I've been sleeping in this bed for the past few weeks and thank goodness i haven't been experiencing back pain like before! With my old pillow top mattress i would wake up with my back hurting so bad. This bed keeps me fresh on hot nights, i thought u was going to have a problem with it where it would leave me sweating but it does not. I have a box spring that goes under this so that the mattress doesn't sink in the frame.