I have used crutches off and on for years. These handles are the best upgrade I have ever tried. I always put my forefinger against or around the crutch barrel for stability and these have a comfy place for that. The wider handle distributes the weight across my hand better with less pain and fatigue. I had to put a ‘L’ and ‘R ‘ on them with a sharpie because they make your crutches have a left and right and a front and back d/t the angle they sit at. Totally used to that in a week. Would definitely recommend them for anyone who is going to be on crutches for more then a few days, is less then full weight bearing, and/or will still be active.