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Wrist strain is the real killer - you want poles where the strap does most of the work instead of your grip having to clench hard all day. Beyond the foam grip stuff already mentioned, look into poles with adjustable or padded straps that distribute pressure across your wrist and forearm rather than just your palm; some brands make them specifically for this. One thing I found helpful is wrapping the grip area with athletic tape or even thin neoprene sleeves before heading out - gives you extra cushioning and warmth without buying new poles, and it takes maybe two minutes to set up. Also consider going slightly lighter poles overall, since any reduction in weight means less constant tension in your hands over hours of skiing.
Ski poles aren't usually the main thing that bothers arthritic hands - it's mostly grip strength and wrist strain. Look for poles with foam or gel grips that are oversized, and consider models with adjustable straps so you're not squeezing as hard to keep them in your hands.
The grip situation is definitely important, though I'd actually push back a bit on the idea that poles aren't a big deal. Bad poles can make your hands work harder than they need to, and over a day on the mountain that compounds. What matters most is reducing the strain on your wrists and knuckles while you're turning and pushing off.
Look for poles with cork or rubber grips rather than plastic - they're gentler on arthritic joints and don't transmit vibration the same way. Oversized grips help because you're not squeezing as hard to maintain control. More importantly though, check the pole's flex and weight. Lighter poles mean less force needed to plant them, and ones with a softer flex absorb some of the impact instead of sending it straight into your hands. Some people swear by adjustable wrist straps that let you take pressure off your grip entirely - you're basically resting your hand in the strap rather than gripping the pole. That alone can make a huge difference if your fingers are tender.
Also consider the baskets (the little discs at the bottom). Larger baskets mean the pole won't sink as deep into snow, so you're not fighting as hard to pull it back up. And honestly, if arthritis is serious, spending a bit more on custom or semi-custom poles designed for accessibility is worth it. Your hands will thank you by day two.
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