While I do not wake up with back pain, I have been very disappointed that for the price, this mattress does not hold its surface well. I am only 100 pounds but it leaves a sunken space where my body has laid and does not recover from it by the next day. Since you cannot flip these types of mattresses there’s no way to sleep elsewhere. As you can imagine, my spouse who is 200 pounds has a much more pronounced “hole” on n his side of the bed. I splurged on this mattress and am disappointed that it lost its hold within a few months.