At 74 I find "clipless" the only way to go. I can't rack up the miles at low cadence - period. Spinning is the only way to go for me. A typical ride will show high 80's average cadence and that is with lots of pauses to drink, think, catch my breath etc. Can you hold 100 plus cadence with toe clips? My past use of toe clips had some of the same problems attributed to clipless. By the time I got them tight enough to due some serious pedaling I would occasionally have problems getting out of them at stops. Yes I fell with the bike. I have used both and won't go back to the rat traps.