I replaced my syntace aerobars with the profile T2+'s due to the fact that i needed the pads moved back a bit and already tended to hold onto the flat part of the extension. I love the hand position of the new bars, but find that having the bar end shifters installed the same way as they were on the up-turned part of my old bars puts my hand in a really awkward position when shifting and stresses out my forearm trying to rotate my wrist forward and down when shifting to a smaller cog.

How do those of you using S-bend or R-bend bars have your shifters mounted? and if you've put them on upside down, how do you route the cable?