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This forum is full of insecure salesmen who labor under the fantasy that carrying a briefcase makes them look important. It doesn't. Nobody cares how you transport your stuff to work. If a backpack is the only thing that works with your back, then use a backpack. There are specific brands mde for people with back problems, I'd try one of those.
Would a soft/hard case with an optional shoulder strap (to use when carrying heavy stuff) suit the OP?
Something I have always wondered is can you do damage to your suits shoulders carrying bags over them - I sometimes carry a satchel over one shoulder and swear it has slightly changed the shape of a couple of suit shoulders...
As it seems we can't talk you out of getting a backpack (suit and backpack is a little like wearing bowtie and sweatpants - it's more or less impossible to pull off), I'll try and be a bit more constructive.
Even if you only had one arm you could still use that to hold a nice briefcase or sling a leather messenger bag. IMO both far better options, even when going for a more casual look.
No. Just, no.