I have 2 damaged vertebrae in my neck from sitting at a stoplight in my Alfa 20 years ago and watching in my mirror as I was hit from behind.
After awhile I could no longer tolerate long-reach drops and built my bike semi-upright with a moustache cockpit. I also ride compact drops and an upright.
Most important thing I can tell you is get off your neck and shoulders. Support yourself with core muscles. Always ride with bent elbows, always ride with straight wrists. Think about leaning into your core muscles and you will find a burst of spin energy.