I can't answer all of that since I only started using them about 2 years ago but I have never had one come out. I do have 1 that is a little loose but it has stayed in there. The reason I switched was I entered a tournament and bowled 11 games. 2 days later went in to league and my thumb was sticking in every ball so had the PSO drill me up 2 of them, 1 regular size and 1 slightly larger.
As for the pitch, there is some play in them that you can add pitch to the insert. I only know that cause when I recently got the Altered Reality he measured my old ball and said my thumb pitch was off a little so drilled up a new insert that put it back about 1/2 way between where it was and where he said it 'should' be to test it. My thumb is big so he couldn't go much more anyway. I'd imagine if you have a smaller thumb you have a little more room to offset the insert drilling. But according to that PSO you would normally drill the pitch into the ball and leave the insert normal but it is an easier way to test new pitches on your thumb.
Bookmarks