I shoot very high wristed. There is no pain. I have been advised by a very high level coach that I should entertain the idea of changing to a lower wristed grip where I actually healed the bow more. I tried it, and did not like it at all! Worst thing was how bad my arm hurt from the string slap. Anyway, I decided I was too old of a dog to try to learn new tricks, and dedicated myself to learning to be consistent the way I am comfortable.
I shoot all my bows with this same style of grip, longbows, recurves, and selfbows.
Bisch