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Please believe I'm not trying to belittle your condition whatsoever when I say this, but I've seen a 10-year-old with corresponding hand size play 34" scale without issue - it's all technique. You should be able to adjust technique so you aren't stretching (just moving your hand more, usually at the elbow), thereby negating any scale/size differences. One or two inches of difference in scale length don't add up to much on a per-fret basis... but of course a) your health is of the UTMOST importance, sadly even more important than bass, and b) YMMV so do what you must. I just hate to hear of someone giving up on a bass they love (a jazz, no less!) if it is something a shift in technique can help. Getting a teacher made a massive difference for me!I have a nerve problem (at least that's what I suspect as I have been to all the best doctors in Chicago with no real answer). I am 6 feet tall and not a small person but the nerve issue is a big problem. I love my jazz bass and will never sell it but I realize I may have to go to a shorter scale. I used a capo just as a test and found it made a real difference. So if my nerves problem doesn't get help soon I will need to consider going to a shorter scale. Funny thing is my Sterling by Musicman SB14 feels like it's a 33" so I think I will play it more for now. The medium scale market is pretty scarce. I know Birdsong and some others make a very nice bass but not my cup of tea. I would like something more modern, maybe a Factor bass as they are 32" and have clear tone with a bit of punch if dialed right. I also like the old Yamaha Motion basses a bit, 32" as well. Wonder how many others are in the same place as me.
I have been sitting down to play for a couple years as straps of any kind cause my nerve pain to worsen.
There is a guy on YouTube that had a bass built for him ( I think his last name was "Whitley" and he had a Brittish accent ) that had a great tone. His bass was a 30" I believe but had a tremolo, which I would do without. He remarked on how most companies charges so much to have a bass built and he found a company that was reasonable.
You could have a couple of nerve pain aggrevators - one being the pressure of the strap on the side of your neck, the other being the reach, to get to the first frets. And these two will work together to cause trouble. The nerve runs right under where the strap sits on your shoulder, and pressure on that nerve will cause more pain as you extend your arm.
You could try a bass that has a longer upper horn, which moves the headstock closer to your body or getting a better padded strap.
And there are straps that divide the weight onto both shoulders, but they are a little clunky. I got a automobile seat belt pad - a piece of sheepskin that snaps around the strap, and it worked great for neck and nerve pain. Try folding up a small towel and putting that under the strap, to see if this would work for you.
Please believe I'm not trying to belittle your condition whatsoever when I say this, but I've seen a 10-year-old with corresponding hand size play 34" scale without issue - it's all technique. You should be able to adjust technique so you aren't stretching (just moving your hand more, usually at the elbow), thereby negating any scale/size differences. One or two inches of difference in scale length don't add up to much on a per-fret basis... but of course a) your health is of the UTMOST importance, sadly even more important than bass, and b) YMMV so do what you must. I just hate to hear of someone giving up on a bass they love (a jazz, no less!) if it is something a shift in technique can help. Getting a teacher made a massive difference for me!