possible leg length issue
For the fellow who can't find his ideal position. I agree with all the advice given in the thread but wonder if he has a leg length issue. That twisting fall he mentioned very well could cause a functional leg length discrepancy. If so he possibly sits obliquely on the saddle which causes all sorts of upper body problems.
I'll repeat the advice given by another poster, get a professional bike fit from a reputable fitter who has experience dealing with such physical issues.
For the fellow who can't find his ideal position. I agree with all the advice given in the thread but wonder if he has a leg length issue. That twisting fall he mentioned very well could cause a functional leg length discrepancy. If so he possibly sits obliquely on the saddle which causes all sorts of upper body problems.
I'll repeat the advice given by another poster, get a professional bike fit from a reputable fitter who has experience dealing with such physical issues.