This car seat was recommended by a friend who also has low back issues and has been a lifesaver! Besides being a more ergonomic option than other toddler car seats, it is just so much easier and faster to load our toddler sideways and then spin her around to rear-facing. So much less fuss on her end and so much physically easier for us. This car seat is also very comfortable and feels really sturdy and safe. I would recommend this car seat to anyone, particularly anyone looking for an easier way to get kids in the car with less back arching and headache.