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I have a close friend who was having some back problems which she thought was due to an older mattress so she bought the tempurpedic classic on the adjustable frame and absolutely loves it! She says her back problems are gone, and the adjustable frame also has a built in massager!
Also, buy the sheets they have at the store made for the bed, along with the water proof mattress protector (protects your pricy investment).
And, it may take a little while to get used to for some people but for my friend, there was no long adjustment time, but there was a bit of an odor at first, but it does go away, and they do warn you of it- if you check out the website.
DO NOT pay alot of money for a mattress topper, it will not work the same at all. My friend had previously paid over $100 for a mattress topper, it helps a little with comfort but does not change the fact that you still have springs in the mattress below. If you have real back pain, go to a local store and lay on the bed for a while .. see what you think , this just might be the thing for you!