I use them all the time. I got rid of the handle, which shortenend them a bit. Then went with a couple MYOG poles without any handle. I adjust hiking length for up hills and down hills with a twist or two on the straps. At their shortest, they work well for climping up steep trails. This is with the strap fully loose. Going down is a matter of twisting a couple turns. Worst case is three turns with my hand resting on top of the pole.
Without the handle, there is little pressure on my hands from holding it. Light fingertip pressure is all that is needed, doing away with the stiff hands at the end of the day.
To me, the quick adjustment and lack of forarm tiredness more than trumps the loss of a handle. Indeed, after about few years, I forgot it one trip and had an old one. The handle was really awkward the entire trip. The slightly increased length of the pole (it is 45" or ~114cm) was more than made up for by increasing the length of the strap.