I have a carpel tunnel so crocheting can hurt my hands and arms so much I can't crochet for days (which I hate). The longer handle allowed me to loosen my grip and easily switch between knife and pencil grip, allowing me to knit longer, which was my desire. a hook is still more painful than a hook with a thicker handle. Also, after using Boye and such, it took me a minute to get used to the difference in hook neck and how to change the grip of the yarn a bit. Because the head was in line with the hook and not slightly raised, I had to keep "reaching" to grab the yarn. Not a big problem, just something to watch out for if you're used to a different style.
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