I use the Smart Crutch because canes or crutches with horizontal handles give me symptoms of carpal tunnel syndrome. I usually use one crutch for balance, and have the forearm support adjusted close to a 45 degree angle. A recent knee injury means I now need the option to put my full weight on two crutches. My new crutch arrived quickly, and I adjusted both crutches almost horizontal, so I'm taking the entire load on my elbows. So far so good! And a bonus I didn't anticipate was that the crutches are safe to have in an MRI suite, which simplified getting imaging quite a bit. I'm a huge fan!!