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Thanks Nick. I work out at the Y and I have an elliptical and weights I use at home.My Shiver has more legroom than my Breva. The knee and hip angles are more open on it. I really, really like my Shiver but it doesn't have that undefinable something that makes Guzzi's so special.
The Stelvio is a great touring rig and has great overall position. You can stand, move around, slide on the rear seat, etc. The seat is fantastic as well. I wouldn't know if you can tolerate the ride position of the Stelvio, so you should try one.I would avoid anything that would bend up your knees. Griso, Norge, your Breva come to mind. Some may find it hard to accept, but feet forward (ala Cali, Indian, Harley) might solve your problem. The california could be the solution for your knee pain. They do make that version with floorboard or pegs, so you might find a happy in-between. There are a lot of guys with knee problems logging miles on Harleys. Not saying the bike is for you, but the riding position might be.
Exercise and some glucosamine supplement
Don't suck it up and ride till you drop -- find the proper ergos for your condition. There's just no glory in tipping over at a stop because the knees took a nap. Experiment with padding/blocks etc for a better seat height and look for different/additional pegs. handlebar geomery is also important. There might not be anything on the shelf for you -- you might have to diy.While you research, take your miles in lower doses -- 70% of tolerable distance -- and get out of the saddle for 5 minutes. You'll get a lot more fun miles out of your day.$0.02
The big thing for me is simply keeping my knees warm ...