I had to go to the Sarge Easter grip due to a bone spur pressing on my ring finger tendons as well as some arthritis. It has allowed me to keep competing without pain. There was a period of adjustment to it. Throwing my first few 10 pin attempts were pretty awful, but I got the hang of it. My ball roll did change a bit. I spin it a bit more than I used to, but I've always been a spin biscuit. I don't feel it limits my versatility at all, which was a surprise. Also, my rev rate didn't take that much of a dip. The only problems I have with the fit is that how much more finicky I have become with it. The bridge has to be perfect (1/8th) and not too much bevel on the ring finger. Getting that knowledge took a little trial and error for me. I do always caution people that that fit is not for everyone. If you have exhausted other efforts in changes to pitches and span, and are still in pain; the Sarge Easter fit could be worth the gamble. However, make sure you have tried everything and have a knowledgeable PSO. I went through 4 fit changes before my doctor and my PSO figured out it was best if that my top knuckle of ring finger was no longer in use. I hope that helps!