I've never used studded tires and don't want to, at least so far. I do fall once or twice a winter, usually under difficult conditions at a slow speed. It happens when there is ice that can't be seen because it is under snow.
I have my route or my time arranged so that the fall does not happen in traffic. I used to do some very early shifts and would start the commute at 4:30 am.
When I do see the ice I have become very comfortable riding on it, even if is glare and slick from a warm day. That took awhile and won't happen for everyone.
So far no damage at all from the thumps. I think they might even help keep a person flexible.
Charge!!!