No problems with my back or hers. Knees are what bother both of us. My hips, butt, and neck get sore at times. We usually have to stop about every hour, so occasionally just take a little longer break. I’ve thought about the handles in the past, but don’t see it helping my issues. Someday I’ll get wise and buy a sport tourer. Maybe once both girls are through college and I can afford it.