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I sat on one for about 4 years at my desk and loved it. I have been sitting in my regular chair since september tho...I'm probably going to go back to my ball here shortly. I find I get too tired too fast in this chair. At least on the ball I can bounce around a little. :) But yes, it did help with back pain...but you have to ease into it. Don't expect to sit on it for 8 hours the first day....you will be sorry.