I use a good office chair, but I still get back and neck pain if I do not get up and move around at regular intervals. I have arthritis in my neck, shoulders and back, so some pain is expected; but if I pace myself it gets easier and I have less pain. I used to do medical transcription for 8 hours a day, so every 15-20 minutes I would get up, get a drink of water or just take a short walk to the ladies room, which helped. I really wish that I could have taken that chair with me when I left, as it was fantastic. Oh well, leaving that job was more important to my well being than having that great chair. LOL.