I have quite severe back issues: middle/upper and lower back.  A Wayfair advisor recommended this one.  The moment I sat in it, there was instant support and pain relief. It is firm and well-padded - probably as good as I could hope for. My only criticism is assembling the back rest: There must be 2 people. Not only is it heavy but requires holding at a very particular angle.  It was incredibly difficult. In the end we lay the back-rest and chair on their sides on the floor and managed but I had to find, book and pay a 2nd person to assist.