Back on PS4 I used a Razer Raiju because of the toggle paddles on the back - the weight was pretty full on initially but I got used to it pretty quickly for the ease of the paddles. The interchangeable stick height was also really handy if you needed a wider or closer grip depending on your hands.

I'm on PS5 now and use the DualSense Edge, again for the paddles mostly as they're significantly kinder to use with arthritis for me and work great with the WXHB toggling. Weight isn't too bad, don't have cramping issues myself with it, but that'll be dependent on hand-size for people -- just having a more relaxed grip thanks to the paddles helped a lot. The DualSense triggers are... awful for an MMO. You can at least on the Edge hard-lock the pressure of them so you don't have to squeeze so deeply in if you didn't like the paddles.