6 months. handlebars (when was more aggressive about same height, now a little higher than saddle - though each time i unfold, i slightly vary the seat height for fun). you can see some latest pictures on ecovelo if you search for my name kanishka