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That depends on how bad your arthritis is. I suggest the M&P eZ

Hi Douglas and welcome. I have this model, and the slide rack is moderate. I have found that instead of holding the pistol stationary and attempting to rack with the opposite hand is not as effective as a quick push pull motion with both hands that evenly distributes the rack effort between both hands for easier racking. Cheers, stay safe and enjoy!

Hi Doug, it is middle of the road. For someone with arthritis, I would recommend the Ruger Security-380 Lite Rack Pistol https://www.budsgunshop.com/product_info.php/products_id/151753/ruger+security-380+.380+acp+pistol , Stay safe & have a great day!