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I use them upside down to lower my woodcrafts. That along with a 2 inch taller seat it gives me big body enough room to ride the SV in comfort, and I still have ground clearance on my pegs.
As far as pain I get wicked sore on the arches of my feet. It's cause by a number of things including my weight, hanging off a lot and riding on my toes. Anyway stretching my arches helps a ton.