I’ve been using Smart Crutches for almost 15 years and am very happy with them. Before that I used the old fashioned crutches with the gray cuffs around the top of your forearm. Smart Crutched are much more adjustable so your arms can be where you want them, horizontal, vertical or somewhere in between. The cuffs and hand grips are very comfortable. The choice of designs is fun. Customer services is fantastic!