Yes to all of your questions. Lower seats are harder on backs. If your ski is stable enough adding even a cm of seat pad will help with back strain. Stretching hamstrings and also calves and instep of the foot will help. Putting a block on the footplate where the heel touches to decrease calf stretching will help. Start easy. Gradually build strength. It will take time before you can sit comfortably in the right position. Takes me 6 weeks every spring before I feel good in the boat after taking the winter off. I have back issues - lumbar fusion and other things. As with many people with low back issues, paddling actually makes my back feel better, looser, and stronger. But you have to ease into it gradually.
Current Skis: Nelo Vanquish AIR, Epic V10g4, NK 670 double, NK exrcize, Carbonology Feather, Think Jet, Knysna Sonic X
Former Skis: Epic v10g3, Kai Waa Vega, Epic V12 g2, Epic V12 g1, Epic v10 double, Nelo 550 g2, Fenn Elite S, Custom Kayaks Synergy